| Id | 2848 | |
| Author | Afeadie R.K. | |
| Title | When the healthcare system neglects some people: Rural–Urban Migration, socio-cultural conditions, and health coping strategies in informal settlement, Madina, Ghana: An exploratory design | |
| Reference | Afeadie R.K. When the healthcare system neglects some people: Rural–Urban Migration, socio-cultural conditions, and health coping strategies in informal settlement, Madina, Ghana: An exploratory design,Health and Social Care in the Community 30 6 |
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| Keywords | Adaptation, Psychological; Ghana; Health Services Accessibility; Humans; Population Dynamics; Qualitative Research; Transients and Migrants; coping behavior; Ghana; health care delivery; human; migration; population dynamics; qualitative research |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85130612540&doi=10.1111%2fhsc.13836&partnerID=40&md5=094b8bddb168dd5185bc4221c832ed2c |
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| Abstract | Migrants face several unmet health needs due to the inability of the healthcare system to address their healthcare challenges. As a result, they adopt coping strategies to overcome their healthcare needs. Consequences can include infrequent but severe adverse reactions, dangerous drug interactions, incorrect dosage etc. Little is known in Ghana about the role played by cultural and linguistic barriers in shaping migrants' access to formal healthcare and the coping mechanisms adopted by these migrants to overcome their healthcare challenges. Surprisingly, most of the studies that have been conducted have focused on financial barriers to care accessibility. This presents a loss opportunity for any health programme aimed at addressing this inequity. Thus, the purpose of this paper is to fill this gap by exploring the challenges of healthcare accessibility and coping strategies adopted by migrants to overcome their healthcare needs in the informal urban settlement of Madina, in the Greater Accra Region. The author employed a narrative type of qualitative research design. A purposive and then snowball sampling technique were used to select 20 participants to participate in the study after saturation was reached. Twelve in-depth interviews (IDIs) and six key informants' interviews (KIIs), as well as two focus group discussions (FGDs), were conducted. The study is consistent with the ecological model, which posits that health is determined by influences at multiple levels. The author found linguistic, cultural, stigmatisation and financial challenges as the main barriers to healthcare accessibility among the migrants. As a result, self-medication and the use of lay health personnel for addressing healthcare needs were more pronounced. The study also found other means of survival that posed a health risk to the migrants. Based on this, it was recommended that healthcare systems take into account the healthcare needs of migrants who are people with culturally and linguistically diverse backgrounds. © 2022 John Wiley & Sons Ltd. |
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