ArticleGlobal health, science and practice2015
Barriers to health care in rural Mozambique: a rapid ethnographic assessment of planned mobile health clinics for ART.
Article in Global health, science and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
55 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mobile clinics for women's and children's health.The Cochrane database of systematic reviews · 2016Pooled it
- Barriers and facilitators to the uptake of Test and Treat in Mozambique: A qualitative study on patient and provider perceptions.PloS one · 2018Trial
- Community health worker knowledge and management of pre-eclampsia in southern Mozambique.Reproductive health · 2016Trial
- Operationalizing rapid implementation science for responsive HIV programs.Frontiers in health services · 2026Article
- Methods for community-engaged data collection and analysis in implementation research.Implementation science communications · 2025Article
- Structural barriers and facilitators to accessing HIV services for marginalized working populations: insights from farm workers in South Africa.Health policy and planning · 2025Article
- Article
- Predicting mobile health clinic utilization for COVID-19 vaccination in South Carolina: A statistical framework for strategic resource allocation.PLOS global public health · 2025Article
- Implementation science research to understand the readiness of a mobile clinic intervention to screen for high-risk HPV infections and associated morbidity in Mali and Nigeria.Journal of global health economics and policy · 2025Article
- Mobile health clinics for distribution of vaccinations to underserved communities during health emergencies: A COVID-19 case study.Public health in practice (Oxford, England) · 2024Article
- Engaging Mozambican men in a couple-based therapy to reduce intimate partner violence and improve mental health: Community stakeholders' perspectives.SSM. Mental health · 2024Article
- Article
- Use of mobile hospitals to improve access to health services and promote primary health care: lessons from Zambia (2011-2018).African health sciences · 2024Article
- Implementation of a mobile health clinic framework for Hepatitis C virus screening and treatment: a descriptive study.Lancet regional health. Americas · 2024Article
- Community-informed perspectives of implementing interpersonal psychotherapy for couples to reduce situational intimate partner violence and improve common mental disorders in Mozambique.Global mental health (Cambridge, England) · 2024Article
- Article
- Post-intervention perceptions on the antiretroviral therapy community group model in Trans Nzoia County, Kenya.The Pan African medical journal · 2024Article
- Physical accessibility, availability, financial affordability, and acceptability of mobile health clinics in remote areas of Saudi Arabia.Journal of family medicine and primary care · 2023Article
- Article
- Understanding and addressing privacy and confidentiality concerns associated with the provision of mobile HIV care: a qualitative study.AIDS care · 2022Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundIn Mozambique, 1.6 million people are living with HIV, and over 60% of the population lives in rural areas lacking access to health services. Mobile health clinics, implemented in 2013 in 2 provinces, are beginning to offer antiretroviral therapy (ART) and basic primary care services. Prior to introduction of the mobile health clinics in the communities, we performed a rapid ethnographic assessment to understand barriers to accessing HIV care and treatment services and acceptability and potential use of the mobile health clinics as an alternative means of service delivery.
methodsWe conducted assessments in Gaza province in January 2013 and in Zambezia Province in April-May 2013 in districts where mobile health clinic implementation was planned. Community leaders served as key informants, and chain-referral sampling was used to recruit participants. Interviews were conducted with community leaders, health care providers, traditional healers, national health system patients, and traditional healer patients. Interviewees were asked about barriers to health services and about mobile health clinic acceptance.
resultsIn-depth interviews were conducted with 117 participants (Gaza province, n = 57; Zambezia Province, n = 60). Barriers to accessing health services included transportation and distance-related issues (reliability, cost, and travel time). Participants reported concurrent use of traditional and national health systems. The decision to use a particular health system depended on illness type, service distance, and lack of confidence in the national health system. Overall, participants were receptive to using mobile health clinics for their health care and ability to increase access to ART. Hesitations concerning mobile health clinics included potentially long wait times due to high patient loads. Participants emphasized the importance of regular and published visit schedules and inclusion of community members in planning mobile health clinic services.
conclusionMobile health clinics can address many barriers to uptake of HIV services, particularly related to transportation issues. Involvement of community leaders, providers, traditional healers, and patients, as well as regularly scheduled mobile clinic visits, are critical to successful service delivery implementation in rural areas.
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