Evidence map›Paper›PMID 29121907›Full record

ArticleBMC health services research2017

"Helping my neighbour is like giving a loan…" -the role of social relations in chronic illness in rural Uganda.

Jovita Amurwon, Flora Hajdu, Dominic Bukenya Yiga, Janet Seeley

Abstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jovita AmurwonUrban and Rural Development Unit, Swedish University of Agricultural Sciences, Uppsala, Sweden. jovitakakia@gmail.com.ORCID http://orcid.org/0000-0002-5310-1070
Flora HajduUrban and Rural Development Unit, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Dominic Bukenya YigaMedical Research Council/Uganda Virus Research Institute, Entebbe, Uganda.
Janet SeeleyMedical Research Council/Uganda Virus Research Institute, Entebbe, Uganda.

Funding

Economic and Social Research Council Res 189-25-0013International Foundation for Science S/4803-1Medical Research Council MC_U950097153
6 · The paper itself

Abstract

backgroundUnderstanding individuals' experience of accessing care and tending to various other needs during chronic illness in a rural context is important for health systems aiming to increase access to healthcare and protect poor populations from unreasonable financial hardship. This study explored the impact on households of access to free healthcare and how they managed to meet needs during chronic illness.

methodsRich data from the life stories of individuals from 22 households in rural south-western Uganda collected in 2009 were analysed.

resultsThe data revealed that individuals and households depend heavily on their social relations in order to meet their needs during illness, including accessing the free healthcare and maintaining vital livelihood activities. The life stories illustrated ways in which households draw upon social relations to achieve the broader social protection necessary to prevent expenses becoming catastrophic, but also demonstrated the uncertainty in relying solely on informal relations.

conclusionImproving access to healthcare in a rural context greatly depends on broader social protection. Thus, the informal social protection that already exists in the form of strong reciprocal social relations must be acknowledged, supported and included in health policy planning.

Indexed as

Chronic DiseaseHelping BehaviorRural PopulationAdultFamily CharacteristicsFemaleHealth ExpendituresHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedQualitative ResearchUgandaAccess to careChronic illnessHealth systemsSocial relationsUganda

Identifiers

PMID29121907
PMCPMC5679490

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.