Evidence map›Paper›PMID 38553700›Full record

ArticleBMC health services research2024

"These are just finishing our medicines": older persons' perceptions and experiences of access to healthcare in public and private health facilities in Uganda.

Stephen Ojiambo Wandera, Valerie Golaz, Betty Kwagala, James P M Ntozi, David Otundo Ayuku

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

5 authors at 3 institutions in 3 countries.

Stephen Ojiambo WanderaDepartment of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, P. O. Box 7062, Kampala, Uganda. swandera@gmail.com.
Valerie GolazInstitut National d'Etudes Demographiques (INED), Paris, Aubervilliers, France.
Betty KwagalaDepartment of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, P. O. Box 7062, Kampala, Uganda.
James P M NtoziDepartment of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, P. O. Box 7062, Kampala, Uganda.
David Otundo AyukuDepartment of Mental Health and Behavioral Sciences and Mental Health, Moi University, Eldoret, Kenya.
Makerere University · UGInstitut national d'études démographiques · FRMoi University · KE

Funding

Carnegie Corporation of New York B 8606Google 191994John D. and Catherine T. MacArthur Foundation 10-95915-000-INPSIDA 54100029Wellcome TrustWellcome Trust (UK) 087547/Z/08/Z
6 · The paper itself

Abstract

backgroundThere is limited research on the experiences of access to medicines for non-communicable diseases (NCDs) in health facilities among older persons in Uganda. This paper explores the perspectives of older persons and healthcare providers concerning older persons' access to essential medicines in Uganda.

methodsIt is based on qualitative data from three districts of Hoima, Kiboga, and Busia in Uganda. Data collection methods included seven (07) focus group discussions (FGDs) and eighteen (18) in-depth interviews with older persons. Nine (9) key informant interviews with healthcare providers were conducted. Deductive and inductive thematic analysis (using Health Access Livelihood Framework) was used to analyze the barriers and facilitators of access to healthcare using QSR International NVivo software.

resultsThe key facilitators and barriers to access to healthcare included both health system and individual-level factors. The facilitators of access to essential medicines included family or social support, earning some income or Social Assistance Grants for Empowerment (SAGE) money, and knowing a healthcare provider at a health facility. The health system barriers included the unavailability of specialized personnel, equipment, and essential medicines for non-communicable diseases, frequent stock-outs, financial challenges, long waiting times, high costs for medicines for NCDs, and long distances to health facilities.

conclusionAccess to essential medicines for NCDs is a critical challenge for older persons in Uganda. The Ministry of Health should make essential drugs for NCDS to be readily available and train geriatricians to provide specialized healthcare for older persons to reduce health inequities in old age. Social support systems need to be strengthened to enable older persons to access healthcare.

Indexed as

Noncommunicable DiseasesAgedAged, 80 and overDelivery of Health CareFocus GroupsHealth FacilitiesHealth Services AccessibilityHumansQualitative ResearchUgandaBarriersDrugsElderlyFacilitatorsHealth systemPrivate health facilityPublic health facilitySub-Saharan AfricaUganda

Identifiers

PMID38553700
PMCPMC10979571
OpenAlexW4393317679

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.