ArticleBMC health services research2024
Suggested solutions to barriers in accessing healthcare by persons with disability in Uganda: a qualitative study.
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 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to accessing healthcare for people with disabilities:a systematic review.Frontiers in public health · 2026Pooled it
- Beyond physical access: disability-inclusive primary health care as a test of health equity in Sub-Saharan Africa.International journal for equity in health · 2026Article
- "But they are hard work": A qualitative study of the perceptions of healthcare workers in providing care to persons with disabilities in Uganda.BMC health services research · 2026Article
- Anti-diabetic medication adherence among adults with type 2 diabetes in eastern Uganda: prevalence, associated factors, barriers, facilitators, and strategies for improvement: a mixed-methods study.BMC primary care · 2026Article
- Feasibility of implementing a community-based participatory group programme to improve access to healthcare for people with disabilities in Luuka district, Uganda: a mixed-methods pilot study.BMJ public health · 2026Article
- Self-care strategies and interventions to address antimicrobial resistance: evidence review and recommendations for national programs, service providers, caregivers, and self-carers.Frontiers in public health · 2026Review
- Disability training for healthcare workers in Uganda: qualitative findings from the pilot test.BMC medical education · 2025Article
- Participant perceptions of disability training for health workers: a qualitative study in Ghana.BMC medical education · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundThere are 1.3 billion people with disabilities globally, and they frequently face barriers to accessing healthcare, contributing to their worse health and higher mortality. However, little research has explored patient-reported approaches to improve healthcare for persons with disabilities. Consequently, this study aimed to explore possible solutions and recommendations to address the existing barriers to access to healthcare for persons with disabilities in rural Uganda.
methodsWe conducted 27 semi-structured interviews with individuals with various disabilities in rural Luuka district, Eastern Uganda, between September and November 2022. The participants included individuals with visual impairment (n = 5), physical impairment (n = 5), hearing impairment (n = 6), multiple impairments (n = 5), intellectual/cognitive impairment (n = 5), and albinism (n = 1). Interviews were recorded, transcribed verbatim, and thematically analysed. We categorized the solutions using the Missing Billion disability-inclusive health systems framework.
resultsOur findings, framed within the health systems framework, revealed several critical themes. On the demand side, suggested solutions emphasized advocacy and sensitization for persons with disabilities, their communities, and caregivers about healthcare needs. Socio-economic empowerment and community-based health services were also highlighted as essential. On the supply side, participants stressed the importance of training healthcare workers on disability, facilitating dialogue and experience-sharing sessions, and employing health workers with disabilities. Additional recommendations included improving accessibility and reasonable accommodation, organizing inclusive services like special clinic days and outreaches, ensuring representation in health facility management, and establishing comprehensive rehabilitation services with affordable assistive devices.
conclusionThe multifaceted solutions proposed by persons with disabilities highlight the complex challenges they face in accessing healthcare services and highlight the necessity for comprehensive, sustainable interventions. The call to action for policymakers and healthcare providers is to prioritise the incorporation of disability-inclusive practices and explore multi-dimensional approaches that foster a more inclusive healthcare environment that adequately meets the needs of persons with disabilities.
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