ArticleBMJ open2024
Exploring the barriers to healthcare access among persons with disabilities: a qualitative study in rural Luuka district, Uganda.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Article
- "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
- The impact of health literacy on health-related quality of life among individuals with physical disabilities: a path analysis based on the integrated model of health literacy.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Global patterns and predictors of initial treatment in early rheumatoid arthritis: insights from a multinational machine learning study.Clinical rheumatology · 2026Article
- Association of disability and 12-year all-cause and cause-specific mortality: analyses from the Wellbeing of Older People cohort study in Uganda.BMJ global health · 2026Article
- Factors associated with morbidities among persons with disabilities in Malaysia.Scientific reports · 2026Article
- Article
- 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
- Left behind in primary healthcare: A qualitative exploration of healthcare experiences of people with disabilities in Ethiopia.PLOS global public health · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveThe aim of the research was to explore the barriers to healthcare access for persons with various disabilities in rural Luuka district of Uganda. The findings will assist in appreciating the challenges persons with disabilities face in accessing Healthcare in a rural setting. These insights will contribute to the development of an intervention to improve healthcare access that is affordable, timely and acceptable. DESIGN AND
participantsThis qualitative study formed the exploratory formative phase of the 'Missing Billion' project. A total of 27 participants with disabilities-visual impairment (n=5), physical impairment (n=5), multiple impairments (n=6) and intellectual/ cognitive impairment (n=5) were purposively selected to participate in in-depth interviews conducted by two experienced researchers. Participants were identified through contact lists provided by the district disability focal person and local disability associations, with additional participants identified through snowball sampling. Interviews with persons with hearing impairment (n=6) were conducted by a researcher with hearing impairment. The interviews were audio/video recorded and transcribed to facilitate thematic data analysis. We used the disability-inclusive health 'Missing Billion' framework to map and inform the barriers.
settingThe study was conducted between September and November 2022 in rural communities in Luuka district, Eastern Uganda.
findingsOn the demand side, challenges revolved around autonomy and awareness, limited access to health information, lack of financial capacity and dependence on caregivers for healthcare choices left persons with disabilities feeling disempowered. On the supply side, discrimination and negative attitudes from healthcare workers were reported as prevalent. Absence of healthcare workers and service delivery delays impacted on healthcare access, resulting in poor care. Inaccessible healthcare facilities compounded issues, as they had limited accessibility features.
conclusionsComplex and interconnected barriers underscore the pressing need for systemic changes to ensure equitable healthcare access for persons with disabilities in rural Uganda.
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