Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study

Abstract Background In the face of drought and food insecurity emergency, evidence on access to health and nutrition services is important. Karamoja is one of the regions that have experienced extreme drought and food insecurity emergency in Uganda. As a part of the drought and food insecurity emerg...

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Main Authors: Charles Njuguna, Habteyes Hailu Tola, Benson Ngugi Maina, Kwikiriza Nicholas Magambo, Nabunya Phoebe, Elizabeth Adhiambo Mgamb, Evelyne Tibananuka, Florence M. Turyashemererwa, Moses Rubangakene, Kisubika Richard, George Opong, Ssekitoleko Richard, Chris Opesen, Tim Mateeba, Edmond Muyingo, Upenytho George, Samalie Namukose, Yonas Tegegn Woldemariam
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-17830-5
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author Charles Njuguna
Habteyes Hailu Tola
Benson Ngugi Maina
Kwikiriza Nicholas Magambo
Nabunya Phoebe
Elizabeth Adhiambo Mgamb
Evelyne Tibananuka
Florence M. Turyashemererwa
Moses Rubangakene
Kisubika Richard
George Opong
Ssekitoleko Richard
Chris Opesen
Tim Mateeba
Edmond Muyingo
Upenytho George
Samalie Namukose
Yonas Tegegn Woldemariam
author_facet Charles Njuguna
Habteyes Hailu Tola
Benson Ngugi Maina
Kwikiriza Nicholas Magambo
Nabunya Phoebe
Elizabeth Adhiambo Mgamb
Evelyne Tibananuka
Florence M. Turyashemererwa
Moses Rubangakene
Kisubika Richard
George Opong
Ssekitoleko Richard
Chris Opesen
Tim Mateeba
Edmond Muyingo
Upenytho George
Samalie Namukose
Yonas Tegegn Woldemariam
author_sort Charles Njuguna
collection DOAJ
description Abstract Background In the face of drought and food insecurity emergency, evidence on access to health and nutrition services is important. Karamoja is one of the regions that have experienced extreme drought and food insecurity emergency in Uganda. As a part of the drought and food insecurity emergency response, World Health Organization (WHO) with Ministry of Health (MoH) has designed and implemented a qualitative study in 15 districts that have experienced drought and food insecurity emergency in north-east Uganda. Thus, we aimed to explore the barriers of access to health and nutrition services in drought and food insecurity emergency affected districts in north-east Uganda. Methods We employed a descriptive qualitative study design. We interviewed 30 patients and 20 Village Health Teams (VHT) from 15 districts. We employed an in-depth interview with semi-structured questions to collect data until information saturation reached. We used thematic data analysis approach by ATLAS.ti version 7.5.1.8 software. Results Of the 30 interviewed subjects, 15 were female, and the median age of the subjects was 29 years with interquartile range (IQR) of 23 to 37 years. Majority (68.8%) of subjects reported that access to health and nutrition services was harder to them. Four themes: sociocultural and economic; environmental; health system, and individual related factors were identified as the barriers of access to health and nutrition services. Conclusion The present study identified several modifiable barriers that hinder access to health and nutrition services in drought and food insecurity affected districts. Comprehensive interventions aimed at addressing sociocultural, economic, environmental, health system and subject related challenges are required to improve access to health and nutrition services in drought and food insecurity affected setups.
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spelling doaj.art-957af40527994ae3a145b0999847de842024-03-05T20:38:26ZengBMCBMC Public Health1471-24582024-02-012411910.1186/s12889-024-17830-5Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative studyCharles Njuguna0Habteyes Hailu Tola1Benson Ngugi Maina2Kwikiriza Nicholas Magambo3Nabunya Phoebe4Elizabeth Adhiambo Mgamb5Evelyne Tibananuka6Florence M. Turyashemererwa7Moses Rubangakene8Kisubika Richard9George Opong10Ssekitoleko Richard11Chris Opesen12Tim Mateeba13Edmond Muyingo14Upenytho George15Samalie Namukose16Yonas Tegegn Woldemariam17World Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeWorld Health Organization Uganda Country OfficeMinistry of Health of UgandaMinistry of Health of UgandaMinistry of Health of UgandaMinistry of Health of UgandaWorld Health Organization Uganda Country OfficeAbstract Background In the face of drought and food insecurity emergency, evidence on access to health and nutrition services is important. Karamoja is one of the regions that have experienced extreme drought and food insecurity emergency in Uganda. As a part of the drought and food insecurity emergency response, World Health Organization (WHO) with Ministry of Health (MoH) has designed and implemented a qualitative study in 15 districts that have experienced drought and food insecurity emergency in north-east Uganda. Thus, we aimed to explore the barriers of access to health and nutrition services in drought and food insecurity emergency affected districts in north-east Uganda. Methods We employed a descriptive qualitative study design. We interviewed 30 patients and 20 Village Health Teams (VHT) from 15 districts. We employed an in-depth interview with semi-structured questions to collect data until information saturation reached. We used thematic data analysis approach by ATLAS.ti version 7.5.1.8 software. Results Of the 30 interviewed subjects, 15 were female, and the median age of the subjects was 29 years with interquartile range (IQR) of 23 to 37 years. Majority (68.8%) of subjects reported that access to health and nutrition services was harder to them. Four themes: sociocultural and economic; environmental; health system, and individual related factors were identified as the barriers of access to health and nutrition services. Conclusion The present study identified several modifiable barriers that hinder access to health and nutrition services in drought and food insecurity affected districts. Comprehensive interventions aimed at addressing sociocultural, economic, environmental, health system and subject related challenges are required to improve access to health and nutrition services in drought and food insecurity affected setups.https://doi.org/10.1186/s12889-024-17830-5Access to health servicesHealth services deliveryNutrition serviceHealth system serviceDroughtFood insecurity
spellingShingle Charles Njuguna
Habteyes Hailu Tola
Benson Ngugi Maina
Kwikiriza Nicholas Magambo
Nabunya Phoebe
Elizabeth Adhiambo Mgamb
Evelyne Tibananuka
Florence M. Turyashemererwa
Moses Rubangakene
Kisubika Richard
George Opong
Ssekitoleko Richard
Chris Opesen
Tim Mateeba
Edmond Muyingo
Upenytho George
Samalie Namukose
Yonas Tegegn Woldemariam
Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
BMC Public Health
Access to health services
Health services delivery
Nutrition service
Health system service
Drought
Food insecurity
title Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
title_full Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
title_fullStr Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
title_full_unstemmed Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
title_short Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study
title_sort perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north east uganda a qualitative study
topic Access to health services
Health services delivery
Nutrition service
Health system service
Drought
Food insecurity
url https://doi.org/10.1186/s12889-024-17830-5
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