Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration
Impeded access to health services is a major factor influencing migrant health. In Uganda, previous research has shown lower utilisation of health services for young rural–urban migrants compared to their non-migrant counterparts. However, access to health services does not start at utilisation, but...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-01-01
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| Series: | Global Public Health |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17441692.2023.2191689 |
| _version_ | 1797678724433313792 |
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| author | Zeynab B. Diop Sarah Bernays Edward Tumwesige Allen Asiimwe Rachel Kawuma Janet Seeley |
| author_facet | Zeynab B. Diop Sarah Bernays Edward Tumwesige Allen Asiimwe Rachel Kawuma Janet Seeley |
| author_sort | Zeynab B. Diop |
| collection | DOAJ |
| description | Impeded access to health services is a major factor influencing migrant health. In Uganda, previous research has shown lower utilisation of health services for young rural–urban migrants compared to their non-migrant counterparts. However, access to health services does not start at utilisation, but can be hampered by being able to identify a need for care. Using qualitative methods, we aimed to explore young rural–urban migrants’ perceptions of health and patterns of engagement with health services. We analysed, using thematic analysis, a purposive sample of 18 in-depth interviews with 10 young people who had recently migrated within Uganda. Our results are presented through a framework conceptualising access at the intersection between abilities of people and characteristics of services. Participants perceived a need for care mostly through serious crises. Their ability to obtain care was hindered by a lack of resources, as well as the relative social isolation brought by migration. Our study highlights other barriers to accessing care such as the role of social norms and HIV-related stigma in health issues prioritisation, and healthcare workers’ attitudes. This knowledge can inform approaches to ensure that community-based services are able to support healthcare access and improved health outcomes for this vulnerable group. |
| first_indexed | 2024-03-11T23:04:04Z |
| format | Article |
| id | doaj.art-e5310fbf665b4893abf707c0312212d0 |
| institution | Directory Open Access Journal |
| issn | 1744-1692 1744-1706 |
| language | English |
| last_indexed | 2024-03-11T23:04:04Z |
| publishDate | 2023-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Public Health |
| spelling | doaj.art-e5310fbf665b4893abf707c0312212d02023-09-21T13:56:58ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2023.21916892191689Youth migration and access to health services in a trading centre in southern Uganda: A qualitative explorationZeynab B. Diop0Sarah Bernays1Edward Tumwesige2Allen Asiimwe3Rachel Kawuma4Janet Seeley5London School of Hygiene and Tropical MedicineUniversity of SydneyMRC/UVRI & LSHTM Uganda Research UnitMRC/UVRI & LSHTM Uganda Research UnitMRC/UVRI & LSHTM Uganda Research UnitLondon School of Hygiene and Tropical MedicineImpeded access to health services is a major factor influencing migrant health. In Uganda, previous research has shown lower utilisation of health services for young rural–urban migrants compared to their non-migrant counterparts. However, access to health services does not start at utilisation, but can be hampered by being able to identify a need for care. Using qualitative methods, we aimed to explore young rural–urban migrants’ perceptions of health and patterns of engagement with health services. We analysed, using thematic analysis, a purposive sample of 18 in-depth interviews with 10 young people who had recently migrated within Uganda. Our results are presented through a framework conceptualising access at the intersection between abilities of people and characteristics of services. Participants perceived a need for care mostly through serious crises. Their ability to obtain care was hindered by a lack of resources, as well as the relative social isolation brought by migration. Our study highlights other barriers to accessing care such as the role of social norms and HIV-related stigma in health issues prioritisation, and healthcare workers’ attitudes. This knowledge can inform approaches to ensure that community-based services are able to support healthcare access and improved health outcomes for this vulnerable group.http://dx.doi.org/10.1080/17441692.2023.2191689accesshealth servicesyoung migrantsruraluganda |
| spellingShingle | Zeynab B. Diop Sarah Bernays Edward Tumwesige Allen Asiimwe Rachel Kawuma Janet Seeley Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration Global Public Health access health services young migrants rural uganda |
| title | Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration |
| title_full | Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration |
| title_fullStr | Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration |
| title_full_unstemmed | Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration |
| title_short | Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration |
| title_sort | youth migration and access to health services in a trading centre in southern uganda a qualitative exploration |
| topic | access health services young migrants rural uganda |
| url | http://dx.doi.org/10.1080/17441692.2023.2191689 |
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