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    “This one will delay us”: barriers to accessing health care services among persons with disabilities in Malawi


    Munthali, Alister C. and Swartz, Leslie and Mannan, Hasheem and MacLachlan, Malcolm and Chilimampunga, Charles and Makupe, Cecilia (2019) “This one will delay us”: barriers to accessing health care services among persons with disabilities in Malawi. Disability and Rehabilitation, 41 (6). pp. 683-690. ISSN 0963-8288

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    Abstract

    Purpose: This paper explores the barriers which people with disabilities experience in accessing health care services in Malawi. Methodology: Fifty-two in-depth interviews were conducted with people with various types of disabilities. These interviews were conducted in four districts in Malawi: Blantyre and Phalombe in the Southern Region; Ntchisi in the Central Region, and Rumphi in the North. A team of trained research assistants conducted the interviews. Results: The major challenges that people with disabilities experience include the cost of accessing health care, long distances to health facilities, lack of transport, hilly terrains and flooding of rivers during the rainy season, communication challenges with the health providers and poor attitude of health workers. Some of these challenges are not unique to people with disabilities, but constitute more of a problem among people with disabilities. Conclusion: There is a need to address these challenges through the expansion of the provision of assistive devices, implementing comprehensive outreach services targeting people with disabilities and strengthening the links between key component of access to quality health care. Attitudinal barriers and lack of resources remain major challenges.

    Item Type: Article
    Additional Information: Cite as: Alister C. Munthali, Leslie Swartz, Hasheem Mannan, Malcolm MacLachlan, Charles Chilimampunga & Cecilia Makupe (2019) “This one will delay us”: barriers to accessing health care services among persons with disabilities in Malawi, Disability and Rehabilitation, 41:6, 683-690, DOI: 10.1080/09638288.2017.1404148
    Keywords: Malawi; disability; health care; barriers; discrimination;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 13969
    Identification Number: https://doi.org/10.1080/09638288.2017.1404148
    Depositing User: Malcolm MacLachlan
    Date Deposited: 08 Feb 2021 16:11
    Journal or Publication Title: Disability and Rehabilitation
    Publisher: Informa Healthcare
    Refereed: Yes
    URI:
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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