A household perspective on access to health care in the context of HIV and disability : a qualitative case study from Malawi

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dc.contributor.authorBraathen, Stine Hellumen_ZA
dc.contributor.authorSanudi, Lifahen_ZA
dc.contributor.authorSwartz, Leslieen_ZA
dc.contributor.authorJurgens, Thomasen_ZA
dc.contributor.authorBanda, Hastings T.en_ZA
dc.contributor.authorEide, Arne Henningen_ZA
dc.date.accessioned2016-05-04T12:17:21Z
dc.date.available2016-05-04T12:17:21Z
dc.date.issued2016-04
dc.descriptionCITATION: Braathen, S. H. et al. 2016. A household perspective on access to health care in the context of HIV and disability: A qualitative case study from Malawi. BMC International Health and Human Rights, 16:12, doi:10.1186/s12914-016-0087-x.en_ZA
dc.descriptionThe original publication is available at http://bmcinthealthhumrights.biomedcentral.com/en_ZA
dc.description.abstractBackground: Equitable access to health care is a challenge in many low-income countries. The most vulnerable segments of any population face increased challenges, as their vulnerability amplifies problems of the general population. This implies a heavy burden on informal care-givers in their immediate and extended households. However, research falls short of explaining the particular challenges experienced by these individuals and households. To build an evidence base from the ground, we present a single case study to explore and understand the individual experience, to honour what is distinctive about the story, but also to use the individual story to raise questions about the larger context. Methods: We use a single qualitative case study approach to provide an in-depth, contextual and household perspective on barriers, facilitators, and consequences of care provided to persons with disability and HIV. Results: The results from this study emphasise the burden that caring for an HIV positive and disabled family member places on an already impoverished household, and the need for support, not just for the HIV positive and disabled person, but for the entire household. Conclusions: Disability and HIV do not only affect the individual, but the whole household, immediate and extended. It is crucial to consider the interconnectedness of the challenges faced by an individual and a household. Issues of health (physical and mental), disability, employment, education, infrastructure (transport/terrain) and poverty are all related and interconnected, and should be addressed as a whole in order to secure equity in health.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.identifier.citationBraathen, S. H. et al. 2016. A household perspective on access to health care in the context of HIV and disability: A qualitative case study from Malawi. BMC International Health and Human Rights, 16:12, doi:10.1186/s12914-016-0087-x.en_ZA
dc.identifier.issn1472-698X (online)en_ZA
dc.identifier.otherDOI:10.1186/s12914-016-0087-xen_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/98972
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Centralen_ZA
dc.rights.holderBraathen, Stine Hellum et al.; licensee Bio Med Central Ltd.en_ZA
dc.subjectHealth services accessibility -- Malawien_ZA
dc.subjectHIV-positive persons -- Care -- Malawien_ZA
dc.subjectPeople with disabilities -- Care -- Malawien_ZA
dc.subjectPoor -- Medical care -- Malawien_ZA
dc.titleA household perspective on access to health care in the context of HIV and disability : a qualitative case study from Malawien_ZA
dc.typeArticleen_ZA
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