Utilisation and Satisfaction with Health Services among Persons with Disabilities in Accra, Ghana

Annang Yemoson Abraham, Peter Agyei-Baffour, Cosmos Yarfi

Abstract


Purpose: Healthcare, one of mankind’s basic needs, is generally accessible to persons without disability, but people with disabilities are marginalized and stigmatized in developing countries and as such are unable to utilise the health services they require.  The health-related Sustainable Development Goals (SDGs) talk about good health and well-being, and about reducing inequality in societies. In South Africa and Ghana, constitutional provisions and policies have been made for inclusion and for reducing inequality among persons with disabilities, but implementation is still in its infancy. The aim of this study is to determine the level of utilisation and satisfaction with health services among persons with disabilities, and to recommend strategies to improve the current situation in the country.

Method: A non-interventional, descriptive cross-sectional study was employed, with a quantitative data collection method. A structured questionnaire comprising of both open- and closed-ended questions was used for the data collection. A total of 363 respondents were involved in the study – 360 were persons with disabilities, and 3 were key informants.

Results: While A total of 66.9% of persons with disabilities reported being warmly received by health professionals, 23.1% reported encountering a cold attitude, and 5.6% reported being scorned at health facilities. Only 20.5% of persons with disabilities reported frequent visits to health facilities, 42.8% did not visit health facilities frequently, and 36.4% rarely visited a health facility. Moreover 76.4% reported that they made hospital visits for all their ailments.

Conclusion: Although health facilities were utilised by few persons with disabilities, the majority of respondents reported that they were well-received there and as such would visit health facilities for all their medical needs.

Implications: Persons with disabilities should be included in all areas of society by spreading awareness about their abilities. Partnerships between persons with disabilities and the government and other non-governmental  organization’s should be established, to mainstream health services to meet their general and specific needs. It is increasingly important that persons with disabilities play an active role in managing their healthcare needs.


Keywords


Utilization; satisfaction; health service; person with disability and reception

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References


Aderemi TJ (2011). HIV/AIDS Knowledge, Attitudes and Sexual Practices Among Intellectually Impaired and Mainstream Learners in Selected Schools in Oyo State, Nigeria (Doctoral dissertation, University of KwaZulu-Natal, Durban).

Antwi-Baffour SS, Bello AI, Adjei DH, Mahmood SA, Ayeh-Kumi PF (2014). The Place of traditional medicine in the African society: The science acceptance and support. American Journal of Health Research; 2:49-54. https://doi.org/10.11648/j.ajhr.20140202.13

Asante LA, Sasu A (2015). The Persons with Disability Act, 2006 (Act 715) of the Republic of Ghana: The Law, Omissions and Recommendations. Journal of Law, Policy and Globalisation; 36: 62-8.

Avoke M (2001). Some historical perspectives in the development of special education in Ghana. European Journal of Special Needs Education;16(1): 29-40. https://doi.org/10.1080/08856250150501789

Charan J, Biswas T (2013). How to calculate sample size for different study designs in medical research?. Indian journal of psychological medicine. Apr; 35(2):121.

Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ (2000).Stigmatisation of people with mental illnesses. British Journal of Psychiatry; 177: 4–7. https://doi.org/10.1192/bjp.177.1.4. PMid:10945080

Dora C, Haines A, Balbus J, Fletcher E, Adair-Rohani H, Alabaster G, Hossain R, de Onis M, Branca F, Neira M (2015). Indicators linking health and sustainability in the post-2015 development agenda. The Lancet. Jan 30; 385(9965):380-91.

Gregorius S(2016). Exploring narratives of education: disabled young people's experiences of educational institutions in Ghana. Disability & Society. Mar 15;31(3):322-38.

Hansen EC, Hughes C, Routley G, Robinson AL (2008). General practitioners' experiences and understandings of diagnosing dementia: Factors impacting on early diagnosis. Social science & medicine. Dec 31; 67(11):1776-83.

Ladd P (2003). Understanding deaf culture: In search of deafhood. Multilingual Matters. https://doi.org/10.21832/9781853595479

Linard C, Gilbert M, Snow RW, Noor AM, Tatem AJ (2012). Population distribution, settlement patterns and accessibility across Africa in 2010. PloS one. Feb 21;7(2):e31743.

Mlenzana NB, Frantz JM, Rhoda AJ, Eide AH (2013). Barriers to and facilitators of rehabilitation services for people with physical disabilities: A systematic review. African Journal of Disability. Jan 1; 2(1):1-6.

Pal HR, Saxena S, Chandrashekhar K, Sudha SJ, Murthy RS, Thara R, Srinivasan TN, Gupta D, Singh U (2000). Issues related to disability in India: a focus group study. National Medical Journal of India; 13: 237–241. PMid:11190051

Reynolds S (2010). Disability culture in West Africa: qualitative research indicating barriers and progress in the greater Accra region of Ghana. Occupational therapy international. Dec 1;17(4):198-207.

Slikker J (2009). Attitudes towards persons with disability in Ghana. VSO, Sharing skills, Changing Lives, Ghana Volunteer May.

United Nations (2002). Resolution on equalisation of opportunities by, for and with persons with disabilities. 40th Session of the Commission for Social Development: 11-27th February 2002. United Nations: New York. Available at: www.un.org/esa/socdev/csd/2002disabilityres(A).htm[Accessed February 18, 2011]

Yarfi C, Ashigbi EY, Nakua EK (2017). Wheelchair accessibility to public buildings in the Kumasi metropolis, Ghana. African Journal of Disability; 6(1): 1-8. https://doi.org/10.4102/ajod.v6i0.341




DOI: https://doi.org/10.5463/dcid.v29i1.685



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