IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v283y2021ics0277953621004597.html
   My bibliography  Save this article

Using locational data in a novel mixed-methods sequence design: Identifying critical health care barriers for people with disabilities in Malawi

Author

Listed:
  • Halvorsen, Thomas
  • Munthali, Alister
  • Braathen, Stine Hellum
  • Rød, Jan Ketil
  • Eide, Arne Henning

Abstract

The primary aim of this study was to determine which health care barriers were most important for people with disabilities in Malawi. To accomplish this, we devised a sequential mixed-methods research design that integrated locational survey data and qualitative data from field studies. Our secondary aim was to evaluate this research design not only as a design-solution to our particular research objective, but as a tool with more general applicability within social sciences. Malawi has one of the most underserved health service populations in the world with chronic resource shortages and long travel distances where people with disabilities are at a particular disadvantage. Nevertheless, our results show that even in a resource scarce society such as Malawi it is the interpersonal relationships between patients and health service providers that has the largest impact on the perception of access among patients. Our results also suggest that the sequential mixed-methods design is effective in guiding researchers towards models with strong specifications.

Suggested Citation

  • Halvorsen, Thomas & Munthali, Alister & Braathen, Stine Hellum & Rød, Jan Ketil & Eide, Arne Henning, 2021. "Using locational data in a novel mixed-methods sequence design: Identifying critical health care barriers for people with disabilities in Malawi," Social Science & Medicine, Elsevier, vol. 283(C).
    • Handle: RePEc:eee:socmed:v:283:y:2021:i:c:s0277953621004597
    DOI: 10.1016/j.socscimed.2021.114127
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621004597
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.114127?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Dassah, Ebenezer & Aldersey, Heather M. & McColl, Mary Ann & Davison, Colleen, 2018. "‘When I don't have money to buy the drugs, I just manage.’—Exploring the lived experience of persons with physical disabilities in accessing primary health care services in rural Ghana," Social Science & Medicine, Elsevier, vol. 214(C), pages 83-90.
    2. Mandeville, Kate L. & Hanson, Kara & Muula, Adamson S. & Dzowela, Titha & Ulaya, Godwin & Lagarde, Mylène, 2017. "Specialty training for the retention of Malawian doctors: A cost-effectiveness analysis," Social Science & Medicine, Elsevier, vol. 194(C), pages 87-95.
    3. Arne H Eide & Hasheem Mannan & Mustafa Khogali & Gert van Rooy & Leslie Swartz & Alister Munthali & Karl-Gerhard Hem & Malcolm MacLachlan & Karin Dyrstad, 2015. "Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    4. Trani, Jean-Francois & Browne, Joyce & Kett, Maria & Bah, Osman & Morlai, Teddy & Bailey, Nicki & Groce, Nora, 2011. "Access to health care, reproductive health and disability: A large scale survey in Sierra Leone," Social Science & Medicine, Elsevier, vol. 73(10), pages 1477-1489.
    5. Duong, Dat V & Binns, Colin W & Lee, Andy H, 2004. "Utilization of delivery services at the primary health care level in rural Vietnam," Social Science & Medicine, Elsevier, vol. 59(12), pages 2585-2595, December.
    6. Curt Hagquist & Magnus Stenbeck, 1998. "Goodness of Fit in Regression Analysis – R 2 and G 2 Reconsidered," Quality & Quantity: International Journal of Methodology, Springer, vol. 32(3), pages 229-245, August.
    7. Andaleeb, Syed Saad, 2001. "Service quality perceptions and patient satisfaction: a study of hospitals in a developing country," Social Science & Medicine, Elsevier, vol. 52(9), pages 1359-1370, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kim, Jisun & Kim, Dong Ha & Lee, Jihyun & Cheon, Youngseo & Yoo, Seunghyun, 2022. "A scoping review of qualitative geographic information systems in studies addressing health issues," Social Science & Medicine, Elsevier, vol. 314(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    2. Hannah Kuper & Islay Mactaggart & Carlos Dionicio & Rafael Cañas & Jonathan Naber & Sarah Polack, 2018. "Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-12, December.
    3. Arne H Eide & Hasheem Mannan & Mustafa Khogali & Gert van Rooy & Leslie Swartz & Alister Munthali & Karl-Gerhard Hem & Malcolm MacLachlan & Karin Dyrstad, 2015. "Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    4. Herwansyah Herwansyah & Katarzyna Czabanowska & Stavroula Kalaitzi & Peter Schröder-Bäck, 2022. "Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    5. Nikita Arora & Matthew Quaife & Kara Hanson & Mylene Lagarde & Dorka Woldesenbet & Abiy Seifu & Romain Crastes dit Sourd, 2022. "Discrete choice analysis of health worker job preferences in Ethiopia: Separating attribute non‐attendance from taste heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 806-819, May.
    6. Runtang Meng & Jingjing Li & Yunquan Zhang & Yong Yu & Yi Luo & Xiaohan Liu & Yanxia Zhao & Yuantao Hao & Ying Hu & Chuanhua Yu, 2018. "Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals," IJERPH, MDPI, vol. 15(4), pages 1-17, April.
    7. Ariff Syah Juhari & Muhammad Awais Bhatti & Shishi Kumar Piaralal, 2016. "Service Quality and Customer Loyalty in Malaysian Islamic Insurance Sector Exploring the mediating effects of Customer Satisfaction," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 6(3), pages 17-36, March.
    8. Hayat Belaid & Ahmed bouchenafa & Abd Elkader Barich & Karima Maazouzi, 2014. "The Quality of Health Services in Bechar Public Hospital Institution," Proceedings of International Academic Conferences 0101005, International Institute of Social and Economic Sciences.
    9. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
    10. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    11. Hafiz Ghulam Mujaddad & Mumtaz Anwar, 2022. "Spatial Analysis of Socioeconomic Inequality of Opportunity in Access to Skilled Birth Attendant in Punjab, Pakistan," Journal of Economic Impact, Science Impact Publishers, vol. 4(1), pages 88-98.
    12. Ajimon George & Jobin Sahadevan, 2019. "A Conceptual Framework of Antecedents of Service Loyalty in Health Care: Patients’ Perspective," IIM Kozhikode Society & Management Review, , vol. 8(1), pages 50-59, January.
    13. Herberholz, Chantal & Phuntsho, Sonam, 2021. "Medical, transportation and spiritual out-of-pocket health expenditure on outpatient and inpatient visits in Bhutan," Social Science & Medicine, Elsevier, vol. 273(C).
    14. Parul Bakhshi & Ganesh M. Babulal & Jean-Francois Trani, 2021. "Disability, Poverty, and Schooling in Post-civil War in Sierra Leone," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 33(3), pages 482-501, June.
    15. Khan Eijaz Ahmed & Quaddus Mohammed, 2015. "Development and Validation of a Scale for Measuring Sustainability Factors of Informal Microenterprises – A Qualitative and Quantitative Approach," Entrepreneurship Research Journal, De Gruyter, vol. 5(4), pages 347-372, October.
    16. Kengo Igei & Kana Takio & Keitaro Aoyagi & Yoshito Takasaki, 2021. "Vocational training for demobilized ex-combatants with disabilities in Rwanda," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 13(4), pages 360-384, October.
    17. Arora, Nikita & Crastes dit Sourd, Romain & Hanson, Kara & Woldesenbet, Dorka & Seifu, Abiy & Quaife, Matthew, 2022. "Linking health worker motivation with their stated job preferences: A hybrid choice analysis in Ethiopia," Social Science & Medicine, Elsevier, vol. 307(C).
    18. Shiju Liao & Xiaoyun Du & Liyin Shen & Minghe Lv, 2021. "Evaluation Method for Urban Public Service Carrying Capacity (UPSCC): A Qualitative–Quantitative Bi-Dimensional Perspective," IJERPH, MDPI, vol. 18(23), pages 1-18, November.
    19. Neely, Abigail H. & Ponshunmugam, Arunsrinivasan, 2019. "A qualitative approach to examining health care access in rural South Africa," Social Science & Medicine, Elsevier, vol. 230(C), pages 214-221.
    20. Derek Asuman & Charles Godfred Ackah & Frank Agyire-Tettey, 2021. "Disability and Household Welfare in Ghana: Costs and Correlates," Journal of Family and Economic Issues, Springer, vol. 42(4), pages 633-649, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:283:y:2021:i:c:s0277953621004597. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.