Perception and barriers to Routine Immunisation Uptake: A Qualitative Study in Rural areas of Osun State, Nigeria

2020 ◽  
Vol 8 (2) ◽  
pp. 134-141
Author(s):  
Elizabeth B. Adedire
Keyword(s):  
Qualitative Study ◽  
Rural Areas ◽  
Routine Immunisation

scholarly journals Acceptability and Use of Interactive Voice Response Mobile Phone Surveys for Noncommunicable Disease Behavioral Risk Factor Surveillance in Rural Uganda: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Charles Ssemugabo ◽  
Elizeus Rutebemberwa ◽  
Dan Kajungu ◽  
George W Pariyo ◽  
Adnan A Hyder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Mobile Phone ◽  
Rural Areas ◽  
Urban Areas ◽  
Interactive Voice Response ◽  
Noncommunicable Disease ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Community Members

BACKGROUND There is need for more timely data to inform interventions that address the growing noncommunicable disease (NCD) epidemic. With a global increase in mobile phone ownership, mobile phone surveys can bridge this gap. OBJECTIVE This study aimed to explore the acceptability and use of interactive voice response (IVR) surveys for surveillance of NCD behavioral risk factors in rural Uganda. METHODS This qualitative study employed user group testing (UGT) with community members. The study was conducted at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Eastern Uganda. We conducted four UGTs which consisted of different categories of HDSS members: females living in urban areas, males living in urban areas, females living in rural areas, and males living in rural areas. Participants were individually sent an IVR survey, then were brought in for a group discussion using a semistructured guide. Data were analyzed thematically using directed content analysis. RESULTS Participants perceived that IVR surveys may be useful in promoting confidentiality, saving costs, and raising awareness on NCD behavioral risk factors. Due to the clarity and delivery of questions in the local language, the IVR survey was perceived as easy to use. Community members suggested scheduling surveys on specific days and sending reminders as ways to improve their use for surveillance. Social issues such as domestic violence and perceptions toward unknown calls, technological factors including poor network connections and inability to use phones, and personal issues such as lack of access to phones and use of multiple networks were identified as barriers to the acceptability and use of mobile phone surveys. However, incentives were reported to motivate people to complete the survey. CONCLUSIONS Community members reflected on contextual and sociological implications of using mobile phones for surveillance of NCD behavioral risk factors. The opportunities and challenges that affect acceptability and use of IVR surveys should be considered in designing and implementing surveillance programs for NCD risk factors.

scholarly journals Barriers to Utilization of Sexual Health Services among Young People in District Dang Nepal: A Qualitative Study

2018 ◽  
Vol 19 (2) ◽  
pp. 79-83
Author(s):  
Prayas Gautam ◽  
Munawar Hussain Soomro ◽  
Suprich Sapkota ◽  
Koshish Raj Gautam ◽  
Aastha Kasaju
Keyword(s):  
Young People ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual Health ◽  
Rural Areas ◽  
Large Population ◽  
Easy Access ◽  
Reproductive Health Services ◽  
National Guidelines ◽  
Youth Friendly

Background: Sexual behavior of young people is becoming one of the important social and major publichealth concerns in recent years. Despite the large population of young people, their needs receive limited programmatic and policy attention. Youth-friendly sexual and reproductive health services are lacking despite the existence of national guidelines that call for youth-friendly services. The aim of this study was to determine the barriers to utilization of sexual health services among young people of Badi community of Nepal.Materials & Methods: This qualitative study included the young people, 15-24 years of age among the Badi community in district Dang Nepal. We conducted 22 in-depth interviews by using the interview guideline among the young people. Written and verbal informed consent was taken from each research participants before data collection.Results: Fourteen of the participants were males and eight were females. Participants were divided into two age groups: 15-19 and 20-24 and there were eight and fourteen participants from each group respectively. Rural participants were not satisfied with the services provided to them. We observed that discrimination, beliefs of society and feeling of shame towards family norms, lack of information about existing services, poor gender friendly services,lack of privacy and confidentiality and poor availability of the services pose the barriers to utilization of the sexual health services.Conclusions: Communities should be provided with educational programs on sexual health through community based organization and the establishment of youth friendly service centers with easy access to communities in urban as well as in rural areas would encourage young people to use sexual health services more frequently.J MEDICINE JUL 2018; 19 (2) : 79-83

scholarly journals Understanding rural caregivers’ experiences of cancer care when accessing metropolitan cancer services: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028315 ◽  
Author(s):  
Anna Ugalde ◽  
Sarah Blaschke ◽  
Anna Boltong ◽  
Penelope Schofield ◽  
Sanchia Aranda ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cancer Treatment ◽  
Social Workers ◽  
Thematic Analysis ◽  
Rural Areas ◽  
Rural Setting ◽  
Cancer Service ◽  
Rural Caregivers ◽  
Cancer Services ◽  
Rural Australia

ObjectiveTo explore the experiences of cancer caregivers who live in rural Australia and travel to a metropolitan cancer health service to access cancer treatment.DesignA qualitative study using semistructured, audio-recorded interviews conducted between December 2017 and July 2018 with caregivers and social workers. Thematic analysis using interpretative descriptive techniques performed on textual interview data within a critical realist paradigm to develop understanding of rural caregivers’ lived experiences.SettingParticipants were from rural areas attending a metropolitan cancer centre in Australia and social workers.Participants21 caregivers (16 female) of people with cancer living in rural Australia within a minimum distance of 100 km from the metropolitan cancer centre where they access treatment, and five social workers employed at a metropolitan cancer service with experience of working with rural patients and caregivers.ResultsThematic analysis developed two overarching themes: theme 1:caregiving in the rural settingdescribes the unique circumstance in which caregiving for a person with cancer takes place in the rural setting at considerable distance from the cancer service where the person receives treatment. This is explored in three categories: ‘Rural community and culture’, ‘Life adjustments’ and ‘Available supports’. Theme 2:accessing metropolitan cancer servicescaptures the multiplicity of tasks and challenges involved in organising and coordinating the journey to access cancer treatment in a metropolitan hospital, which is presented in the following categories: ‘Travel’, ‘Accommodation’ and ‘Health system navigation’.ConclusionsCaregivers who live in rural areas face significant challenges when confronting geographic isolation between their rural home environment and the metropolitan setting, where the patient accessed cancer treatment. There is a need for healthcare services to identify this group to develop feasible and sustainable ways to provide interventions that have the best chance of assisting rural caregivers in supporting the patient while maintaining their own health and well-being.

scholarly journals Challenges for Resuming Normal Life After Earthquake: A Qualitative Study on Rural Areas of Iran

PLoS Currents ◽  
2014 ◽  
Author(s):  
Fardin Alipour ◽  
Hamid Reza Khankeh ◽  
Hussain Fekrazad ◽  
Mohammad Kamali ◽  
Hassan Rafiey ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Rural Areas ◽  
Normal Life

scholarly journals Responding to rural adversity: a qualitative study of alcohol and other drug service users’ experiences of service response to COVID-19 in Western Australia’s Southwest

2021 ◽  
pp. 103985622110361
Author(s):  
Mathew Coleman ◽  
Michael Taran ◽  
Beatriz Cuesta-Briand
Keyword(s):  
Qualitative Study ◽  
Rural Areas ◽  
Service Provision ◽  
Lived Experiences ◽  
Service Users ◽  
Health Issues ◽  
Structured Interviews ◽  
Mental Health Issues ◽  
Southwest Region ◽  
The Impact

Objective This study reports on the impact of the COVID-19 pandemic on the lived experiences of people with substance use problems in accessing services in the Southwest region of Western Australia, and its implications for preparedness in a context of rural adversity. Method This was a qualitative study informed by the principles of phenomenology. Data were collected through semi-structured interviews and subjected to thematic analysis. Results Twenty-two participants were interviewed. Two main themes were identified: disruption to supportive connections; and bridging the connection gap: local service response to the COVID-19 pandemic. Conclusions The COVID-19 pandemic restrictions exacerbated social isolation and mental health issues, and disrupted services and treatment in the Southwest. Our results demonstrate that local alcohol and other drug services in rural areas can successfully respond to crises by assertively and flexibly adapting their service provision.

scholarly journals Young University Graduates’ Motivations for Living in the Countryside in the Context of Rural Policies in Poland

2018 ◽  
pp. 111-130
Author(s):  
Ilona Matysiak
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Social Relationships ◽  
Rural Areas ◽  
Local Area ◽  
University Education ◽  
University Graduates ◽  
Crucial Importance ◽  
Local Labour ◽  
Different Parts

This paper focuses on young adults with a university education (aged 25–34) living in rural areas of Poland. Its aim is to analyse their motivations for doing so, as well as the implications of such decisions. The issue is of crucial importance in terms of the future of rural areas in Poland. Current rural policies, although somewhat vague, emphasize the urgent need of further modernization of agriculture and the creation of more nonagriculture jobs in local labour markets. In order to be successful, rural development should be a community-led process which requires well-skilled and dedicated rural residents. The paper is based on qualitative study conducted in ten selected rural municipalities in different parts of Poland. The analysis show that the young university graduates interviewed were motivated mostly by social relationships and attachment to the local area, but economic reasons were also important. Also, the types of motivation correlate with the young adults’ community engagement.

scholarly journals “We Are at The Forefront of Rural Areas” Emergency Nurse's Experience During Pandemic: A Qualitative Study

Health Equity ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 818-825
Author(s):  
Ronal Surya Aditya ◽  
Ah Yusuf ◽  
Daifallah M. Al Razeeni ◽  
Khaled Mohammed Al-Sayaghi ◽  
Fitriana Kurniasari Solikhah
Keyword(s):  
Qualitative Study ◽  
Rural Areas

scholarly journals Evaluating the Structural Reform of Outpatient Psychotherapy in Germany (ES-Rip Trial) - A Qualitative Study of Provider Perspectives

2021 ◽  
Author(s):  
Poß-Doering Regina ◽  
Hegelow Martin ◽  
Borchers Milena ◽  
Hartmann Mechthild ◽  
Kruse Johannes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Intrinsic Motivation ◽  
Rural Areas ◽  
Information Exchange ◽  
Structural Reform ◽  
Framework Analysis ◽  
Outpatient Psychotherapy ◽  
Psychotherapeutic Treatment ◽  
Cross Sectional ◽  
Provider Perspectives

Abstract Background: Access to outpatient mental healthcare can be challenging for patients. In Germany, a national structural reform was implemented in 2017 to accelerate and enhance access to outpatient psychotherapy and reduce waiting times. During the first phase of the study ’Evaluation of a structural reform of the outpatient psychotherapy guideline (ES-RiP)’ and embedded into a process evaluation, the implementation was to be evaluated through assessing general practitioners’ (GPs) and psychotherapists’ (PTs) perspectives regarding utilization of provided new measures, and perceived potential for optimization. Particular focus was on patients with a comorbidity of mental disorders and chronic physical conditions (cMPs). Methods: This exploratory cross-sectional qualitative study used on-site and online focus group discussions and semi-structured open-ended telephone interviews with GPs and outpatient PTs. Generated data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze participant characteristics collected via a socio-demographic questionnaire. Results: Perspectives on the structural reform were heterogenous. GPs and PTs considered the component of timely initial psychotherapeutic assessment consultations beneficial. GPs disapproved of their deficits in detailed information about the structural reform and exchange with outpatient PTs. Improvement suggestions included structured short information exchange and joint quality circles. The overall number of available outpatient PTs in rural areas was perceived as insufficient. For patients with cMPs, GPs saw patient barriers for therapy access and continuity in low intrinsic motivation, physical impediments and older age. PTs also saw patient challenges regarding low intrinsic motivation and keeping scheduled appointments. They considered post-reform administrative efforts to be high and reported that the regulations (conformity) lead to planning difficulties and financial losses. Reform elements were tailored to fit in with PTs key therapy areas. Stronger networking and joint lectures were suggested as remedy for the currently still limited exchange with GPs. Unlike the GPs, PTs emphasized that accepting patients into psychotherapeutic treatment was independent of a possibly present chronic physical disease.Conclusions: The findings contribute to understanding the integration of the delivered structural reform into daily care processes and provides an indication about reached targets and potential improvements. Further phases of the ES-RiP study can build on the findings and broaden insights. Trial registration: Registration-ID DRKS00020344 (DRKS German Register of Clinical Trials; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00020344)

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