Barriers Faced by the People with Dementia in the Black and Minority Ethnic Groups in Accessing Health Care and Social Services

2015 ◽  
Vol 04 (01) ◽  
Author(s):  
Sana Osman Roxana O Carare
Author(s):  
Olufunke Fayehun ◽  
Obafemi Omololu

In Nigeria, dehydration from diarrhea is a major cause of death among young children. This study explored the prevalence of childhood diarrhea and the pattern of treatment of childhood diarrhea among Nigerian ethnic groups. The study utilized secondary data from Nigeria Demographic and Health Survey 2003. The ethnic groups in the northern part of the country have higher prevalence of childhood diarrhea than other parts; they are also least likely to use modern health care providers. Likewise, the percentage of children given home or traditional treatment for childhood diarrhea is highest among the Hausa-Fulani and Northern minority ethnic groups. The proportion of children not treated among the ethnic groups in the northern part of Nigeria is quite large when compared to ethnic groups in the southern part of the country.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elżbieta Anna Czapka ◽  
Mette Sagbakken

Abstract Background Dementia is one of the greatest health challenges in the contemporary world. Due to several barriers to accessing health care services, elderly immigrants constitute a group that poses special challenges in dementia diagnosis and treatment. The aim of this study was to explore the barriers and facilitators in accessing and using dementia care services by minority ethnic groups in Norway. Methods The study utilised a qualitative design. The participants included family caregivers of individuals from minority ethnic groups living with dementia, representatives of immigrant communities, and representatives of health and care personnel working with people living with dementia. Individual semi-structured in-depth interviews were carried out in 2018 and 2019 in Oslo and Akershus. Interviews were analysed using thematic analyses. Results Several barriers and facilitators in accessing and using dementia care services were identified, the most important of which were related to lack of knowledge of dementia, lack of awareness of dementia care services, lack of language skills, culturally based differences, the organisation of Norwegian dementia care services, and immigrants’ socio-economic status. According to the study participants, having health care personnel in the family and further adaptation of dementia services to the needs of people with different cultural and linguistic backgrounds facilitate access to dementia services. Conclusions The study shows the need to develop inclusive policies that promote a patient-centred approach to ensure that individuals from minority ethnic groups receive appropriate dementia care.


Dementia ◽  
2021 ◽  
pp. 147130122110465
Author(s):  
T. Rune Nielsen ◽  
Dorthe S Nielsen ◽  
Gunhild Waldemar

Background There is a growing number of people with dementia in minority ethnic groups in Denmark. Support for the increasing number of family carers from minority ethnic groups is crucial, as caring for a relative with dementia may negatively affect the carer’s health and quality of life. The aim of this study was to determine the feasibility of a personalized intervention for family carers from minority ethnic groups. The intervention was a modified version of a culturally sensitive case-management program developed in Australia which had been shown to improve carers’ sense of competence in managing dementia and their mental well-being. Methods A small pilot trial was used to examine the feasibility and preliminary efficacy of the intervention. Feasibility indicators included data on recruitment, retention, adherence, and fidelity. Acceptability and suitability of the intervention was explored in post-intervention interviews with family carers, and baseline and follow-up scores for outcome measures were examined. Results Ten (30%) of 33 eligible family carers consented to participate in the study, but three were lost to follow-up and seven (70%) family carers completed the trial. Intervention fidelity, acceptance, and satisfaction were high. Results for outcome measures indicated that the intervention may improve family carers’ sense of competence by helping them cope better with challenges relating to caring and managing dementia and improved their satisfaction with primary care services. Conclusions The results suggest that the intervention is feasible and worth exploring for family carers of people with dementia from minority ethnic groups in Denmark.


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