Barriers to Accessing Healthcare Services among Urban Squatter Communities in Kathmandu Valley, Nepal
A Qualitative Study of Providers' Perspectives
DOI:
https://doi.org/10.32674/a3h9tn12Keywords:
Health Care Services, Barriers, Urban Squatters, Access, Healthcare ProvidersAbstract
The purpose of this study was to explore the barriers to accessing healthcare services among marginalized individuals in urban squatter communities of Kathmandu Valley. A qualitative approach was used for the study. The squatter communities were divided into six clusters, and healthcare providers working in government-run local health institutions in the periphery of the urban squatters of Kathmandu Valley were approached for an interview. Thematic analysis was used to identify the barriers. Different barriers to accessing healthcare services among the squatter communities were identified, related to the supply and demand of healthcare services.
References
Adhikari, SR. (2016). [Springer Briefs in Economics] Economics of Urban Externalities. doi:10.1007/978-981-10-0545-9
Afework, MB., Mekonnen, HW., Znabu, HK., Zewditu, G., & Alessandra, NB. (2018). Demand and Supply Side Barriers that Limit the Uptake of Nutrition Services among Pregnant Women from Rural Ethiopia: An Exploratory Qualitative Study. www.mdpi.com/jurnal/nutrients
Amee, DA., Anthony, GC., Qian, D., Amber, WT., & Sherry, MW. (2020). The gender gap and
healthcare: associations between gender roles and factors affecting healthcare access in Central Malawi, June–August 2017. Archives of Public Health.
Bart J., Por I., Maryam, B., Peter, LA., & Wim, VD. (2011). Addressing access barriers to health
services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Oxford University Press.
Chioma, O., Joya B., Oniyire, A., Barbara, R., Ugo, O., Bright, O., Emmanuel, U., Gbenga, I., &
Myra, B. (2021). Gender discrimination as a barrier to high quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment. BMC Health Service Research.
Dahal, G., Ghimire, N., Hassan, MA., Pokhrel, P. (2017). Nepal’s transition toward universal
health coverage: A challenging pace for implementation. International Journal of Medical science and Public Health, Vol.6, Issue 3.
Firdaus, G. (2012). Urbanization, emerging slums and increasing health problems: challenge
before the nation: an empirical study with reference to state of Uttar Pradesh in India. Journal of Environmental Research and Management Vol.3 (9). pp. 146-152
Government of Nepal. (2016). The constitution of Nepal -2016
Huls, N. (2004). Access to Health. Review digest: human right and health.
https://www.du.edu/korbel/hrhw/researchdigest/health/access.pdf
Integrated Regional Information Networks (IRIN), part of the UN Office for the Coordination of
Humanitarian Affairs (2007). A report regarding impoverished urban squatters face high risk of poor health.
Katri, A., Jani, M., Ilpo, A., Jaana, EM., Leena, K., Saastamoinen, J., Simon B., Sirpa, H., Pauline,
N. (2014). Cost-related barriers to use of health services and prescription medicines in Finland: a cross-sectional survey. European Journal of Public Health, Vol. 25, No. 3, 368–372.
Levesque, J., Harris, M., & Russell, G. (2013). Patient-centered access to health care:
conceptualizing access at the interface of health systems and populations. International Journal for Equity in Health.
Linda L. (2015). Infrastructure - the key to healthcare improvement. Future Hospital Journal
, Vol 2, No 1: 4–7.
Lisa, C., Jean, FL., Virginia, L., Mylaine, B., Kim, S., Jan, WW., Jeannie, H., & Grant R. (2016).
Barriers to accessing primary health care: comparing Australian experiences internationally. Australian Journal of Primary Health, vol 23, pp 223–228.
LUMANTI Support Group for Shelter. (2008). Status of Squatter Communities along Bagmati
River and its tributaries in Kathmandu Valley. Kathmandu Nepal.
Maija, S., Kumar, S., & Mikko, P. (2020). Barriers to accessing health care services: a qualitative
study of migrant construction workers in a southwestern Indian city. BMC Health Service Research.
Marasini, M. and Chidi, CL. (2021). Vulnerability Assessment of Squatter Settlement in Butwal
Sub-Metropolitan City, Nepal. The Third Pole: Journal of Geography, Vol. 20 - 21: 47-58, 2021
Ministry of Health and Population (MoHP), Ministry of Local Development (MoLD), Nepal.
(2010). National Urban Health Policy, Strategy and Action Plan on Primary Health Service Delivery System in the Municipalities of Nepal (2010-2014).
Ministry of Health and Population, Government of Nepal (2016). National Urban Health Policy,
Ministry of Health and Population (MoHP), Nepal. (2015). Nepal Health Sector Strategy, 2015-
Ministry of Health and Population (MoHP), Department of health Service (DHS). (2018).
Annual report.
Ministry of Health and Population (MoHP), Nepal. (2019). National health policy 2019.
Ministry of urban development, Nepal. (2016). Third United Nations Conference on Housing
and Sustainable Urban Development (Habitat III) NEPAL, National Report.
NHRC. (2022). Towards Universal Health Coverage: Addressing Financial Hardship and
Improving Access to Healthcare in Nepal (Policy brief). Kathmandu, Nepal Health Research Council
Ranabhat, S., Baskota, S., Thapa, R. (2021). Utilization of Maternal Health Services: An
Experience from Squatter Settlement in Nepal. International Journal of Health Sciences and Research; Vol.11; Issue: 10; October 202.
Shrestha, A., Poudel, D., and Khatri, D. (2020). Development, disasters and squatter settlements
in urban Nepal: A review of characteristics and challenges. Working report, South Asia Institute of Advanced Studies (SIAS).
Stefane, MK., Carole, O., John, MH., Mark AS., & Raymond, L. (2006). The importance of
human resources management in health care: a global context. Human Resources for Health. https://human-resources-health.biomedcentral
Tulane University, School of Public Health and Tropical Medicine. (2020). 10 strategies for
effective communication. https://publichealth.tulane.edu/blog/health-communication-effective-strategies/
WHO & UN-HABITA. (2010). Hidden cities: unmasking and overcoming health inequities in
urban cities. Chapter two: in an urban context.
WHO. (2017). Access to medicines: making market forces serve the poor- ten year in public
health. https://www.who.int/publications/10-year-review/chapter-medicines.pdf
WHO. (2018). Low quality healthcare is increasing the burden of illness and health costs
WHO. (2020). Universal Health Coverage.
https://www.who.int/health-topics/universal-health-coverage#tab=tab_1
World Health Organization: WHO. (2023, October 5). Universal health coverage (UHC).
https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)
World Health Organization, Regional Office for South-East Asia. (WHO SEAR). (2019).
Monitoring progress on universal health coverage and the health-related Sustainable Development Goals in the WHO South-East Asia Region: 2019 update. New Delhi:
World Bank. (2014). Poverty and Health.
https://www.worldbank.org/en/topic/health/brief/poverty-health
World Bank & WHO. (2017). Half the world lacks access to essential health services, 100
million still pushed into extreme poverty because of health expenses. https://www.who.int/news/item/13-12-2017
