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Article

Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study

by
Goli Hashemi
1,2,*,
Ana Leticia Santos
3,
Mary Wickenden
4,
Hannah Kuper
1,
Chi-Kwan Shea
2 and
Shaffa Hameed
1
1
International Center for Evidence in Disability, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
2
Department of Occupational Therapy, Samuel Merritt University, Oakland, CA 94609, USA
3
Blitz Language, Guatemala City 01057, Guatemala
4
Institute of Development Studies, Brighton BN1 9RE, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(19), 6896; https://doi.org/10.3390/ijerph20196896
Submission received: 30 August 2023 / Revised: 3 October 2023 / Accepted: 7 October 2023 / Published: 8 October 2023
Review Reports Versions Notes

Abstract

It is estimated that 3.75 billion people worldwide lack access to healthcare services. Marginalized populations, such as people with disabilities, are at greater risk of exclusion. People with disabilities not only face the same barriers as people without disabilities, but also experience a range of additional barriers in accessing healthcare due to a variety of discriminatory and inaccessible environments. These extra barriers exist despite their greater need for general healthcare, as well as specialized healthcare related to their impairment. Few studies have focused on healthcare providers and the challenges they face in caring for this group. This paper describes the perspectives of healthcare stakeholders and reported challenges to the provision of quality primary healthcare for people with disabilities. In-depth interviews with 11 healthcare stakeholders were conducted in three regions of Guatemala. Data were analyzed using thematic analysis. Five sub-themes emerged from the above theme: infrastructure and availability of resources, impairment-based challenges, need for special attention and empathy, opportunity to provide services to people with disabilities, and gaps in training. The results could contribute to the development and implementation of strategies that can improve primary care provision and ultimately access to services for people with disabilities in low- and middle-income countries.
Keywords: primary healthcare; healthcare stakeholder; people with disabilities; Guatemala; low- and middle-income countries primary healthcare; healthcare stakeholder; people with disabilities; Guatemala; low- and middle-income countries

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MDPI and ACS Style

Hashemi, G.; Santos, A.L.; Wickenden, M.; Kuper, H.; Shea, C.-K.; Hameed, S. Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study. Int. J. Environ. Res. Public Health 2023, 20, 6896. https://doi.org/10.3390/ijerph20196896

AMA Style

Hashemi G, Santos AL, Wickenden M, Kuper H, Shea C-K, Hameed S. Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study. International Journal of Environmental Research and Public Health. 2023; 20(19):6896. https://doi.org/10.3390/ijerph20196896

Chicago/Turabian Style

Hashemi, Goli, Ana Leticia Santos, Mary Wickenden, Hannah Kuper, Chi-Kwan Shea, and Shaffa Hameed. 2023. "Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study" International Journal of Environmental Research and Public Health 20, no. 19: 6896. https://doi.org/10.3390/ijerph20196896

APA Style

Hashemi, G., Santos, A. L., Wickenden, M., Kuper, H., Shea, C.-K., & Hameed, S. (2023). Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study. International Journal of Environmental Research and Public Health, 20(19), 6896. https://doi.org/10.3390/ijerph20196896

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