PDF(Pubmed)
Abstract：
In the face of drought and food insecurity emergency, evidence on access to health and nutrition services is important. Karamoja is one of the regions that have experienced extreme drought and food insecurity emergency in Uganda. As a part of the drought and food insecurity emergency response, World Health Organization (WHO) with Ministry of Health (MoH) has designed and implemented a qualitative study in 15 districts that have experienced drought and food insecurity emergency in north-east Uganda. Thus, we aimed to explore the barriers of access to health and nutrition services in drought and food insecurity emergency affected districts in north-east Uganda.
We employed a descriptive qualitative study design. We interviewed 30 patients and 20 Village Health Teams (VHT) from 15 districts. We employed an in-depth interview with semi-structured questions to collect data until information saturation reached. We used thematic data analysis approach by ATLAS.ti version 7.5.1.8 software.
Of the 30 interviewed subjects, 15 were female, and the median age of the subjects was 29 years with interquartile range (IQR) of 23 to 37 years. Majority (68.8%) of subjects reported that access to health and nutrition services was harder to them. Four themes: sociocultural and economic; environmental; health system, and individual related factors were identified as the barriers of access to health and nutrition services.
The present study identified several modifiable barriers that hinder access to health and nutrition services in drought and food insecurity affected districts. Comprehensive interventions aimed at addressing sociocultural, economic, environmental, health system and subject related challenges are required to improve access to health and nutrition services in drought and food insecurity affected setups.
We employed a descriptive qualitative study design. We interviewed 30 patients and 20 Village Health Teams (VHT) from 15 districts. We employed an in-depth interview with semi-structured questions to collect data until information saturation reached. We used thematic data analysis approach by ATLAS.ti version 7.5.1.8 software.
Of the 30 interviewed subjects, 15 were female, and the median age of the subjects was 29 years with interquartile range (IQR) of 23 to 37 years. Majority (68.8%) of subjects reported that access to health and nutrition services was harder to them. Four themes: sociocultural and economic; environmental; health system, and individual related factors were identified as the barriers of access to health and nutrition services.
The present study identified several modifiable barriers that hinder access to health and nutrition services in drought and food insecurity affected districts. Comprehensive interventions aimed at addressing sociocultural, economic, environmental, health system and subject related challenges are required to improve access to health and nutrition services in drought and food insecurity affected setups.
摘要：
背景：面对干旱和粮食不安全的紧急情况，获得健康和营养服务的证据很重要。卡拉莫贾是乌干达经历过极端干旱和粮食不安全紧急情况的地区之一。作为干旱和粮食不安全应急反应的一部分，世界卫生组织（世卫组织）与卫生部（卫生部）在乌干达东北部经历过干旱和粮食不安全紧急情况的15个地区设计并实施了一项定性研究。因此，我们旨在探讨乌干达东北部受干旱和粮食不安全紧急情况影响的地区获得健康和营养服务的障碍。
方法：我们采用描述性定性研究设计。我们采访了来自15个地区的30名患者和20个乡村卫生小组（VHT）。我们对半结构化问题进行了深入访谈，以收集数据，直到信息达到饱和为止。我们使用ATLAS的主题数据分析方法。ti版本7.5.1.8软件。
结果：在30位访谈对象中，15是女性，受试者的中位年龄为29岁,四分位距(IQR)为23~37岁.大多数（68.8％）的受试者报告说，他们更难获得健康和营养服务。四个主题：社会文化和经济；环境；卫生系统，个人相关因素被确定为获得健康和营养服务的障碍。
结论：本研究确定了一些可改变的障碍，这些障碍阻碍了受干旱和粮食不安全影响的地区获得健康和营养服务。旨在解决社会文化问题的全面干预措施，经济,环境,需要在受干旱和粮食不安全影响的机构中改善获得健康和营养服务的机会。
方法：我们采用描述性定性研究设计。我们采访了来自15个地区的30名患者和20个乡村卫生小组（VHT）。我们对半结构化问题进行了深入访谈，以收集数据，直到信息达到饱和为止。我们使用ATLAS的主题数据分析方法。ti版本7.5.1.8软件。
结果：在30位访谈对象中，15是女性，受试者的中位年龄为29岁,四分位距(IQR)为23~37岁.大多数（68.8％）的受试者报告说，他们更难获得健康和营养服务。四个主题：社会文化和经济；环境；卫生系统，个人相关因素被确定为获得健康和营养服务的障碍。
结论：本研究确定了一些可改变的障碍，这些障碍阻碍了受干旱和粮食不安全影响的地区获得健康和营养服务。旨在解决社会文化问题的全面干预措施，经济,环境,需要在受干旱和粮食不安全影响的机构中改善获得健康和营养服务的机会。
