NDLI: “Problems you can live with” versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery

Content Provider	Springer Nature : BioMed Central
Author	Negussie, Hanna Getachew, Medhanit Deneke, Andualem Tadesse, Amezene Abdella, Ahmed Prince, Martin Leather, Andrew Hanlon, Charlotte Willott, Chris Mayston, Rosie
Abstract	Background 98% of people with surgical conditions living in low- and middle-income countries (LMICs) do not receive safe, timely and affordable surgical and anesthesia care. Research exploring barriers to receiving care has tended to be narrow in focus, often facility-based and ignoring the community beliefs, experiences and behaviours that will be an essential component of closing the gap in surgical care. Using qualitative methods, we captured diverse community perspectives in rural Ethiopia: exploring beliefs, perceptions, knowledge and experiences related to surgical conditions, with the overall aim of (re)constructing explanatory models. Methods Our study was nested within a community-based survey of surgical conditions conducted in the Butajira Health and Demographic Surveillance Site, southern Ethiopia, and a follow-up study of people accessing surgical care in two local hospitals. We carried out 24 semi-structured interviews. Participants were community members who needed but did/did not access surgical care, community-based healthcare workers and traditional bone-setters. Interviews were conducted in Amharic, audio-recorded, transcribed, and translated into English. We initially carried out thematic analysis and we recognized that emerging themes were aligned with Kleinman’s explanatory models framework and decided to use this to guide the final stages of analysis. Results We found that community members primarily understood surgical conditions according to severity. We identified two categories: conditions you could live with and those which required urgent care, with the latter indicating a clear and direct path to surgical care whilst the former was associated with a longer, more complex and experimental pattern of help-seeking. Fear of surgery and poverty disrupted help-seeking, whilst community narratives based on individual experiences fed into the body of knowledge people used to inform decisions about care. Conclusions We found explanatory models to be flexible, responsive to new evidence about what might work best in the context of limited community resources. Our findings have important implications for future research and policy, suggesting that community-level barriers have the potential to be responsive to carefully designed interventions which take account of local knowledge and beliefs.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-024-10620-0.pdf
Ending Page	13
Page Count	13
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-024-10620-0
Journal	BMC Health Services Research
Issue Number	1
Volume Number	24
Language	English
Publisher	BioMed Central
Publisher Date	2024-02-16
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Global surgery Explanatory models Help-seeking behaviour Qualitative research Ethiopia
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Providing safe maternity care under challenging conditions in rural Ethiopia: a qualitative study

Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study

Barriers and facilitators of help-seeking among unemployed persons with mental health problems: a qualitative study

A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia

Healthcare seeking behaviour among self-help group households in Rural Bihar and Uttar Pradesh, India

Factors influencing the help-seeking behavior in patients with mild cognitive impairment: a qualitative study

Help-seeking challenges for female sexual concerns: a qualitative study from Iran

Using the candidacy framework to understand how doctor-patient interactions influence perceived eligibility to seek help for cancer alarm symptoms: a qualitative interview study

A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea

“Problems you can live with” versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery

Similar Documents

Providing safe maternity care under challenging conditions in rural Ethiopia: a qualitative study

Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study

Barriers and facilitators of help-seeking among unemployed persons with mental health problems: a qualitative study

A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia

Healthcare seeking behaviour among self-help group households in Rural Bihar and Uttar Pradesh, India

Factors influencing the help-seeking behavior in patients with mild cognitive impairment: a qualitative study

Help-seeking challenges for female sexual concerns: a qualitative study from Iran

Using the candidacy framework to understand how doctor-patient interactions influence perceived eligibility to seek help for cancer alarm symptoms: a qualitative interview study

A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea

“Problems you can live with” versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery