Table 1. Classification of barriers preventing access/utilization of healthcare by children with neurological impairments/disability.
Theme (category) of barrier | Criteria for inclusion |
---|---|
1. Financial constraints | Determined by whether the patient/caregiver was able to pay for biomedical services
and all indirect costs incurred while seeking care. |
2. Education/ awareness | Lack of/inadequate information or awareness from healthcare facilities about the
availability of care services; or caregiver/patient unable to seek services due to limited education/information/health illiteracy. |
3. Culture/beliefs | Caregivers or patients’ values and perceptions inhibiting seeking biomedical services
or societal attitude influencing health-seeking behaviour |
4. Geographical inaccessibility and
physical barriers |
Geographical inaccessibility described as the proximity of the healthcare facilities
from the patient’s/caregiver residence. Inaccessibility also included the inability to access healthcare services due to physical disabilities and/or unfavourable infrastructural design of healthcare facilities or transport systems. |
5. Inadequate healthcare resources and
quality of care |
The attitude of healthcare workers and availability of appropriate services/equipment
such as expert consultation, clinical assessment, supply of critical drugs, laboratory equipment, and testing in the healthcare facilities. |
6. Confidentiality/anonymity | Comprising privacy and protection of patient information of those seeking healthcare. |
7. Childcare/competing domestic roles | Domestic roles such as childcare or taking care of the sick and elderly at home as
competing roles for the caregivers. |