Evidence map›Paper›PMID 39696263›Full record

ArticleInternational journal for equity in health2024

Challenges in accessing health care services for women and girls with disabilities using a humanitarian physical rehabilitation program in Lebanon: a mixed method study.

Linda Abou-Abbas, Diana Sabbagh, Rodolfo Rossi, Lavanya Vijayasingham, Maria Rita Lteif, Haya Rawi, Rouba Mitri, Hala Al Sultan, Aicha Benyaich, Ahmad Al-Mosa and 1 more

Abstract read
In one paragraph

Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Linda Abou-Abbas *International Committee of the Red Cross, Lebanon Delegation, Beirut, Lebanon.ORCID 0000-0001-9185-3831
Diana Sabbagh *American University of Beirut, Beirut, Lebanon.ORCID 0009-0005-9017-7217
Rodolfo RossiInternational Committee of the Red Cross, Geneva, Switzerland.ORCID 0000-0001-7761-7162
Lavanya VijayasinghamNCD in Humanitarian Settings Group, Department of Epidemiology and Population Health & Centre for Global Chronic Conditions, London School of Hygiene & Tropical Medicine, London, England.ORCID 0000-0002-4424-4491
Maria Rita LteifAmerican University of Beirut, Beirut, Lebanon.ORCID 0009-0009-4424-8968
Haya RawiInternational Committee of the Red Cross, Lebanon Delegation, Beirut, Lebanon.
Rouba MitriInternational Committee of the Red Cross, Geneva, Switzerland.ORCID 0009-0003-1926-2967
Hala Al SultanInternational Committee of the Red Cross, Lebanon Delegation, Beirut, Lebanon.ORCID 0009-0001-2827-2679
Aicha BenyaichInternational Committee of the Red Cross, Geneva, Switzerland.ORCID 0000-0003-2431-9879
Ahmad Al-Mosa *International Committee of the Red Cross, Geneva, Switzerland. aalmalkawi@icrc.org.ORCID 0009-0009-4388-4380
Claudia Truppa *International Committee of the Red Cross, Geneva, Switzerland.ORCID 0000-0003-0696-4575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchieving equitable healthcare access for persons with disabilities is vital, as they often face various barriers that impact their health and well-being. Recognizing the importance of gender equity, this study aims to explore the specific barriers faced by women and girls with disabilities in accessing quality healthcare services in Lebanon.

methodsA mixed-method sequential explanatory approach was employed. Initially, a retrospective descriptive study analyzed data from the International Committee of the Red Cross (ICRC)-supported physical rehabilitation programme (PRP) database. Subsequently, in-depth interviews were conducted to delve into factors influencing gender-disproportionate service users and to uncover barriers to accessing healthcare. Levesque et al.'s 'Conceptual framework on healthcare access' was used to organize and map the results.

resultsThe quantitative analysis of service utilization at ICRC PRP centers from 2015 to 2022 revealed significant gender disparities, with males comprising 66.6% of service users compared to 33.4% females. This trend was consistent across age categories, nationalities, and clinical conditions. Healthcare access for women and girls with disabilities was found to be inadequate across all five dimensions of the Levesque framework: adequacy, accessibility, affordability, appropriateness, and availability, as well as their corresponding abilities. While certain challenges such as transportation, financial constraints, inadequate infrastructure, and limited information on available services were common to both genders, gender-specific barriers primarily included societal norms, safety concerns during unaccompanied visits to healthcare facilities, limited access to societal information, economic disparities, preferences for female healthcare providers, and the need for privacy during consultations.

conclusionThis study underscores key barriers hindering healthcare access for women and girls with disabilities in Lebanon, necessitating tailored interventions. Gender-specific challenges, including societal norms and safety concerns, require targeted solutions for improved access and outcomes. This study serves as a call to action for stakeholders at various levels to collaborate and implement concrete measures to bridge the gap in healthcare access and ensure that no one is left behind.

Indexed as

Health Services AccessibilityPersons with DisabilitiesAdolescentAdultAltruismChildChild, PreschoolFemaleGender EquityHealthcare DisparitiesHumansLebanonMaleMiddle AgedRetrospective StudiesYoung AdultAccess to healthcareDisabilitiesGirlsHumanitarian programLebanonWomen

Identifiers

PMID39696263
PMCPMC11656964

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.