Cloak of Invisibility: A Literature Review of Physical Disability in Ghana

Mfoafo-M’Carthy, Magnus; Grischow, Jeff D.; Stocco, Nicole

doi:10.1177/2158244019900567

Cited by 9 publications

(6 citation statements)

References 19 publications

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“…Baart and Taaka [35] have found that PwDs do not have sustainable sources of income and yet have higher healthcare needs due to their impairment, and are likely to incur higher cost of medical care. To mitigate the financial burden of healthcare for PwDs in Ghana, Ghana's National Health Insurance Policy 2003 provided a special dispensation for PwDs to register and renew their NHIS cards for free [55,56]. However, some healthcare facilities are said to charge PwDs for services, even those covered under the insurance scheme.…”

Section: Discussionmentioning

confidence: 99%

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Botha

Atsu

Ansah

et al. 2023

PLOS Glob Public Health

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The Sars-Cov-2 pandemic has ravaged societies at their very core and deepened pre-existing inequalities. Meanwhile, persons with disabilities (PwDs), the most oppressed group in Ghana that live in poor and deplorable conditions are most like to be negatively impacted by the Sars-Cov-2 crisis. Therefore, the aim of this study is to explore how the Sars-Cov-2 pandemic is influencing access to healthcare by PwDs in the Sekondi-Takoradi Metropolis (STM). We collected data from 17 participants, nine from the Ghana Blind Union (GBU), five from Ghana Society for the Physically Challenged (GSPC), and three from the Ghana National Association of the Deaf (GNAD). An interview guide containing 25 items was used to gather data from the participants and we employed Phenomenological Analysis (PA) approach in making sense of the data. PWDs encounter many different barriers like; i) stigma and discrimination, ii) cost and availability of transport, iii) poor attitude of healthcare staff, iv) poor communication, v) hospital environment and equipment, vi) handwashing and sanitizing facilities, vii) unsuitable washrooms, viii) cost of healthcare, ix) registration and renewal of NHIS cards, and x) loss of income as they attempt to seek healthcare during this Covid-19 era in the STM. Covid-19 pandemic has widened the disproportionate and inequality gaps against PWDs in the STM when they attempt to seek healthcare. in the face of this, STM may lead Ghana to lag in achieving the Sustainable Development Goal (SDG) 3.8, which entreats nations to provide quality healthcare for all persons including PWDs. PWDs need education and empowerment to enable them demand for their rights when accessing healthcare. The findings highlight existing gaps in the implementation of the disability law by healthcare facilities in STM and, re-focus the attention of hospital managers in STM to the healthcare needs of PWDs in STM.

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Section: Discussionmentioning

confidence: 99%

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Botha

Atsu

Ansah

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…To mitigate the financial burden of healthcare for PwDs in Ghana, Ghana's National Health Insurance Policy 2003 provided a special dispensation for PwDs to register and renew their NHIS cards for free. [55,56] However, some healthcare facilities are said to charge PwDs for services, even those covered under the insurance scheme. Meanwhile, some of these PwDs have lost their jobs during the Sars-Cov-2 outbreak and have no means of sustenance except for support from relatives.…”

Section: (Which Was Not Certified By Peer Review) Preprintmentioning

confidence: 99%

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Botha

Selase

Ansah

et al. 2022

Preprint

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Background: The Sars-Cov-2 pandemic has ravaged societies at their very core and deepened pre-existing inequalities. Meanwhile, persons with disabilities (PwDs), the most oppressed group in Ghana that live in poor and deplorable conditions are most like to be negatively impacted by the Sars-Cov-2 crisis. Therefore, the aim of this study is to explore how the Sars-Cov-2 pandemic is influencing access to healthcare by PwDs in the Sekondi-Takoradi Metropolis (STM). Methods: We collected data from 17 participants, nine from the Ghana Blind Union (GBU), five from Ghana Society for the Physically Challenged (GSPC), and three from the Ghana National Association of the Deaf (GNAD). An interview guide containing 25 items was used to gather data from the participants and we employed Phenomenological Analysis (PA) approach in making sense of the data. Result: PWDs encounter many different barriers like; i) stigma and discrimination, ii) cost and availability of transport, iii) poor attitude of healthcare staff, iv) poor communication, v) hospital environment and equipment, vi) handwashing and sanitizing facilities, vii) unsuitable washrooms, viii) cost of healthcare, ix) registration and renewal of NHIS cards, and x) loss of income as they attempt to seek healthcare during this Covid-19 era in the STM. Conclusion: Covid-19 pandemic has widened the disproportionate and inequality gaps against PWDs in the STM when they attempt to seek healthcare. in the face of this, STM may lead Ghana to lag in achieving the Sustainable Development Goal (SDG) 3.8, which entreats nations to provide quality healthcare for all persons including PWDs. PWDs need education and empowerment to enable them demand for their rights when accessing healthcare. The findings highlight existing gaps in the implementation of the disability law by healthcare facilities in STM and, re-focus the attention of hospital managers in STM to the healthcare needs of PWDs in STM.

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“…In many countries in Africa, efforts to guarantee the rights of PWDs are hampered by several barriers, some of which are socio-cultural while others are physical. In some of these countries, there is a perception that disability is a sign of a bad omen which calls for a mental and behavioural reorientation (Mfoafo-M'Carthy et al, 2020). There is the medical perspective of disability which is being dealt with by medical prescriptions.…”

Section: Introductionmentioning

confidence: 99%

Accessibility of pedestrian infrastructure along arterial roads to persons with disabilities in Kumasi

Danso,

Tudzi,

Ayarkwa

et al. 2023

Ghana J. Dev. Stud.

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The rights of Persons with Disabilities (PWDs) to accessible built environments include the convenient and safe use of roads and pedestrian infrastructure. This is founded on the United Nations Convention on the Rights of Persons with Disabilities and other related international and local legislation. These notwithstanding, this paper sought to ascertain whether the accessibility needs of PWDs were amply factored into decisions on pedestrian infrastructure. The study adopted a descriptive research design. It involved the use of a checklist developed from the Accessible Side-walks and Street Crossing information guide and the Ghana Accessibility Standards for the Built Environment to assess pedestrian infrastructure along five arterial roads leading to Kumasi, the second most populous city in Ghana. Interviews were also used to ascertain the opinions of 122 PWDs on the inclusiveness of the pedestrian infrastructure. The study found that the pedestrian infrastructure was not as inclusive as required. Maintenance was not given due attention and most PWDs had challenges with the pedestrian infrastructure. The study concludes that irrespective of the prevalence of both international and local standards in Ghana, the accessibility needs of PWDs are not amply factored into decisions on pedestrian infrastructure. Accordingly, policy should dwell on holistic enforcement of the accessibility standards in design, construction and maintenance. These will support the quest to enhance accessible transport systems and consequently efforts towards achieving Sustainable Development Goal 11.

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Cloak of Invisibility: A Literature Review of Physical Disability in Ghana

Cited by 9 publications

References 19 publications

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Impact of Sars-Cov-2 on access to healthcare by person with disabilities

Accessibility of pedestrian infrastructure along arterial roads to persons with disabilities in Kumasi

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