Physical Barriers and Attitudes towards Accessing Healthcare in a Rural Muslim Population in Nepal

Abstract

The 2015-2020 Nepali Government's National Health Sector Strategy notes that Muslims have the lowest rates of healthcare utilization in Nepal without specifications as to factors associated with the low rate. This study assessed physical barriers and attitudes towards accessing healthcare amongst a rural Muslim population in the Nepali terai. Significant results indicated that the Muslim population was more likely to utilize distant public care than closer private care, and experienced longer travel times than their Hindu counterparts. Muslims also reported significantly lower satisfaction in healthcare accessibility. Results from this study verify this gap and indicate that transportation, satisfaction, and private vs. public care may be important factors. Future research should aim to identify and address the underlying mechanisms that lead to these large equity gaps.

Development of a new measure of encounters with health care barriers: The Commonly Experienced Health Care Barriers Index.

“…In addition, barriers should be both related to and distinct from health experiences that are also potential predictors of health care utilization. For example, individuals who experience barriers may be more likely to have subjectively poorer relationships with their medical practitioners (including poorer patient–practitioner alliance and greater confusion with medical information), which may also lead to greater health care utilization problems (Buggy et al, 2020; Kilbourne et al, 2006). They may also report poorer health-related quality of life (Seid et al, 2004), which may be both a predictor and consequence of health care utilization problems.…”