Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study
This article was published in BMJ Open by BMJ Journals [© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035663 The Journal&#...
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10361-166322022-05-17T21:01:31Z Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study Bente Kamal Tune, Samiun Nazrin Hoque, Roksana Naher, Nahitun Islam, Nazia Islam, Md. Mazedul Ahmed, Syed Masud Brac James P. Grant School of Public Health Health Illness Healthcare-seeking behaviour Street dwellers of Dhaka City Bangladesh This article was published in BMJ Open by BMJ Journals [© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035663 The Journal's website is at: https://bmjopen.bmj.com/content/10/10/e035663 Objective: This study explored the illness experiences and healthcare-seeking behaviour of a cross-section of street dwellers of Dhaka City for designing a customised intervention. Design A qualitative exploratory study of a sample of street dwellers of Dhaka City. Setting Samples were taken from three purposively selected spots of Dhaka City with a high concentration of the target population. Participants Fifteen in-depth interviews and six informal group discussions with 40 street dwellers (≥18 years), and key informant interviews with service providers (n=6) and policymakers (n=3) were conducted during January–June 2019 to elicit necessary data. Primary outcome measures Qualitative narrative of illness experiences of the sampled street dwellers, relevant healthcare-seeking behaviour and experiences of interactions with health systems. Results We focused on three main themes, namely, reported illnesses, relevant healthcare-seeking behaviour and health system experiences of the street dwellers. Findings reveal that most of the street dwellers suffered from fever and respiratory illnesses in the last 6months; however, a majority did not visit formal facilities. They preferred visiting retail drug shops for advice and treatment or waited for self-recovery. Formal facilities were visited only when treatment from drug shops failed to cure them or they suffered serious illnesses or traumatic injury. The reproductive-age women did not seek pregnancy care and most deliveries took place in the street dwellings. Lack of awareness, financial constraints and fear of visiting formal facilities were some of the reasons mentioned. Those who visited formal facilities faced barriers like the cost of medicines and diagnostic tests, long waiting time and opportunity cost. Conclusions The street dwellers lacked access to formal health systems for needed services as the latter lags far behind to outreach this extremely vulnerable population. What they need is explicit targeting with a customised package of services based on their illness profile, at a time and place convenient to them with minimum or no cost implications. Published 2022-05-17T10:08:20Z 2022-05-17T10:08:20Z 2020 2020-10-07 Journal Article Tune, S. N. B. K., Hoque, R., Naher, N., Islam, N., Islam, M. M., & Ahmed, S. M. (2020). Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka city, Bangladesh: Qualitative exploratory study. BMJ Open, 10(10) doi:10.1136/bmjopen-2019-035663 http://hdl.handle.net/10361/16632 http://dx.doi.org/10.1136/bmjopen-2019-035663 en_US https://bmjopen.bmj.com/content/10/10/e035663 BMJ Open application/pdf BMJ Journals |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Health Illness Healthcare-seeking behaviour Street dwellers of Dhaka City Bangladesh |
| spellingShingle |
Health Illness Healthcare-seeking behaviour Street dwellers of Dhaka City Bangladesh Bente Kamal Tune, Samiun Nazrin Hoque, Roksana Naher, Nahitun Islam, Nazia Islam, Md. Mazedul Ahmed, Syed Masud Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| description |
This article was published in BMJ Open by BMJ Journals [© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035663 The Journal's website is at: https://bmjopen.bmj.com/content/10/10/e035663 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Bente Kamal Tune, Samiun Nazrin Hoque, Roksana Naher, Nahitun Islam, Nazia Islam, Md. Mazedul Ahmed, Syed Masud |
| format |
Journal Article |
| author |
Bente Kamal Tune, Samiun Nazrin Hoque, Roksana Naher, Nahitun Islam, Nazia Islam, Md. Mazedul Ahmed, Syed Masud |
| author_sort |
Bente Kamal Tune, Samiun Nazrin |
| title |
Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| title_short |
Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| title_full |
Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| title_fullStr |
Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| title_full_unstemmed |
Health, illness and healthcare-seeking behaviour of the street dwellers of Dhaka City, Bangladesh: Qualitative exploratory study |
| title_sort |
health, illness and healthcare-seeking behaviour of the street dwellers of dhaka city, bangladesh: qualitative exploratory study |
| publisher |
BMJ Journals |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16632 http://dx.doi.org/10.1136/bmjopen-2019-035663 |
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