Barriers and facilitators affecting healthcare delivery in Rural Philippines: A Thematic Analysis of Ethnographic Data
DOI:
https://doi.org/10.22024/UniKent/03/ajpp.1399Abstract
Background: The Philippines is a Low – Middle income Country (LMIC) with over 50% of its
inhabitants living in rural areas. Healthcare in these areas face significant delivery challenges
due to limited access and resource disparities. This study works with the SOLACE project, a
collaborate effort with UK-based and Philippines-based researchers to engage with local
communities and co-produce public health initiatives in the Philippines.
Methods: Using a qualitative research methodology, this study conducts an in-depth analysis
of ethnographic field notes and semi-structured interviews originally collected by the SOLACE
project. Narratives and experiences from two rural communities, Laoang and Catarman, were
examined. The analysis focused on identifying and understanding the underlying themes that
influence healthcare dynamics.
Results: The study highlights several key barriers including cultural stigma against seeking
medical assistance and logistical issues such as geographical remoteness and low
socioeconomic status. There was also a significant reliance on traditional healers due to
reasons such as mistrust towards the formal healthcare system. Lack of education and stigma
caused many inhabitants to believe mental health issues could not be treated with medicine.
Conclusions: The findings coincide with previous literature and elaborate on the socio-
cultural, economic, and infrastructural challenges impacting healthcare delivery in rural areas
of the Philippines. While the study operates independently, it builds upon the data and
insights provided by the SOLACE project, underlining the necessity for culturally adapted and
geographically tailored public health interventions.
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