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Perceptions of health and healthcare needs in low-resource settings

Qualitative insights from Bengaluru's urban slum and rural areas

Dados Bibliográficos

ID22068892
AutoresKeerthi Dubbala (0000-0001-5422-8332, Karl Landsteiner University of Health Sciences, autor correspondente), Wanda Spahl (0000-0001-7167-8028, Karl Landsteiner University of Health Sciences), Carolin Elizabeth George (0000-0001-7086-200X, Bangalore Baptist Hospital), Luc De Witte (0000-0002-3013-2640, The Hague University of Applied Sciences)
Ano2025
Volume13
Páginas1530256-1530256
Data de publicação2025-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1530256
PMID40236326
OpenAlexW4409030966
IdiomaEN
Referências citadas73

Background: Despite the multitude of healthcare services available in India, health inequalities persist. People in low-resource settings are both disadvantaged and have the greatest need for healthcare. To address these disparities and achieve universal health coverage, healthcare services need to be tailored to the specific needs of this population. Objective: This study aimed to understand health and healthcare perceptions of people in slums and villages in and around Bengaluru, a city in the southern part of India. It was conducted in partnership with Bangalore Baptist Hospital, a charity hospital dedicated to supporting underserved populations in this region. Methods: The study employed qualitative methods. Twenty-eight open-ended interviews and eight focus groups were conducted with residents of selected slums and villages in and around Bengaluru. The interviews were transcribed verbatim, translated to English and analyzed applying thematic analysis. Results and conclusion: The study finds that participants defined health as the absence of illness, the ability to work, and the result of a good lifestyle. With regards to healthcare expectations, the analysis shows the themes of the "good doctor," recovering quickly, cost affordability, cleanliness, and emergency services and diagnostic facilities. In addition, stigma related to healthcare, was identified, especially among residents of villages. Participants highlight the importance of good relationships with healthcare providers and accessible healthcare facilities to improve healthcare uptake in Bengaluru's slums and rural areas. This study also shows that achieving universal health coverage requires addressing not only direct costs but also other associated expenses like travel and lost wages, considering healthcare costs as a comprehensive expense tied to patients' living conditions. These results contribute to the growing body of literature on health and healthcare perceptions in low-resource settings, offering insights that may inform future research and context-specific strategies for improving healthcare access and delivery

Economic growth · Environmental health · Environmental planning · Environmental resource management · Geography · Health care · Perception · Population · Qualitative research · Rural area · Rural health · Slum · Sociology · Computer Science · Environmental Science · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Psychology · Social and Economic Development in India

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