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Barriers to managing chronic illness among urban households in coastal Kenya

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Author Info
Thomas Porter (Oxford Deanery Public Health, Oxford, UK)
Jane Chuma (Kenya Medical Research Institute (KEMRI) Wellcome Trust Research Programme, Kilifi, Kenya)
Catherine Molyneux
Abstract

The burden of chronic illnesses is rising throughout the world but information on barriers to managing such diseases in developing countries is scarce. Qualitative data from focus group discussions and interview transcripts from a longitudinal study involving 22 households in urban, coastal Kenya were analysed. Themes around barriers to chronic illness care were identified and a conceptual framework developed which described relationships between these themes. The main barrier to chronic illness management was the cost of care. Other barriers identified were patient knowledge and beliefs, stigma, quality and trust in providers and long care pathways. Household resilience was adversely affected by chronic illness, further reducing households' ability to cope with illness. Policy options to address the barriers identified are discussed. Copyright © 2009 John Wiley & Sons, Ltd.

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File URL: http://hdl.handle.net/10.1002/jid.1552
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Article provided by John Wiley & Sons, Ltd. in its journal Journal of International Development.

Volume (Year): 21 (2009)
Issue (Month): 2 ()
Pages: 271-290
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Handle: RePEc:wly:jintdv:v:21:y:2009:i:2:p:271-290

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  1. Oyaya, Charles O. & Rifkin, Susan B., 2003. "Health sector reforms in Kenya: an examination of district level planning," Health Policy, Elsevier, vol. 64(1), pages 113-127, April. [Downloadable!] (restricted)
  2. Stekelenburg, Jelle & Kyanamina, Sindele Simasiku & Wolffers, Ivan, 2003. "Poor performance of community health workers in Kalabo District, Zambia," Health Policy, Elsevier, vol. 65(2), pages 109-118, August. [Downloadable!] (restricted)
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This page was last updated on 2009-12-30.

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