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Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting

PloS one, 2020-03, Vol.15 (3), p.e0229770-e0229770 [Peer Reviewed Journal]

COPYRIGHT 2020 Public Library of Science ;COPYRIGHT 2020 Public Library of Science ;2020 Mbanya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;info:eu-repo/semantics/openAccess ;2020 Mbanya et al 2020 Mbanya et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0229770 ;PMID: 32187198

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Title:
Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting
Author: Mbanya, Vivian N ; Terragni, Laura ; Gele, Abdi A ; Diaz, Esperanza ; Kumar, Bernadette N
Kamperman, Astrid M.
Subjects: Adult ; Africa South of the Sahara ; Analysis ; Circumcision, Female - psychology ; Circumcision, Female - statistics & numerical data ; Cutting ; Emigrants and Immigrants - psychology ; Emigrants and Immigrants - statistics & numerical data ; Exposure ; Facilities and Services Utilization - statistics & numerical data ; Female ; Female circumcision ; General practitioners ; Health aspects ; Health care ; Health care industry ; Health care reform ; Health disparities ; Health Knowledge, Attitudes, Practice ; Health problems ; Health Services Accessibility ; Humans ; Immigrants ; Information systems ; Intersectionality ; Maternal child nursing ; Medicine and Health Sciences ; Middle Aged ; Migration ; National health insurance ; Noncitizens ; Norway ; Obstetrics ; People and Places ; Population ; Public health ; Qualitative research ; Surveys and Questionnaires ; Women ; Women's health
Is Part Of: PloS one, 2020-03, Vol.15 (3), p.e0229770-e0229770
Description: Millions of women and girls have been exposed to female genital cutting (FGC). The practice of FGC extends beyond countries in Africa and Asia in which it is traditionally practiced. Women living with FGC in Norway have been reported to be in need of healthcare, but there is evidence of suboptimal use of healthcare services among this group, and we lack the women's perspective about this problem. This study aims to explore the experiences and perceptions hindering access and use of the Norwegian healthcare system among sub- Saharan African (SSA) immigrant women exposed to FGC. This qualitative research was conducted using purposive and snowball sampling to recruit thirteen SSA immigrant women in Norway previously exposed to FGC. Interviews were conducted from October 2017 to July 2018. The Interpretative Phenomenological Analysis method was used. The findings indicate that women experience barriers both in reaching out to the healthcare system and within the healthcare system. Barriers prior to contact with the healthcare system include lack of information, husband and family influence on healthcare, and avoiding disclosing health problems. Barriers within the healthcare system include care providers with insufficient knowledge and poor attitudes of care providers. This study reveals multiple barriers to healthcare access that co-exist and overlap. This indicates that SSA immigrant women are 'left behind' in being able to access and use the Norwegian healthcare system. Therefore, appropriate interventions to improve access to healthcare should be considered in order to reach Universal Health Coverage, thus having a positive impact on the health of these women. Equitable healthcare should be reflected in policy and practice.
Publisher: United States: Public Library of Science
Language: English;Norwegian
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0229770
PMID: 32187198
Source: Freely Accessible Journals
PLoS (Open access)
PubMed Central (Open access)
MEDLINE
NORA Norwegian Open Research Archives
ProQuest Central
DOAJ Directory of Open Access Journals

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Barriers to access to the Norwegian healthcare system among sub-Saharan African immigrant women exposed to female genital cutting

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