Table 2 Domains of barriers and enablers to accessing fistula care services in Nigeria and Uganda
Domain | Barrier sub-themes | Enabling sub-themes |
|---|---|---|
Financial | Generalized poverty | Funding for the fistula care centers |
Cost of care at home | Pooled community funds | |
Medical and non-medical out of pocket hospital costs | Vocational training or work support | |
Cost for repeated medical intervention | Counseling for healing | |
Unofficial fees at hospitals | ||
Transportation | Transportation cost | Transportation refunds—voucher |
Distance, unavailability of transportation, and prolonged travel | Family or community-facilitated transportation | |
Stigmatizing behaviors in public transportation | Outreach vans/taxis/ambulances Counseled drivers | |
Income loss or opportunity cost | Away from small business (i.e. lost hours and productivity) | Financial support from government or family |
Away from home and children | Vocational training or work support |