Barriers to managing chronic illness among urban households in coastal Kenya

Thomas Porter, Jane Chuma and Catherine Molyneux
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Thomas Porter: Oxford Deanery Public Health, Oxford, UK, Postal: Oxford Deanery Public Health, Oxford, UK
Jane Chuma: Kenya Medical Research Institute (KEMRI) Wellcome Trust Research Programme, Kilifi, Kenya, Postal: Kenya Medical Research Institute (KEMRI) Wellcome Trust Research Programme, Kilifi, Kenya

Journal of International Development, 2009, vol. 21, issue 2, 271-290

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.

Date: 2009
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:21:y:2009:i:2:p:271-290

DOI: 10.1002/jid.1552

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