The Challenges Faced By The Government During The Delivery Of Health Care Services To The Rural Women In A.Pac Sub-County, A.Pac District A Case Study: Apac Sub - County

TABLE OF CONTENTS

DECLARATION ............................................................................................................................... i

APPROVAL ..................................................................................................................................... ii

DEDICATION ................................................................................................................................ iii

ACKNOWLEDGMENT ................................................................................................................... iv

TABLE OF CONTENTS ................................................................................................................... v

LIST OF TABLES ......................................................................................................................... viii

LIST OF FIGURES ........................................................................................................................ ix

LIST OF ACRONYMS ............................................................................................... ii

CHAPTER ONE: THE NATURE OF THE CHALLENGES ............................................................ 1

1.1 The nature of the challenges ............................................................................................................. 1

1.2 Problem statement. .............................................................................................................................. 2

Objectives of the Study .............................................................................................................................. 2

1.3.1 General objectives .......................................................................................... . ·········•···········2

1.3.1 Specific objectives ............................................................................................................................ 2

1.4 Research questions .............................................................................................................................. 2

1.5 Scope of the study ............................................................................................................................ 3

1.6 Significance of the study ..................................................................................................................... 3

1.7 Definition of key concepts .................................................................................................................. 3

CHAPTER TWO: LITERATURE REVIEW .................................................................................... 4

2.0 Introduction .......................................................................................................................................... 4

2.1 Health Care Needs of women in Rural Areas ................................................................................... 4

2.3 The Current Health Care Services Delivery Strategies in Rural Areas ... ············· ................ 5

2.4 Challenges Encountered in Health Care Service Delivery strategies......... . ....................... 6

2.5 Summary of the reviewed literature ................................................................................................. 7

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CHAPTER THREE: METHODOLOGY ........................................................................................... 8

3.0 Introduction ........................................................................................................................................ 8

3.1 Study design ......................................................................................................................................... 8

3.2 Area of study ........................................................................................................................................ 8

3.3 Study population .................................................................................................................................. 8

3.4 Sample size ........................................................................................................................................... 9

3.5 Sampling procedure ............................................................................................................................. 9

3.6Data collection methods ...................................................................................................................... 9

3.7Procedure to be followed ............................................. . ..10

3.8 Ethical consideration ......................................................................................................................... 10

3.9Data processing and analysis ........................................................................................................... 10

3.10 Anticipated limitations .................................................................................................................... 11

CHAPTER FOUR: PRESENTATION OF FINDINGS ................................................................. 12

4.0 Introduction ........................................................................................................................................ 12

4.1 Background characteristics of Respondents .................................................................................. 12

4.1.1 Age of Respondents ....................................................................................................................... 12

4.1.2 Sex of Respondents ........................................................................................................................ 13

4.1.3 Marital Status .................................................................................................................................. 13

4.1.4 Occupation of the Respondents ................................................................................................... 14

4.1.5 Educational level of Respondents ................................................................................................ 14

4.2 Health Care Needs of Rural women ................................................................................................ 15

4.2.1 Health care needs of rural women ............................................................................................... 15

4.2.3 Health care needs to be addressed first ..................................................................................... 16

4.2.3 What accounted for the health care needs of the rural women ............................................. 17

4.2.4 What they do to meet their health care needs ...................... . . ................ 19

4.2.5 Comments on the adequacy of interventions ......................... . ·•················20

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4.3 Current health care service delivery strategies ............................................................................ 22

4.3.1 The current health care service delivery strategies can be seen in table 11. ....................... 22

4.3.2 Reasons that supported the current health care service delivery strategies ........................ 23

4.3.3 How do they meet the cost of their health care needs.................. . ...... 25

4.3.4 Challenges faced while accessing the health care services ..................................................... 26

4.3.5 Roles played by women in reducing the challenges .................................................................. 28

4.4 Challenges faced in health care service delivery ......................................................................... 29

4.4.1 Challenges facing delivery of quality of health care services ................................................. 29

CHAPTER FIVE: CONCLUSION AND RECOMMENDATIONS ............................................... 33

5.0 Summary ............................................................................................................................................. 33

5.1 Conclusions ......................................................................................................................................... 33

5.2 Recommendations ............................................................................................................................. 33

REFERENCES: .............................................................................................................................. 35

APPENDIX l ................................................................................................................................. 37

QUESTIONNAIRE FOR WOMEN ............................................................................................... 37

APPENDIX II ............................................................................................................................... 41

QUESTIONNAIRE FOR THE KEY INFORMANTS .................................................................... 41