Coping with access barriers to non‐ communicable disease medicines: Qualitative patient interviews in eight counties in Kenya
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
BMC
Abstract
There is rich literature on barriers to medicines access for the treatment of non-communicable
diseases (NCDs) in high-income countries. Less is known about low- and middle-income countries, in particular the
differences in coping with medicines access barrier by household wealth and disease. The aim of this study was to
compare the coping mechanisms of patients with the lack of availability and affordability of cardio-vascular
diseases, diabetes and asthma medicines in Kenya. This qualitative study was part of a larger mixed methods evaluation study conducted in eight counties
of Kenya from 2016 to 2019. Forty-nine patient interviews at study end line explored their NCD journey, perceptions
of availability, stockouts and affordability of NCD medicines, their enrollment in health insurance, and their
relationship with the private chemists. Transcribed interviews were coded using Nvivo software. A two-step
thematic approach was used, first conducting a priority coding which was followed by coding emerging and
divergent themes
Description
Keywords
Noncommunicable diseases, Kenya, Drugs, Health services accessibility, Humans
Citation
Ng, G. et al. (2021). Coping with access barriers to non‐communicable disease medicines: qualitative patient interviews in eight counties in Kenya. BMC Health Services Research, 21(1),417 . https://doi.org/10.1186/s12913-021-06433-0