Using the Socioecological Model to Explore Barriers to Health Care Provision in Underserved Communities in the Philippines: Qualitative Study (Preprint)

• DOI: 10.2196/preprints.45669
• Publication Date: 2023-01-14T17:17:40Z
• Authors: Andrew Thomas Reyes; Reimund Serafica; Jennifer Kawi; Miguel Fudolig; Francisco Sy; Erwin William A L...; Lorraine S Evange...
• Keywords: Thematic Analysis; Preprint

<sec> <title>BACKGROUND</title> The Philippines’ primary care is delivered via local health centers called barangay (BHCs). Barangays are the most government units in Philippines. Designed to promote and prevent disease basic care, these BHCs staffed mainly by workers (BHWs). However, there has been limited research on social environmental factors affecting underserved communities’ access areas of Given importance prevention promotion, it necessary identify obstacles providing their services initiatives. </sec> <title>OBJECTIVE</title> This study aimed explore multilevel barriers accessing BHCs. <title>METHODS</title> We used a qualitative approach socioecological model as framework investigate provision. A total 18 BHWs from 6 nationwide participated focus group interviews. Traditional thematic content analysis was analyze data. After that, we conducted individual semistructured interviews with 4 public nurses who supervised confirm findings groups data source triangulation. final stage using framework. <title>RESULTS</title> Findings revealed various at (lack staff motivation misperceptions needs), interpersonal training, unprofessional behaviors, lack communication), institutional human resources for health, accountability staff, unrealistic expectations, physical space or supplies), community support, availability appropriate resources, belief traditional healers), policy uniformity policies functional infrastructure) levels. <title>CONCLUSIONS</title> Examining individual-, interpersonal-, institutional-, community-, policy-level determinants that affect can inform community-based promotion interventions country’s communities. multidimensional identified, comprehensive program must be developed implemented collaboration providers, leaders, regional department representatives, makers.