Factors associated with continuity of care in hypertension and type 2 diabetes among forcibly displaced persons in the Bidibidi refugee settlement in Uganda: Protocol for a cross-sectional, mixed-methods study

Bishal Gyawali, Dricile Ratib , Tania Dræbel, David Kyaddondo, Rita Nakanjako, Esther Nanfuka , Ib Christian Bygbjerg, Dan Wolf Meyrowitsch, Morten Skovdal

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

58 Downloads (Pure)

Abstract

Background
Non-communicable diseases in humanitarian settings are generally under-researched, particularly in Africa and have been called a neglected crisis. Little is known about factors affecting access to and (dis)continuity of care for chronic conditions, such as hypertension (HTN) and type 2 diabetes among forcibly displaced persons (FDPs) in Uganda.

Aim
To investigate factors affecting access to and (dis)continuity of HTN and/or type 2 diabetes care among FDPs in the Bidibidi refugee settlement, Uganda.

Methods
A sequential explanatory mixed-methods design incorporating methodological and investigator triangulation will be conducted. The study aims to employ a community-based participatory research approach to equitably engage community members, researchers, and other stakeholders in the research process, recognising and maximising their diverse contributions. In phase 1, the quantitative arm of the study, 960 FDPs with HTN and/or type 2 diabetes will be interviewed about their sociodemographic characteristics, health status, migration experiences, social capital, and awareness, treatment, and control of these diseases. Participants will be purposively recruited from phase 1 as well as village health teams, healthcare providers, and policymakers to participate in phase 2, the qualitative study, in order to gain more insight into how mobility and social factors affect (dis)continuity of care among FDPs with HTN and/or type 2 diabetes.

Discussion
The findings from phase 1 and phase 2 of the study will be integrated through a triangulation process to provide a more holistic and comprehensive insight into the factors affecting access to and (dis)continuity for HTN and/or type 2 diabetes care among FDPs. Understanding these factors is expected to pave the way for conceptualizing health-enabling environments and strengthening health systems for FDPs with chronic conditions. It is anticipated that the study will generate baseline evidence that might be beneficial in developing and implementing HTN and diabetes care models for FDPs in the region.

Keywords
Forcibly displaced personsHypertensionType 2 diabetesMobilitySocial capitalRefugeesCommunity-based participatory researchMixed-methods studySub-saharan Africa
OriginalsprogEngelsk
TidsskriftResearch in Social and Administrative Pharmacy
Vol/bind19
Udgave nummer6
Sider (fra-til)913-920
Antal sider8
ISSN1551-7411
DOI
StatusUdgivet - 2023

Citationsformater