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. 2024 Oct 30;24(1):1314.
doi: 10.1186/s12913-024-11611-x.

From legislation to actual health service: evaluation of health provisions in the disability law of Ghana by adolescents with mobility and visual impairments and their families

Ebenezer Mensah Gyimah  1 , Ebenezer Dassah  2 , Maxwell Peprah Opoku  3 , William Nketsia  4 , Afua Ntoaduro  5 , Clement Osei Tutu  6 , Cecilia Opoku  6 , Zakia Issaka  6 , Philip Atta Mensah  7
Affiliations

From legislation to actual health service: evaluation of health provisions in the disability law of Ghana by adolescents with mobility and visual impairments and their families

Ebenezer Mensah Gyimah et al. BMC Health Serv Res. .

Abstract

Background: Despite Ghana's Persons with Disability Act, 2006 (Act 715) making provisions for access to healthcare services for adolescents with disabilities and their families, a corpus of literature has reported that persons with disabilities continue to face challenges in accessing healthcare services. However, the voices of adolescents with disabilities and their families are very scarce in such discourse. This study explored the experiences of adolescents with disabilities and their families in accessing healthcare services as per the provisions described in Ghana's Act 715.

Methods: This study involved 45 participants, including 25 adolescents with disabilities and 20 family members from a municipality in Ghana. Employing a qualitative descriptive design, semi-structured interviews were conducted which was then analyzed thematically and interpreted using Critical Disability Theory.

Results: The study identified two major categories of barriers to healthcare access: environmental (socio-economic difficulties, poor built environment, unavailability of rehabilitation services) and systemic (cultural beliefs, poor support at healthcare facilities and inadequate healthcare legislative provisions for families of children with disabilities). Despite legal provisions for free healthcare, participants faced significant financial barriers, with specialist services often not covered by the National Health Insurance Scheme.

Conclusions: The study calls for policy adjustments to fully cover specialist care under Ghana's National Health Insurance Scheme, establishment of local-level health assessment and resource centers, educational campaigns to change cultural perceptions, and training of healthcare workers to promote quality access to healthcare.

Keywords: Adolescents with disabilities; Barriers; Family; Healthcare access; Legal provisions.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. World Health Organization. World report on disability 2011. 2011. - PubMed
    1. Fernandez EL, Rutka L, Aldersey H. Exploring disability policy in Africa: an online search for national disability policies and UNCRPD ratification. Rev Disabil Studies Int J. 2017;13:1-10.
    1. Szmukler G. Capacity, best interests, will and preferences and the UN Convention on the rights of persons with disabilities. World Psychiatry. 2019;18:34–41. 10.1002/wps.20584. - PMC - PubMed
    1. Mégret F. The disabilities convention: Human rights of persons with disabilities or disability rights? In Equality and Non-Discrimination under International Law. London: Routledge; 2017.
    1. United Nations. UN Convention on the Rights of Persons with disabilities. New York: United Nations; 2007. - PubMed

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