Page 14 - IJPS-10-4

International Journal of
Population Studies Healthcare access and use among rural–urban migrants

Table 3. Summary of results from included studies
Author, year of Outcome (s) Main finding (s)
publication Barrier (s) Coping mechanism (s) Health system factors/
Possible interventions
Baada et al., 2021 (i) Financial barrier. (i) Supreme being as their (i) Organize periodic social Migrant women are restricted
(ii) Infrastructural and source of relief for their programs that provide by their male counterparts to
sociocultural barriers. health challenges. health information and use family planning services
(iii) Regarded the quality of (ii) Rely on herbs/barks. resources. and limited social support
health services as poor. (ii) Equipping health in their new community or
workers with the society.
necessary logistics.
Akazili et al., 2018 (i) Long waiting hours at the (i) Borrowed money and/or (i) Reforming the National Health system challenges
health facility. use of earnings from the Health Insurance Policy. and poor quality of
(ii) Shortage or lack of sale of properties to buy (ii) Behavioral change health-care services under
medicines at the health medicines. among health workers. the NHIS influence migrants’
facilities. (ii) Rely on herbal or (iii) Lower NHIS health-seeking behavior.
(iii) Difficulties to register traditional medication to registration fee.
with NHIS. treat their condition. (iv) Extension of the NHIS
(iv) Unprofessional conduct of renewal period instead
health workers. of the annual renewal.
Asaana, 2015 (i) Poor care experiences often (i) Self-medicating and N/A Financial challenges, negative
experienced by health traditional medicines. encounters with health
practitioners. professionals, and limited
(ii) Long waiting times and/or autonomy to use health
delays when seeking care. services.
(iii) Expensive allopathic care.
Boateng et al., 2017 (i) Physical challenges. N/A (i) Decentralizing NHIS Limited NHIS service
(ii) Unsatisfied with drug operation to the district coverage.
prescriptions. level.
(iii) Challenges in renewing (ii) Delivery of NHIS
their NHIS. services through
(iv) Attitude of the care mobile van.
providers.
Nyarko & Tahiru, (i) Financial constraints. (i) Resort to purchasing drugs N/A Seeking medical services from
2018 (ii) Limited NHIS coverage. from licensed medical licensed chemical dealers and/
(iii) Long waiting times at the dealers or pharmacies. or pharmacies.
health facilities. (ii) Taking rest without
seeking professional
healthcare.
Owusu-Ansah et al., Financial constraints to enroll Migrants (61.1%) relied on N/A Most migrants (71.2%) had
2016 on the NHIS. drug stores, self-medication not been south for professional
(3.3%), or consulted the health services for some time.
herbalist (2.4%).
Sznajder et al., 2020 (i) Financial barriers. Seeking medical help from N/A Financial difficulties and
(ii) Long waiting hours pharmacies and drug stores/ lack of social support
prohibited taking time to chemical sellers. affect migrants' sexual and
seek healthcare. reproductive health outcomes.
Rizwan et al., 2022 (i) Physical barriers. (i) Strong belief in traditional Design a health system Access to health-care services
(ii) Societal gender norms or medicine. that meets the needs of the is affected by cultural,
male dominance. (ii) Religious power. migrants. financial, and social factors.
(iii) Poor quality of
health-care services
under the NHIS.
(iv) High illiteracy rate and
language barriers.
(Cont’d...)

Volume 10 Issue 4 (2024) 8 https://doi.org/10.36922/ijps.2314