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Non-use of Formal Health Services in Malawi: Perceptions from Non-users
A C Munthali1, H Mannan2, M MacLachlan3
1Centre for Social Research, Chancellor College, University of Malawi, Zomba, Malawi.
Summary
Barriers like cost, distance, and poor attitudes prevent healthcare access in Malawi. Addressing these challenges and improving health systems can help convert non-users into active health service users.
Area of Science:
- Public Health
- Health Services Research
- Health Equity
Background:
- Investigates perceptions of facilitators and barriers to equitable healthcare access in resource-poor settings.
- Defines non-users as individuals not needing services or deterred by significant barriers.
Purpose of the Study:
- To understand why individuals in Malawi do not utilize formal health services.
- To identify key factors influencing healthcare access and utilization.
Main Methods:
- Conducted 80 interviews with non-users of health services across four districts in Malawi.
- Employed snowballing and community engagement to identify participants.
- Included one focus group discussion with Zion Church members, a group of non-users.
Main Results:
- Identified cost, distance to facilities, and poor health worker attitudes as primary barriers.
- Noted beliefs in traditional medicine and physical limitations (age, disability) as reasons for non-use.
- Highlighted that some non-users, like Zion Church members, were unwilling to change, while others would use services if barriers were removed.
Conclusions:
- Public health education for both providers and non-users is crucial.
- Implementing functional outreach programs can improve access.
- Addressing systemic issues like drug shortages and human resource deficits is essential to convert non-users to users.
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