Patterns of Health Services and Medicine Utilisation by First-Generation Pakistani Immigrants in New Zealand

The health-seeking patterns of the increasing Pakistani migrant population in New Zealand (NZ) is a subject of limited research in current literature. Therefore, the study aimed to investigate and understand the patterns of health services utilisation and medicine usage among first-generation Pakistani immigrants in NZ.

Convenience and snowball sampling using social media platforms were used to conduct eleven semi-structured interviews consisting of two participants per interview. The interviews were audio-taped and transcribed verbatim. Data were analysed iteratively using an inductive thematic approach.

Self-medication emerged as a common practice by the majority of the participants and this practice stemmed from personal experiences, existing knowledge, and personal and cultural beliefs. However, participants had limited knowledge of the NZ health system and community pharmacy services and this led to conflicting expectations and outcomes. These factors serve as barriers to healthcare access for Pakistani immigrants and can result in adverse health outcomes and higher rates of dissatisfaction.

This study highlights the healthcare challenges and behaviours of Pakistani immigrants in NZ, emphasising their reliance on traditional remedies and self-medication. While appreciating the quality of NZ's healthcare, participants faced barriers like cost and lack of awareness of pharmacy services. The findings call for culturally tailored strategies to improve accessibility and healthcare experiences for immigrants.

Two individuals from the Pakistani community, not part of the study, contributed to the design by offering feedback and pilot testing the interview guide. Based on their input, adjustments were made to enhance the clarity of the questions from a patient's or public viewpoint. No new questions were proposed as a result of this feedback.