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  1. Home
  3. Research Domains
  5. Indigenous Studies
  7. Te Hauora Me Te Oranga O Te Māori (māori Health And Wellbeing)
  9. Te Whaikaha Me Te Māori (māori And Disability)
  11. "they Tossed Me Up Like A Ball": Informal Settlement Residents' Experiences In Accessing Healthcare In Kampala, Uganda.
  1. Home
  3. Research Domains
  5. Indigenous Studies
  7. Te Hauora Me Te Oranga O Te Māori (māori Health And Wellbeing)
  9. Te Whaikaha Me Te Māori (māori And Disability)
  11. "they Tossed Me Up Like A Ball": Informal Settlement Residents' Experiences In Accessing Healthcare In Kampala, Uganda.

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"They tossed me up like a ball": informal settlement residents' experiences in accessing healthcare in Kampala, Uganda.

Julia Dickson-Gomez1, Kirsten Beyer2, Arthur Kiconco2

  • 1Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA. jdickson@mcw.edu.

BMC Public Health
|July 16, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Residents of informal settlements face significant healthcare access barriers due to cost and approachability issues within public and private systems. Global Health Initiatives (GHIs) often exclude vulnerable populations and deplete resources from national health systems.

Keywords:
Global health initiativesHealth care accessInformal settlementsPrimary health care

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Area of Science:

  • Public Health
  • Health Systems Research
  • Global Health

Background:

  • Informal settlements house a majority of urban populations in low- and middle-income countries (LMICs), facing elevated disease risks and reduced quality of life.
  • Global Health Initiatives (GHIs) have historically established parallel healthcare structures, potentially diverting resources from existing national health systems.
  • Limited access to healthcare for informal settlement residents necessitates an examination of their experiences within the context of global health aid.

Purpose of the Study:

  • To investigate the healthcare access experiences of residents in informal settlements in Kampala, Uganda.
  • To identify barriers and facilitators to accessing basic healthcare services within formal, private, and international donor-funded systems.
  • To understand the impact of Global Health Initiatives (GHIs) on the accessibility and equity of healthcare for vulnerable urban populations.
Sub-Saharan Africa
Uganda

Main Methods:

  • A community-based study employing focus group interviews (FGI) with 165 residents from six selected informal settlements in Kampala, Uganda.
  • Purposive sampling ensured diverse participant demographics, including separate groups for males, females, youth, and refugees.
  • Qualitative data analysis involved verbatim transcription, translation, and inductive/deductive coding to identify overarching themes related to healthcare access.

Main Results:

  • Residents encountered significant barriers related to affordability and approachability across public and private healthcare systems.
  • International donor-funded healthcare predominantly excluded informal settlement residents, focusing on specific, often non-priority, diseases.
  • The private healthcare sector's incentives were observed to draw resources from the public system, exacerbating access issues for the most vulnerable populations.

Conclusions:

  • Substantial gaps exist in Uganda's healthcare system, particularly concerning affordability and approachability for informal settlement dwellers.
  • Global Health Initiatives (GHIs) were found to deplete national health system resources and inadequately cover non-priority health needs.
  • Policy recommendations emphasize re-prioritization and targeted responses to address the identified health system challenges in informal urban settings.