Health Seeking Behaviour Of Urban Slum Dwellers In a Large Metropolitan Setting - A Qualitative Study
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1
Community Medicine, Malabar Medical College, Ulliyeri, Calicut, India
2
School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India
Popul. Med. 2026;8(Supplement Supplement 1):A1351
ABSTRACT
INTRODUCTION:
Rapid population growth which has led to the global phenomenon of urbanization has resulted in 55% of the global population residing in urban settlements [1] . India accounted for 11 percent of world’s urban population in 2010 and is projected to increase by 15 percent in 2030 [2]. Urban slums in India which have complex socio- cultural structure, are characterized by over crowding, inadequate living space and barriers in accessing health care [3]. Understanding the health seeking behaviour of the slum community in a large metropolitan city like Mumbai using a qualitative approach is crucial to improving the health care utilization and making progress towards attainment of universal health coverage
METHODS:
This qualitative study was conducted among 15 slum dwellers of Ghodapdeo community , Byculla, Mumbai selected by convenient sampling method for a period of 2 months. Data was collected through individual face to face in- depth interviews using an interview guide after obtaining informed consent
RESULTS:
5 main themes emerged in the study on data analysis which are knowledge regarding health care providers, treatment for acute and chronic illnesses, decision making regarding health seeking, quality of health care services and barriers to health seeking .It was found that there was a lack of awareness to distinguish between the allopathic and AYUSH providers , though the quality of health care services was perceived to be good. The proximity with the health care facility, duration and severity of illness and trust in the physician were found to be important determinants of decision making regarding health seeking.
CONCLUSIONS:
Health seeking behaviour is a dynamic process which involves the interplay of multiple factors.A comprehensive understanding of its determinants in a community, especially in an urban slum is important in the planning of national health policies and delivering socially accountable health care