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dc.contributor.authorMbanya, Vivian N.
dc.contributor.authorTerragni, Laura
dc.contributor.authorGele, Abdi
dc.contributor.authorDiaz, Esperanza
dc.contributor.authorKumar, Bernadette. N
dc.date.accessioned2020-01-29T07:16:15Z
dc.date.accessioned2020-01-31T12:24:23Z
dc.date.available2020-01-29T07:16:15Z
dc.date.available2020-01-31T12:24:23Z
dc.date.issued2019-07-28
dc.identifier.citationMbanya VN, Terragni L, Gele AA, Diaz E, Kumar B. Access to Norwegian healthcare system - Challenges for sub-Saharan African immigrants. International Journal for Equity in Health. 2019;18:125:1-13en
dc.identifier.issn1475-9276
dc.identifier.issn1475-9276
dc.identifier.urihttps://hdl.handle.net/10642/8032
dc.description.abstractBackground: Immigrants face barriers in accessing healthcare services in high-income countries. Inequalities in health and access to healthcare services among immigrants have been previously investigated. However, little is known on the sub-Saharan African immigrants’ (SSA) access to the Norwegian healthcare system. Methods: The study had a qualitative research design. We used the snowball technique to recruit participants from networks including faith-based organizations and cultural groups. Forty-seven qualitative in-depth interview and two focus group discussions with immigrants from sub-Saharan African were conducted from October 2017 to July 2018 in Oslo and its environs. Interviews were conducted in Norwegian, English or French, audio-recorded and transcribed verbatim into English. The analysis was based on a thematic approach, using NVivo software. Interview data were analyzed searching for themes and sub-themes that emerged inductively from the interviews. Results: Our findings reveal barriers in two main categories when accessing the Norwegian healthcare services. The first category includes difficulties before accessing the healthcare system (information access, preference for doctors with an immigrant background, financial barriers, long waiting time and family and job responsibility). The second category includes difficulties experienced within the system (comprehension/expression and language, the black elephant in the room and dissatisfaction with healthcare providers). Conclusion: Healthcare is not equally accessible to all Norwegian residents. This ultimately leads to avoidance of the healthcare system by those most in need. Lack of seeking healthcare services by immigrants from Sub Saharan Africa may have significant implications for the long-term health of this group of immigrants. Therefore measures to address the issues raised should be prioritized and further examined.en
dc.description.sponsorshipThe University of Oslo gave financial support.en
dc.language.isoenen
dc.publisherBMC (part of Springer Nature)en
dc.relation.ispartofseriesInternational Journal for Equity in Health;18, Article number: 125 (2019)
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectSub Saharan Africaen
dc.subjectImmigrantsen
dc.subjectNorwayen
dc.subjectHealthcare servicesen
dc.subjectChallengesen
dc.subjectHealthcare access
dc.titleAccess to Norwegian healthcare system - Challenges for sub-Saharan African immigrantsen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2020-01-29T07:16:15Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://dx.doi.org/10.1186/s12939-019-1027-x
dc.identifier.cristin1744701
dc.source.journalInternational Journal for Equity in Health


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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Med mindre annet er angitt, så er denne innførselen lisensiert som This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.