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International Journal for Equity in Health

, 15:170

First Online: 14 October 2016Received: 25 May 2016Accepted: 26 September 2016DOI: 10.1186-s12939-016-0453-2

Cite this article as: Davis, A., Meyerson, B.E., Aghaulor, B. et al. Int J Equity Health 2016 15: 170. doi:10.1186-s12939-016-0453-2

Abstract

BackgroundIncreased trade between China and Uganda has fueled trafficking of female Ugandans into China. These women may face challenges accessing health services. This study focused on examining barriers to health care access among female Ugandan sex workers in China.

MethodsIn 2014, we undertook in-depth interviews with 19 female Ugandan sex workers in Guangzhou, China. Interviews focused on barriers to health service access and were analyzed using an a priori coding framework followed by open-coding to capture emergent themes.

ResultsOut of 19 women, 12 women reported a history of being trafficked into China. None of the women had a valid Chinese visa. Fear of being arrested for lack of documentation discouraged women in this sample from accessing hospital services. Low pay, housing exploitation, and remittances contributed to participants’ lack of financial resources, which further inhibited their ability to access health services. Participants expressed feeling social isolation from the local community and reported mistrust of local individuals and organizations, including hospitals.

ConclusionUgandan sex workers in China faced substantial structural barriers that limited health service access. Policy changes and the development of new programs are urgently needed to ensure these women have improved access to health services.

KeywordsHealth care access Female sex workers Migrants China Uganda  Download fulltext PDF



Autor: Alissa Davis - Beth E. Meyerson - Blessing Aghaulor - Katherine Brown - Adisyn Watson - Kathryn E. Muessig - Ligang Yang

Fuente: https://link.springer.com/







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