Factors that influence the use of rehabilitation services in an urban Ugandan hospital.

Abstract

The aim of the present study was to determine factors that motivate or deter injured individuals from using outpatient rehabilitation services at an urban Ugandan hospital. A qualitative study design was employed to obtain information about injured individuals' experiences with rehabilitation therapy services after they were discharged from a hospital setting. Key informant interviews were conducted with 13 Ugandan individuals who were currently attending an outpatient physiotherapy clinic at Mulago Hospital in the city of Kampala. Nine rehabilitation therapists from Mulago Hospital were interviewed in a focus-group format to identify factors that prevent individuals from attending therapy. Study participants identified a number of fears and misconceptions about the rehabilitation services being offered. Many individuals reported the cost and availability of transport as a major barrier. Interview respondents believed that by attending physiotherapy they were rejecting the use of a local healer and were benefiting from medically trained experts. Rehabilitation therapists reported responses similar to interview respondents. Individuals who are currently accessing rehabilitation services at Mulago Hospital are motivated and committed to their recovery process. These individuals reported a number of improvements since starting therapy. However, more research is required to better understand how local methods of healing influence health-seeking behaviours.