Exploring the Barriers to Access and Utilization of Healthcare Services Faced by the Transgender Population of Rawalpindi, Pakistan
Objective: To explore the barriers and disparities in receiving healthcare faced by Transgender population of Rawalpindi,Pakistan. Study Design: Qualitative study. Place and Duration of Study: Study was conducted in Rawalpindi Pakistan, for a period of 3 months, from Jun to Aug 2022. Methodology: A...
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Veröffentlicht in: | Pakistan Armed Forces medical journal 2022-11, Vol.72 (SUPPL-4), p.S773-79 |
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container_title | Pakistan Armed Forces medical journal |
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creator | Rashid, Zubaida Mashhadi, Syed Fawad Fatima, Urooj Noor, Irbah Javaid, Fahad Najm, Muhammad Yasin, Talha |
description | Objective: To explore the barriers and disparities in receiving healthcare faced by Transgender population of Rawalpindi,Pakistan. Study Design: Qualitative study. Place and Duration of Study: Study was conducted in Rawalpindi Pakistan, for a period of 3 months, from Jun to Aug 2022. Methodology: A total of 15 participants were selected via Snowball Sampling technique. An interview guide was generated and semi structured interviews were conducted via telephone calls to explore and understand the discrepancies faced by this population regarding good quality healthcare. Each interview was 30-40 minutes long. The data was collected till saturation and then analyzed by 'thematic analysis’ to generate themes and subthemes. Results: Based on the data, 6 themes highlighting the barriers to quality healthcare faced by trans-genders were identified. The themes were as follows: (1) Structural, (2) Financial, (3) Social, (4) Cognitive, (5) Educational, and (6) Religious/Cultural. Conclusion: The healthcare barriers identified were mainly financial as certain services were costly, religious beliefs which influenced the use of services like hormone replacement therapies, social stigma and lack of support, level of education and poor employment. Stigmatization by the community and healthcare providers was also seen. Thus, it was felt that there were limited awareness campaigns to empower transgender population and for the general population including healthcare workers to be more aware and accepting towards transgender healthcare. |
doi_str_mv | 10.51253/pafmj.v72iSUPPL-4.9654 |
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Study Design: Qualitative study. Place and Duration of Study: Study was conducted in Rawalpindi Pakistan, for a period of 3 months, from Jun to Aug 2022. Methodology: A total of 15 participants were selected via Snowball Sampling technique. An interview guide was generated and semi structured interviews were conducted via telephone calls to explore and understand the discrepancies faced by this population regarding good quality healthcare. Each interview was 30-40 minutes long. The data was collected till saturation and then analyzed by 'thematic analysis’ to generate themes and subthemes. Results: Based on the data, 6 themes highlighting the barriers to quality healthcare faced by trans-genders were identified. The themes were as follows: (1) Structural, (2) Financial, (3) Social, (4) Cognitive, (5) Educational, and (6) Religious/Cultural. Conclusion: The healthcare barriers identified were mainly financial as certain services were costly, religious beliefs which influenced the use of services like hormone replacement therapies, social stigma and lack of support, level of education and poor employment. Stigmatization by the community and healthcare providers was also seen. Thus, it was felt that there were limited awareness campaigns to empower transgender population and for the general population including healthcare workers to be more aware and accepting towards transgender healthcare.</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v72iSUPPL-4.9654</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Congressional committees ; Gender identity ; Health care delivery ; Health care industry ; Health care policy ; Health disparities ; Human rights ; Interviews ; Medical care ; Medical education ; Non-binary gender ; Qualitative research ; Sociodemographics ; Suicides & suicide attempts ; Transgender people ; Transgender persons ; Utilization</subject><ispartof>Pakistan Armed Forces medical journal, 2022-11, Vol.72 (SUPPL-4), p.S773-79</ispartof><rights>COPYRIGHT 2022 Knowledge Bylanes</rights><rights>(c)2022 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c267t-55bae13fe9c560153ea6598d48b773eec4ab15b26defa3a0abd042bea35833693</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Rashid, Zubaida</creatorcontrib><creatorcontrib>Mashhadi, Syed Fawad</creatorcontrib><creatorcontrib>Fatima, Urooj</creatorcontrib><creatorcontrib>Noor, Irbah</creatorcontrib><creatorcontrib>Javaid, Fahad</creatorcontrib><creatorcontrib>Najm, Muhammad</creatorcontrib><creatorcontrib>Yasin, Talha</creatorcontrib><title>Exploring the Barriers to Access and Utilization of Healthcare Services Faced by the Transgender Population of Rawalpindi, Pakistan</title><title>Pakistan Armed Forces medical journal</title><description>Objective: To explore the barriers and disparities in receiving healthcare faced by Transgender population of Rawalpindi,Pakistan. Study Design: Qualitative study. Place and Duration of Study: Study was conducted in Rawalpindi Pakistan, for a period of 3 months, from Jun to Aug 2022. Methodology: A total of 15 participants were selected via Snowball Sampling technique. An interview guide was generated and semi structured interviews were conducted via telephone calls to explore and understand the discrepancies faced by this population regarding good quality healthcare. Each interview was 30-40 minutes long. The data was collected till saturation and then analyzed by 'thematic analysis’ to generate themes and subthemes. Results: Based on the data, 6 themes highlighting the barriers to quality healthcare faced by trans-genders were identified. The themes were as follows: (1) Structural, (2) Financial, (3) Social, (4) Cognitive, (5) Educational, and (6) Religious/Cultural. Conclusion: The healthcare barriers identified were mainly financial as certain services were costly, religious beliefs which influenced the use of services like hormone replacement therapies, social stigma and lack of support, level of education and poor employment. Stigmatization by the community and healthcare providers was also seen. Thus, it was felt that there were limited awareness campaigns to empower transgender population and for the general population including healthcare workers to be more aware and accepting towards transgender healthcare.</description><subject>Congressional committees</subject><subject>Gender identity</subject><subject>Health care delivery</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health disparities</subject><subject>Human rights</subject><subject>Interviews</subject><subject>Medical care</subject><subject>Medical education</subject><subject>Non-binary gender</subject><subject>Qualitative research</subject><subject>Sociodemographics</subject><subject>Suicides & suicide attempts</subject><subject>Transgender people</subject><subject>Transgender persons</subject><subject>Utilization</subject><issn>0030-9648</issn><issn>2411-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkUtPGzEQxy1UpEbAZ6glrt3U68c-jiniUSkSEZCzNeudDQ4be2s7ULjyxbsEhEBi5jDS6P84_Aj5kbOpyrkSvwboNuvpfcnt9XKxmGdyWhdK7pEJl3meVZXk38iEMcGyupDVd3IU45qNowSXTE3I8-m_offBuhVNt0h_QwgWQ6TJ05kxGCMF19Jlsr19gmS9o76jFwh9ujUQkF5juLejjp6BwZY2j7uYmwAurtC1GOjCD9v-3XoFD9AP1rX2J13AnY0J3CHZ76CPePR2D8jy7PTm5CKbX57_OZnNM8OLMmVKNYC56LA2qmC5EgiFqqtWVk1ZCkQjoclVw4sWOxDAoGmZ5A2CUJUQRS0OyPFr7hD83y3GpNd-G9xYqXlZi2oM_ahaQY_aus6nAGZjo9GzUko2dolqVE2_UI3b4sYa77Cz4_-ToXw1mOBjDNjpIdgNhEedM71jqXcs9TtLLfULS_EfXHeVxw</recordid><startdate>20221130</startdate><enddate>20221130</enddate><creator>Rashid, Zubaida</creator><creator>Mashhadi, Syed Fawad</creator><creator>Fatima, Urooj</creator><creator>Noor, Irbah</creator><creator>Javaid, Fahad</creator><creator>Najm, Muhammad</creator><creator>Yasin, Talha</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20221130</creationdate><title>Exploring the Barriers to Access and Utilization of Healthcare Services Faced by the Transgender Population of Rawalpindi, Pakistan</title><author>Rashid, Zubaida ; Mashhadi, Syed Fawad ; Fatima, Urooj ; Noor, Irbah ; Javaid, Fahad ; Najm, Muhammad ; Yasin, Talha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-55bae13fe9c560153ea6598d48b773eec4ab15b26defa3a0abd042bea35833693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Congressional committees</topic><topic>Gender identity</topic><topic>Health care delivery</topic><topic>Health care industry</topic><topic>Health care policy</topic><topic>Health disparities</topic><topic>Human rights</topic><topic>Interviews</topic><topic>Medical care</topic><topic>Medical education</topic><topic>Non-binary gender</topic><topic>Qualitative research</topic><topic>Sociodemographics</topic><topic>Suicides & suicide attempts</topic><topic>Transgender people</topic><topic>Transgender persons</topic><topic>Utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rashid, Zubaida</creatorcontrib><creatorcontrib>Mashhadi, Syed Fawad</creatorcontrib><creatorcontrib>Fatima, Urooj</creatorcontrib><creatorcontrib>Noor, Irbah</creatorcontrib><creatorcontrib>Javaid, Fahad</creatorcontrib><creatorcontrib>Najm, Muhammad</creatorcontrib><creatorcontrib>Yasin, Talha</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Pakistan Armed Forces medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rashid, Zubaida</au><au>Mashhadi, Syed Fawad</au><au>Fatima, Urooj</au><au>Noor, Irbah</au><au>Javaid, Fahad</au><au>Najm, Muhammad</au><au>Yasin, Talha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring the Barriers to Access and Utilization of Healthcare Services Faced by the Transgender Population of Rawalpindi, Pakistan</atitle><jtitle>Pakistan Armed Forces medical journal</jtitle><date>2022-11-30</date><risdate>2022</risdate><volume>72</volume><issue>SUPPL-4</issue><spage>S773</spage><epage>79</epage><pages>S773-79</pages><issn>0030-9648</issn><eissn>2411-8842</eissn><abstract>Objective: To explore the barriers and disparities in receiving healthcare faced by Transgender population of Rawalpindi,Pakistan. Study Design: Qualitative study. Place and Duration of Study: Study was conducted in Rawalpindi Pakistan, for a period of 3 months, from Jun to Aug 2022. Methodology: A total of 15 participants were selected via Snowball Sampling technique. An interview guide was generated and semi structured interviews were conducted via telephone calls to explore and understand the discrepancies faced by this population regarding good quality healthcare. Each interview was 30-40 minutes long. The data was collected till saturation and then analyzed by 'thematic analysis’ to generate themes and subthemes. Results: Based on the data, 6 themes highlighting the barriers to quality healthcare faced by trans-genders were identified. The themes were as follows: (1) Structural, (2) Financial, (3) Social, (4) Cognitive, (5) Educational, and (6) Religious/Cultural. Conclusion: The healthcare barriers identified were mainly financial as certain services were costly, religious beliefs which influenced the use of services like hormone replacement therapies, social stigma and lack of support, level of education and poor employment. Stigmatization by the community and healthcare providers was also seen. Thus, it was felt that there were limited awareness campaigns to empower transgender population and for the general population including healthcare workers to be more aware and accepting towards transgender healthcare.</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><doi>10.51253/pafmj.v72iSUPPL-4.9654</doi><oa>free_for_read</oa></addata></record> |
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subjects | Congressional committees Gender identity Health care delivery Health care industry Health care policy Health disparities Human rights Interviews Medical care Medical education Non-binary gender Qualitative research Sociodemographics Suicides & suicide attempts Transgender people Transgender persons Utilization |
title | Exploring the Barriers to Access and Utilization of Healthcare Services Faced by the Transgender Population of Rawalpindi, Pakistan |
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