Household determinants of healthcare utilisation in three informal settlements in Freetown, Sierra Leone: a cross-sectional survey.

Samira Sesay¹, Ibrahim Juldeh Sesay², Sia Morenike Tengbe³, Haja Wurie¹, Sullaiman Fullah¹, Dora Vangahun¹, Ibrahim Gandi⁴, Noemia Teixeira de Siqueira Filha⁵, Rajith W D Lakshman⁶, Abu Conteh^2,7, Samuel Saidu^1,7, Braima Koroma², Bintu Mansaray^1,8, Helen Elsey⁵, Lana Whittaker⁷, Laura Dean⁷, Neele Wiltgen Georgi⁷, Motto Nganda⁷, Francis Refell⁴, Joseph MacCarthy², Alastair H Leyland⁹, Rachel Tolhurst⁷, Eliud Kibuchi¹⁰

¹College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.

²Sierra Leone Urban Research Centre (SLURC), Freetown, Sierra Leone.

³Sierra Leone Ministry of Health and Sanitation, Freetown, Sierra Leone.

⁴Centre of Dialogue on Human Settlement and Poverty Alleviation, Freetown, Sierra Leone.

⁵Department of Health Sciences, University of York, York, UK.

⁶Institute of Development Studies, Brighton, UK.

⁷Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.

⁸Pediatrics, King Harman Road Maternal and Child Health Hospital, Freetown, Sierra Leone.

⁹School of Health and Wellbeing, University of Glasgow, Glasgow, UK.

¹⁰School of Health and Wellbeing, University of Glasgow, Glasgow, UK Eliud.Kibuchi@glasgow.ac.uk.

PubMed PMC DOI PDF

Abstract

OBJECTIVE: Healthcare utilisation (HU) is key to improving the health of residents in urban informal settlements. This study aimed to explore household-level factors influencing HU among informal settlement households in Freetown, Sierra Leone. DESIGN: Cross-sectional survey. SETTING: Three informal settlements (Cockle Bay, Dwarzark and Moyiba) in Freetown, Sierra Leone. PARTICIPANTS: Primary d…

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