Barriers in the Access to Healthcare Facilities During COVID-19 for People With Disabilities in Mumbai's Informal Settlements

Abstract

Purpose

In India, people with disabilities (PWDs) have emerged as one of the most vulnerable populations during COVID-19, particularly those living in informal settlements. Although the government has made efforts to ensure healthcare access for all, these efforts seem inadequate considering that PWDs' needs vary greatly depending on type and degree of disability. The purpose of the study is to identify barriers in healthcare access for PWDs in Mumbai's informal settlements during COVID-19.

Methods

A qualitative approach employed multiple case study methods. Eight PWDs were selected as cases from the informal settlements of M-East Ward, Mumbai. The data was gathered using observation and interaction with the PWDs. Data were analyzed for emergent themes to explore the presence, meaning, and relationships of barriers faced by PWDs accentuated by pandemic.

Findings

Findings indicate a complex and compounded interplay of structural, administrative, psycho-social, and technological factors which created numerous challenges for PWDs to access healthcare provisions during pandemic. These factors include socioeconomic challenges, the built environment inaccessibility, limited transportation facilities, and lack of trained healthcare personnel to support PWDs.

Implications

This research adds to an understanding of the barriers faced by PWDs and provides insights for formulating contextualized policies to ensure accessible health services for PWDs when needed. Findings point out ways in which understanding the barriers would help to identify the gaps in the resource system, and to mobilize required resources in the relevant healthcare departments.

Citation

Jaitely, S. and Gaurav, N. (2023), "Barriers in the Access to Healthcare Facilities During COVID-19 for People With Disabilities in Mumbai's Informal Settlements", Carey, A.C., Green, S.E. and Mauldin, L. (Ed.) Disability in the Time of Pandemic (Research in Social Science and Disability, Vol. 13), Emerald Publishing Limited, Leeds, pp. 75-94. https://doi.org/10.1108/S1479-354720230000013005