THE INFLUENCE OF SURVIVAL STRATEGIES ON ACCESS TO HEALTHCARE SERVICES BY THE ELDERLY IN BAGAMOYO DISTRICT, PWANI REGION, TANZANIA
Abstract
Purpose of the Study: This study aimed to determine the influence of survival strategies on healthcare access for elderly individuals in Bagamoyo District, Pwani Region, Tanzania.
Research Methodology: The study employed a pragmatic research philosophy with a mixed-method research design. Data were collected from 237 primary respondents, elderly aged 60 and above seeking healthcare services at the selected 14 health facilities, using multistage and random sampling, and purposive sampling techniques for the key informants. The methodology integrated quantitative surveys and qualitative approaches, including structured questionnaires, key informant interviews, and focus group discussions. Data analysis utilized descriptive and inferential statistical techniques, including multiple linear regression and thematic content analysis.
Findings of the Study: The study identified that longer waiting times negatively impact healthcare utilization, and the quality of doctor-patient relationships plays a crucial role in accessing healthcare services. Family support was found to be inconsistent, with only 56.1% of respondents reporting consistent assistance.
Conclusion: The study concludes that survival strategies significantly influence healthcare access for elderly individuals in Bagamoyo District.
Recommendation: The study recommends a multifaceted approach to improving elderly healthcare access, including expanding health insurance coverage, implementing healthcare subsidies, streamlining service delivery, and enhancing doctor-patient relationships through specialized geriatric care training.
Keywords: Survival Strategies, Healthcare Access, Elderly, Rural Tanzania, Bagamoyo District
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