Homelessness is an ever-increasing challenge in several developed and developing countries. Nonetheless, the causes of homelessness differ from country to country. Therefore, limited research exists on the reasons for low utilisation of health services, particularly among individuals experiencing homelessness in Maseru, Lesotho. The study employed the Stakeholder theory, the Education, Training, and Research (ETR) health equity framework, and the Culture-Centred Approach (CCA) to health communication as theoretical frameworks. Furthermore, the study used a qualitative research approach. The study employed participant observation to gain an insider's perspective on the lives of the IEH in their natural setting and understand the health inequities that the IEH face. The study also employed narrative in-depth interviews to gain a multifaceted understanding of the health inequities faced by the IEH and possible solutions to improve the health equity of the IEH.
Data analysis revealed that Individuals Experiencing Homelessness in Lesotho were faced with poor health outcomes due to the inadequate utilisation of health services. Data analysis also showed that insufficient utilisation of healthcare services was linked to socio-economic imbalances and structural inequities, among others. The findings suggest that Individuals Experiencing Homelessness are a forgotten subaltern group, as none of the health programs addresses their unique health needs. The IEH are left to take charge of their health, thereby negating the hardships they endure on the streets and their unique health needs. The study proposed the conceptual framework that provides a potential to overcome the health (in)equity of the IEH through the use of culture-responsive communication. The framework explains the importance of stakeholder-inclusive and integrated approaches in empowering marginalised stakeholders.
- Social innovation for stakeholder-inclusive health equity : adopting culture-responsive communication for individuals experiencing homelessness in Maseru, Lesotho
- Sebusi Charles Khanyela
- Elizabeth Nviri Lubinga
- University of Johannesburg; Doctor of Philosophy (PHD)
- Doctor of Philosophy (PHD), University of Johannesburg
- 9963405207691
- University of Johannesburg
- University of Johannesburg; Faculty of Humanities; Department of Communication
- English
- Dissertation