Exploring the Gender Dimension of Access to Rehabilitation Services for Women with Amputation in Cambodia

This study explores the intersection of gender dynamics and access to rehabilitation services for women with amputation in Cambodia. It aims to understand these women's perspectives about access, acceptability and perceptions of rehabilitation. 

Taking place in a semi-urban setting in Cambodia, the study employs a Community-Based Participatory Research approach, fostering collaboration with local communities and stakeholders.  Semi-structured interviews with 12 women were recorded, transcribed, translated and analysed using reflective thematic analysis. The research team worked together to identify and agree on themes and sub-themes, using mind-maps to highlight interconnectivity.

Six interlinked themes were identified that elucidated the lived experiences of Cambodian women with amputations: Family Dimensions, Financial Impact, the Impact on the Role of Women, Social Isolation and Exclusion, the Care Journey, and Psychological Distress.

Greater awareness of rehabilitation is recommended among the general public, health professionals and policy makers to reduce stigma, improve referral channels and develop gender-specific approaches in service-provision to improve health and participatory outcomes for women with amputation in Cambodia. Through a comprehensive exploration, the study contributes to improved understandings about gender-sensitive healthcare solutions, aligning with Sustainable Development Goals, and addressing post-conflict disparities.

The project reveals significant barriers for women with amputations in accessing rehabilitation services in Cambodia, emphasizing the need for gender-sensitive approaches. In physiotherapy practice, it calls for personalised rehabilitation programmes, with community outreach to address transportation barriers. Management should focus on improving referral systems and engaging with local communities to support these women. In education, integrating gender-sensitive healthcare into training curricula and conducting awareness programs for health professionals and the public are essential. Policy implications include advocating for equitable access, reducing stigma through public health campaigns, and ensuring adequate resource allocation for gender-specific rehabilitation and psychological services.