Page 139 - fourth year book

RURAL HEALTH AND DEVELOPMENT

c) Acceptability of services:

Acceptability refers to whether a particular service is offered in a
manner congruent with the values of a target population. Acceptability
of available community nursing services can be harmed by the
following:-

 Cultural barriers.

 Tradition:- Are those inherited culture values e.g. female
circumcision.

 Fatalism:- This is the belief that whatever happens comes from
super natural power e.g. it is commonly believed that illness

comes from god
 Ethno centrism:- Every community thinks that their ways of life
are superior to cultures of the other people e.g. daya are more
efficient and or experienced than the medical team of unit.

 Relative values:- People put different values on things. e.g. some
communities consider smoking as a sign of dignity and status.

 Social barriers.

 Group solidarity: One is impressed by the way in which people
hold as ideal of how they ought to behave towards their follows,
e.g. Family obligation, grand father, mother.

 Vested interest: Many of health programs threaten the security of
individuals in the community, e.g. Barber, daya.

 Socioeconomic factor.

This arises from lower standard of living and poor status.

 Educational factors.

Illiteracy is high in rural Egypt than in urban areas; it is a barrier against

dissemination of health knowledge.
 Psychological barriers.

Differential perception e.g. female women who have gynecological

problems, she didn't need to go to doctor due to (embarrassment)

109