Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya
Summary. Rural Kenyan communities face three major barriers to non-communicable disease care: chronic disease stigma, distrust of health systems, and economic fragility. This qualitative study of 367 participants—including patients, clinicians, and community health workers—identifies these obstacles but also reveals opportunities for group medical visits and microfinance programs to overcome them. The findings provide actionable insights for implementing NCD care innovations in low-resource settings.
Cite this article
Dong, R., Leung, C., Naert, M. N., Naanyu, V., Kiptoo, P., Matelong, W., Matini, E., Orango, V., Bloomfield, G. S., Edelman, D., Fuster, V., Manyara, S., Menya, D., Pastakia, S., Valente, T., Kamano, J., Horowitz, C. R., & Vedanthan, R.. (2021). Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya. PLoS ONE. https://doi.org/10.1371/journal.pone.0248496
Dong, Rae, et al. “Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya.” PLoS ONE, 2021. https://doi.org/10.1371/journal.pone.0248496.
Dong, Rae, Claudia Leung, Mackenzie N. Naert, Violet Naanyu, Peninah Kiptoo, Winnie Matelong, Esther Matini, et al.. 2021. “Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya.” PLoS ONE. https://doi.org/10.1371/journal.pone.0248496.
@article{dong-2021-chronic-disease-stigma-skepticism-health,
title = {Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya},
author = {Rae Dong and Claudia Leung and Mackenzie N. Naert and Violet Naanyu and Peninah Kiptoo and Winnie Matelong and Esther Matini and Vitalis Orango and Gerald S. Bloomfield and David Edelman and Valentı́n Fuster and Simon Manyara and Diana Menya and Sonak Pastakia and Tom Valente and Jemima Kamano and Carol R. Horowitz and Rajesh Vedanthan},
journal = {PLoS ONE},
year = {2021},
doi = {10.1371/journal.pone.0248496},
url = {https://doi.org/10.1371/journal.pone.0248496}
}
TY - JOUR TI - Chronic disease stigma, skepticism of the health system, and socio-economic fragility: Qualitative assessment of factors impacting receptiveness to group medical visits and microfinance for non-communicable disease care in rural Kenya AU - Rae Dong AU - Claudia Leung AU - Mackenzie N. Naert AU - Violet Naanyu AU - Peninah Kiptoo AU - Winnie Matelong AU - Esther Matini AU - Vitalis Orango AU - Gerald S. Bloomfield AU - David Edelman AU - Valentı́n Fuster AU - Simon Manyara AU - Diana Menya AU - Sonak Pastakia AU - Tom Valente AU - Jemima Kamano AU - Carol R. Horowitz AU - Rajesh Vedanthan JO - PLoS ONE PY - 2021 DO - 10.1371/journal.pone.0248496 UR - https://doi.org/10.1371/journal.pone.0248496 ER -
Details
- DOI
- 10.1371/journal.pone.0248496
- Countries
- Kenya
- Regions
- Africa
- Categories
- rural-healthcare, policy
- Added
- 2026-04-28