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. 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. The study focuses on women with amputations, to examine barriers and challenges to rehabilitation services. By utilizing semi-structured interviews with 12 women and reflexive thematic analysis, this research aims to understand the perspectives of women with amputation about access, acceptability and perceptions of rehabilitation. 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 the 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, such as recommendations for women only service initiatives and implementation of staff training to improve awareness and understandings of needs and experiences of women with disabilities. Through a comprehensive exploration, the study contributes to improved understandings about gender-sensitive and equal healthcare solutions, aligning with SDGs, and addressing post-conflict disparities.