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Table 2 The coding frame

From: Yemeni refugees’ health literacy and experience with the Dutch healthcare system: a qualitative study

Global theme

Organising theme

Basic theme identified in the interviews

Healthcare

Access

GPs and pharmacies are accessible.

Helpless/mistrust towards the GPs/ cultural barrier.

 

Understand

Knowing how to use prescriptions.

Language barriers with understanding the leaflets.

Struggle with understanding health insurance.

 

Process/Appraise

Acknowledging that doctors are the main source of medical information.

 

Knowing when to seek care/ ability to distinguish between the symptoms.

Understanding the restrictions on over prescribing medicines.

 

Apply

Knowing how to contact the emergency.

Consuming the medicines as the doctor instructed.

 

Disease prevention

Access

Harmful consequences of smoking, drinking and physical inactivity.

Acknowledging the role of mental therapy.

 

Understand

Lack of knowing the physical health consequences of alcoholism.

Insufficient knowledge about vaccinations.

Postponing seeking mental therapy.

Understanding early screening/full check-ups.

 

Process/Appraise

Knowing what screening to take.

 

Apply

Taking the necessary vaccines.

Undergoing early screening.

Quitting unhealthy habits.

 

Health promotion

Access

Emphasis on a healthy balanced diet/ fruits and vegetables.

Emphasis on organic food.

Emphasis on exercising.

Ability to manage and improve mental health.

Understanding health-friendly neighbourhoods.

Understating collective responsibility.

 

Understand

Inadequate understanding of food labelling.

Importance of health at the workplace.

 

Process/Appraise

The impact of housing conditions on health.

Discerning the stress of trauma, language barrier, lengthy asylum bureaucracy, unemployment and family separation.

 

Apply

Joining sports clubs/ sports lessons/ self exercising.

Reading food labels to keep a healthy diet.