Experiences, Challenges, and Practices in Accessing Digital Health Services Among Manipuri Indigenous Older Adults in Bangladesh: A Qualitative Study
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Abstract
Employing a qualitative design, this study investigates how indigenous Manipuri older adults in Bangladesh access and use digital health services to manage their health needs. In-depth interviews were conducted with 18 older members of the Manipuri community and four key informants, including retired teachers and a religious leader. Participants were selected through purposive sampling to ensure relevance and depth of insight. Data were analyzed using thematic analysis to identify key patterns related to digital health engagement. The findings indicate that most participants had limited awareness and understanding of digital health platforms and services. Older adults often relied on younger family members to schedule medical appointments and access online consultations, including telemedicine services provided from India. Educational background, age, religious beliefs, language proficiency, and technological skills influence their access to and engagement with digital health resources. Many participants preferred health programs broadcast on Indian Manipuri television channels as these aligned with their language and cultural identity. The study highlights the importance of incorporating indigenous perspectives, linguistic needs, and cultural contexts into digital health strategies to improve access to and adoption of e-health services among marginalized populations in Bangladesh.
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