Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES African Journal of Disability Pub Date : 2023-01-01 DOI:10.4102/ajod.v12i0.1112
Babalwa Tshaka, Surona Visagie, Lieketseng Y Ned
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Abstract

Background: Access to primary health care is a fundamental right for all. However, persons with disabilities are experiencing difficulties when accessing healthcare because of various environmental and personal barriers which may lead to nonuse of such services.

Objectives: This study aimed to identify the challenges leading to non-use of healthcare services among persons with mobility impairments in Cofimvaba.

Method: A descriptive qualitative design using snowball sampling was implemented. Semistructured interviews were conducted in isiXhosa with five participants who stopped accessing healthcare, using a self-developed interview guide. Inductive thematic analysis was used to develop codes and themes from the data.

Results: Study findings revealed major challenges experienced by persons with mobility impairments in accessing healthcare. These included inaccessible roads, geographic inaccessibility, financial accessibility and indirect cost of care, having little or not many health problems, physical infrastructure difficulties within facilities, and attitudinal barriers.

Conclusion: The findings indicated that persons with disabilities are experiencing a combination of structural and environmental challenges which make them stop accessing healthcare.

Contribution: The article shares insights on access challenges that influence non-use of the often-needed healthcare services within the context of rural areas.

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在南非科菲姆瓦巴,行动不便的人不使用保健服务。
背景:获得初级卫生保健是所有人的一项基本权利。然而,由于各种环境和个人障碍,残疾人在获得医疗保健方面遇到困难,这些障碍可能导致无法使用这些服务。目的:本研究旨在确定导致科菲姆瓦巴行动不便的人不使用医疗服务的挑战。方法:采用滚雪球抽样法进行描述性定性设计。使用自行开发的访谈指南,在isiXhosa对五名停止就医的参与者进行了半结构化访谈。采用归纳主题分析法,从数据中制定代码和主题。结果:研究结果揭示了行动障碍人士在获得医疗保健方面面临的主要挑战。这些障碍包括道路不通、地理上的不便、经济上的可及性和间接的护理费用、很少或没有多少健康问题、设施内的有形基础设施困难以及态度上的障碍。结论:调查结果表明,残疾人正在经历结构性和环境双重挑战,使他们无法获得医疗保健服务。贡献:文章分享了对影响农村地区不使用经常需要的医疗保健服务的获取挑战的见解。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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