Primary healthcare rehabilitation users' views on activity limitations and participation in South Africa.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES African Journal of Disability Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.4102/ajod.v13i0.1391
Lebogang J Maseko, Fasloen Adams, Hellen Myezwa
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Abstract

Background: Increasing functional limitations and disabilities have raised the need for comprehensive rehabilitation services at the primary healthcare (PHC) level, particularly in low- and middle-income countries. To support the integration of these services into PHC in South Africa, assessing outcomes from the service users' perspectives is essential.

Objectives: This study examined service users' views on their PHC rehabilitation outcomes in a Metropolitan District of Gauteng, South Africa. The aim was to understand perceived changes in activity limitations and participation restrictions following the rehabilitation intervention.

Method: A quantitative survey design, including self-rating measurements and structured interviews, was employed. Thirty-eight rehabilitation service users from eight clinics and community health centres were purposively sampled. Participants rated their pre- and post-rehabilitation levels of difficulty in activity limitations and participation restrictions, with open-ended questions providing additional insights. Data analysis used descriptive statistics, quantitative content analysis, and non-parametric tests.

Results: Significant improvements in mobility, self-perception, and quality of life were reported by both adult and child service users. Caregivers of child service users also noted positive experiences (p = 0.019) in community, social, and civic life.

Conclusion: This study highlights the perceived positive changes experienced by PHC rehabilitation service users in addressing functional limitations and disabilities. It underscores the effectiveness of integrated rehabilitation service delivery in improving user outcomes.

Contribution: The findings offer valuable insights into how rehabilitation interventions enhance functional abilities, social participation, and overall well-being. By focusing on activity limitations and participation restrictions from service users' perspectives, this study supports the priority of providing person-centred rehabilitation services at the PHC level.

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南非初级医疗康复用户对活动限制和参与的看法。
背景:功能限制和残疾的增加提高了在初级医疗保健(PHC)层面提供全面康复服务的需求,尤其是在中低收入国家。为了支持将这些服务纳入南非的初级保健服务,从服务使用者的角度评估结果至关重要:本研究考察了南非豪登省一个大都会区的服务使用者对其初级保健康复成果的看法。目的是了解康复干预后活动限制和参与限制的感知变化:方法:采用定量调查设计,包括自我评分测量和结构化访谈。有目的性地从 8 家诊所和社区卫生中心抽取了 38 名康复服务使用者。参与者对其康复前后在活动限制和参与限制方面的困难程度进行评分,并通过开放式问题提供更多见解。数据分析采用了描述性统计、定量内容分析和非参数检验:结果:成人和儿童服务使用者的活动能力、自我感觉和生活质量都有明显改善。儿童服务使用者的照顾者也注意到他们在社区、社会和公民生活中的积极体验(p = 0.019):本研究强调了初级保健康复服务使用者在解决功能限制和残疾问题方面所感受到的积极变化。结论:本研究强调了初级保健康复服务使用者在解决功能限制和残疾问题方面所感受到的积极变化,强调了综合康复服务在改善使用者成果方面的有效性:贡献:研究结果为了解康复干预如何提高功能能力、社会参与度和整体幸福感提供了宝贵的见解。通过从服务使用者的角度关注活动限制和参与限制,本研究支持在初级保健中心层面提供以人为本的康复服务的优先性。
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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.
期刊最新文献
Selection of a classroom observation tool for disability inclusion in Uganda. Employment challenges for persons with visual impairment in Windhoek, Namibia. Paediatric cerebral palsy in South Africa: Prevention and care gaps at hospital level. Primary healthcare rehabilitation users' views on activity limitations and participation in South Africa. Participatory research with youth with disabilities: Experiences from sub-Saharan Africa.
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