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

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 iden...

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Main Authors: Babalwa Tshaka, Surona Visagie, Lieketseng Y. Ned
Format: Article
Language:English
Published: AOSIS 2023-01-01
Series:African Journal of Disability
Subjects:
Online Access:https://ajod.org/index.php/ajod/article/view/1112
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author Babalwa Tshaka
Surona Visagie
Lieketseng Y. Ned
author_facet Babalwa Tshaka
Surona Visagie
Lieketseng Y. Ned
author_sort Babalwa Tshaka
collection DOAJ
description 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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spelling doaj.art-4c45fe7157ba42018a81a24a640b1bd32023-02-01T13:01:34ZengAOSISAfrican Journal of Disability2223-91702226-72202023-01-01120e1e810.4102/ajod.v12i0.1112333Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South AfricaBabalwa Tshaka0Surona Visagie1Lieketseng Y. Ned2Centre for Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownCentre for Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownCentre for Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownBackground: 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.https://ajod.org/index.php/ajod/article/view/1112accessmobility impairmentsdisabilityhealthcarechallengessouth africa.
spellingShingle Babalwa Tshaka
Surona Visagie
Lieketseng Y. Ned
Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
African Journal of Disability
access
mobility impairments
disability
healthcare
challenges
south africa.
title Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
title_full Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
title_fullStr Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
title_full_unstemmed Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
title_short Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa
title_sort non use of healthcare services among persons with mobility impairments in cofimvaba south africa
topic access
mobility impairments
disability
healthcare
challenges
south africa.
url https://ajod.org/index.php/ajod/article/view/1112
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AT lieketsengyned nonuseofhealthcareservicesamongpersonswithmobilityimpairmentsincofimvabasouthafrica