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15 result(s) search for keyword(s) 'Health Services Accessibility' 
Add the result to your basket Refine your search Generate the RSS feed of the searchAccessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa / Lisbet Grut
Title : Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa Authors: Lisbet Grut ; Gubela Mji, Author ; Stine Hellum Braathen, Author ; Benedicte Ingstad, Author Publisher: Durbanville [South Africa] : AOSIS Publishing Publication Date: 2012 Series: African Journal of Disability, ISSN 2226-7220 No. 1(1) Pagination: p.1-7 Layout: Journal Article ISSN (or other code): 2226-7220 General note: Oct-12 Languages : English Keywords: Health Services Accessibility Public Health - economics Poverty Disabled Persons Healthcare Financing Health Promotion South Africa - Eastern Cape Abstract: Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalisation of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognised and utilised. Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa [] / Lisbet Grut ; Gubela Mji, Author ; Stine Hellum Braathen, Author ; Benedicte Ingstad, Author . - Durbanville (South Africa) : AOSIS Publishing, 2012 . - p.1-7 : Journal Article. - (African Journal of Disability, ISSN 2226-7220; 1(1)) .
ISSN : 2226-7220
Oct-12
Languages : English
Keywords: Health Services Accessibility Public Health - economics Poverty Disabled Persons Healthcare Financing Health Promotion South Africa - Eastern Cape Abstract: Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalisation of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognised and utilised. E-copies: Download the digital copy of the document
Accessing community health services: challenges faced by poor people with disabilities in a rural community in South AfricaAdobe Acrobat PDF
Title : Effect of distance on access to health services among women with type 2 diabetes in a rural community in Kenya Authors: L. W. Mwaura, Author ; S. Wandibba, Author ; C. O. Olungah, Author Publication Date: 2017 Pagination: p.18-20, fig., tab. Layout: Journal Article ISSN (or other code): 1468-6570 Languages : English Keywords: Health Services Accessibility Diabetes Mellitus, Type 2 Women Rural Population Kenya Abstract: This cross-sectional and descriptive survey has determined the extent to which distance to the formal healthcare facilities influences the health-seeking behaviour of women suffering from diabetes in Kiambu County, Central Kenya. The lottery method and systematic sampling were used to select the study sub-counties and study sample size of 200 women. Data were collected using face-to-face interviews through survey methods, key informant interviews, and focus group discussions and narratives. The age of the respondents ranged from 18 to 85 years, while their modal range of age was 63–67 years. Over a half (54.0%) had primary education, 23.5% had secondary school education, and 18.5% had no formal education. Others (2.0%) reported that they hadb either university education or adult literacy classes. The range of distance covered was 1–141 km and the modal range of the distance travelled was 15–19 km. This study indicated that distance impacts choice of a health facility, cost of health services, frequency of clinic attendance, and mode of transport from home to the health facility. Taking health services closer to persons suffering from diabetes could benefit health-seeking behaviour.
Link for e-copy: http://www.africanjournalofdiabetesmedicine.com/articles/may_2017/8.%20AJDM-612. [...] Effect of distance on access to health services among women with type 2 diabetes in a rural community in Kenya [] / L. W. Mwaura, Author ; S. Wandibba, Author ; C. O. Olungah, Author . - 2017 . - p.18-20, fig., tab. : Journal Article.
ISSN : 1468-6570
Languages : English
Keywords: Health Services Accessibility Diabetes Mellitus, Type 2 Women Rural Population Kenya Abstract: This cross-sectional and descriptive survey has determined the extent to which distance to the formal healthcare facilities influences the health-seeking behaviour of women suffering from diabetes in Kiambu County, Central Kenya. The lottery method and systematic sampling were used to select the study sub-counties and study sample size of 200 women. Data were collected using face-to-face interviews through survey methods, key informant interviews, and focus group discussions and narratives. The age of the respondents ranged from 18 to 85 years, while their modal range of age was 63–67 years. Over a half (54.0%) had primary education, 23.5% had secondary school education, and 18.5% had no formal education. Others (2.0%) reported that they hadb either university education or adult literacy classes. The range of distance covered was 1–141 km and the modal range of the distance travelled was 15–19 km. This study indicated that distance impacts choice of a health facility, cost of health services, frequency of clinic attendance, and mode of transport from home to the health facility. Taking health services closer to persons suffering from diabetes could benefit health-seeking behaviour.
Link for e-copy: http://www.africanjournalofdiabetesmedicine.com/articles/may_2017/8.%20AJDM-612. [...] Copies
Barcode Call number Media type Location Section Status No copy
Title : Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: a presentation of South African case studies Authors: Gubela Mji, Author ; Stine H. Braathen, Author ; Richard Vergunst, Author ; Elsje Scheffler, Author ; Janis Kritzinger, Author ; Hasheem Mannan, Author ; Marguerite Schneider, Author ; Leslie Swartz, Author ; Surona Visagie, Author Publisher: Durbanville [South Africa] : AOSIS Publishing Publication Date: 2017 Series: African Journal of Primary Health Care & Family Medicine, ISSN 2071-2936 No. 9(1) Pagination: p.1-9, fig. ISSN (or other code): 2071-2936 Languages : English Keywords: Health Services Health Services Accessibility Primary Health Care Socioeconomic Factors South Africa Abstract: Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user. Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa. Setting: We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts. Methods: One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point.Results: First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services. Conclusion: The revitalisation of primary health care and the introduction of national health insurance by the Health Department of South Africa open a window of opportunity for policy makers and policy implementers to revisit and address the areas of access to public health services for people with activity limitations. Link for e-copy: https://phcfm.org/index.php/phcfm/article/view/1166/1962 Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: a presentation of South African case studies [] / Gubela Mji, Author ; Stine H. Braathen, Author ; Richard Vergunst, Author ; Elsje Scheffler, Author ; Janis Kritzinger, Author ; Hasheem Mannan, Author ; Marguerite Schneider, Author ; Leslie Swartz, Author ; Surona Visagie, Author . - Durbanville (South Africa) : AOSIS Publishing, 2017 . - p.1-9, fig.. - (African Journal of Primary Health Care & Family Medicine, ISSN 2071-2936; 9(1)) .
ISSN : 2071-2936
Languages : English
Keywords: Health Services Health Services Accessibility Primary Health Care Socioeconomic Factors South Africa Abstract: Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user. Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa. Setting: We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts. Methods: One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point.Results: First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services. Conclusion: The revitalisation of primary health care and the introduction of national health insurance by the Health Department of South Africa open a window of opportunity for policy makers and policy implementers to revisit and address the areas of access to public health services for people with activity limitations. Link for e-copy: https://phcfm.org/index.php/phcfm/article/view/1166/1962 Copies
Barcode Call number Media type Location Section Status No copy
Title : Accessibility of Antiretroviral Therapy in Ghana: Convenience of Access Authors: J. Addo-Atuah ; D. Gourley, Author ; G. Gourley, Author ; S. I. White-Means, Author ; R. J. Womeodu, Author ; R. J. Faris, Author ; N. A. Addo, Author Publisher: London [United Kingdom] : Taylor&Francis Group Publication Date: 2012 Series: SAHARA-J: Journal of Social Aspects of HIV/AIDS, ISSN 1813-4424 No. 9(2) Pagination: p.74-87, tab., fig. Layout: Journal Article ISSN (or other code): 1729-0376 Languages : English Keywords: HIV Infections - epidemiology HIV Infections - prevention and control Infectious Disease Transmission, Vertical AIDS-Related Opportunistic Infections Health Services Accessibility Socioeconomic Factors Adult Ghana Abstract: The convenience of accessing antiretroviral therapy (ART) is important for initial access to care and subsequent adherence to ART. We conducted a qualitative study of people living with HIV/AIDS (PLWHA) and ART healthcare providers in Ghana in 2005. The objective of this study was to explore the participants' perceived convenience of accessing ART by PLWHA in Ghana. The convenience of accessing ART was evaluated from the reported travel and waiting times to receive care; the availability; or otherwise; of special considerations; with respect to the waiting time to receive care; for those PLWHA who were in active employment in the formal sector; the frequency of clinic visits before and after initiating ART; and whether the PLWHA saw the same or different providers at each clinic visit (continuity of care). This qualitative study used in-depth interviews based on Yin's case-study research design to collect data from 20 PLWHA and 24 ART healthcare providers as study participants. . Reported travel time to receive ART services ranged from 2 to 12 h for 30 of the PLWHA.. Waiting time to receive care was from 4 to 9 h. . While known government workers; such as teachers; were attended to earlier in some of the centres; this was not a consistent practice in all the four ART centres studied. . The PLWHA corroborated the providers' description of the procedure for initiating and monitoring ART in Ghana. . PLWHA did not see the same provider every time; but they were assured that this did not compromise the continuity of their care. Our study suggests that convenience of accessing ART is important to both PLWHA and ART healthcare providers; but the participants alluded to other factors; including open provider-patient communication; which might explain the PLWHA's understanding of the constraints under which they were receiving care. The current nation-wide coverage of the ART programme in Ghana; however; calls for the replication of this study to identify possible perception changes over time that may need attention. Our study findings can inform interventions to promote access to ART; especially in Africa. Accessibility of Antiretroviral Therapy in Ghana: Convenience of Access [] / J. Addo-Atuah ; D. Gourley, Author ; G. Gourley, Author ; S. I. White-Means, Author ; R. J. Womeodu, Author ; R. J. Faris, Author ; N. A. Addo, Author . - London (5 Howick Place, United Kingdom) : Taylor&Francis Group, 2012 . - p.74-87, tab., fig. : Journal Article. - (SAHARA-J: Journal of Social Aspects of HIV/AIDS, ISSN 1813-4424; 9(2)) .
ISSN : 1729-0376
Languages : English
Keywords: HIV Infections - epidemiology HIV Infections - prevention and control Infectious Disease Transmission, Vertical AIDS-Related Opportunistic Infections Health Services Accessibility Socioeconomic Factors Adult Ghana Abstract: The convenience of accessing antiretroviral therapy (ART) is important for initial access to care and subsequent adherence to ART. We conducted a qualitative study of people living with HIV/AIDS (PLWHA) and ART healthcare providers in Ghana in 2005. The objective of this study was to explore the participants' perceived convenience of accessing ART by PLWHA in Ghana. The convenience of accessing ART was evaluated from the reported travel and waiting times to receive care; the availability; or otherwise; of special considerations; with respect to the waiting time to receive care; for those PLWHA who were in active employment in the formal sector; the frequency of clinic visits before and after initiating ART; and whether the PLWHA saw the same or different providers at each clinic visit (continuity of care). This qualitative study used in-depth interviews based on Yin's case-study research design to collect data from 20 PLWHA and 24 ART healthcare providers as study participants. . Reported travel time to receive ART services ranged from 2 to 12 h for 30 of the PLWHA.. Waiting time to receive care was from 4 to 9 h. . While known government workers; such as teachers; were attended to earlier in some of the centres; this was not a consistent practice in all the four ART centres studied. . The PLWHA corroborated the providers' description of the procedure for initiating and monitoring ART in Ghana. . PLWHA did not see the same provider every time; but they were assured that this did not compromise the continuity of their care. Our study suggests that convenience of accessing ART is important to both PLWHA and ART healthcare providers; but the participants alluded to other factors; including open provider-patient communication; which might explain the PLWHA's understanding of the constraints under which they were receiving care. The current nation-wide coverage of the ART programme in Ghana; however; calls for the replication of this study to identify possible perception changes over time that may need attention. Our study findings can inform interventions to promote access to ART; especially in Africa. E-copies: Download the digital copy of the document
Accessibility of Antiretroviral Therapy in Ghana: Convenience of AccessAdobe Acrobat PDF
Title : Barriers to utilization of pre-hospital emergency medical services among residents in Libreville, Gabon: a qualitative study Authors: Nichole Bosson ; Michael A. Redlener, Author ; George L. Foltin, Author ; Maria C. Raven, Author ; Mark P Foran, Author ; Stephen P. Wall, Author Publisher: Cape Town [South Africa] : African Federation for Emergency Medicine Publication Date: 2013 Series: African Journal of Emergency Medicine, ISSN 2211-419X No. 3(4) Pagination: p.172-177, tab. Layout: Journal Article ISSN (or other code): 2211-419X Languages : English Keywords: Emergency Medical Services Health Services Misuse Health Services Accessibility Socioeconomic Factors Gabon - Libreville Abstract: Introduction :In 2002; the West-African nation of Gabon established an emergency medical system (EMS); Service d'Aide Medicale Urgente (SAMU); in Libreville; yet few people access it. Our objective was to describe Libreville residents' knowledge and attitudes toward the SAMU in an effort to understand why this service is underutilized. Methods :Qualitative interviews consisting of nine open-ended questions were conducted on a convenience sample of twenty patients; three visitors and two patient/visitor dyads at the Jeanne Ebori Hospital Emergency Centre in October 2009. Eligible subjects arrived in vehicles other than the SAMU and were ill enough to require hospital admission. Exclusion criteria were: under 21years old; unable to speak French; or medically unstable. A bilingual team member audio-recorded the interviews in French and transcribed them into eng. Investigators organized text into codes; then into themes and theoretical constructs. Intercoder agreement was excellent. Data were collected until theoretical saturation was achieved. Results: Analysis of data revealed no difference in response between patients and visitors. People underused SAMU because of financial costs; lack of awareness of the program; use of traditional modes of transportation; infrastructure flaws; perceived response times and other misconceptions. Conclusion: We identified remediable barriers to EMS (SAMU) access in Libreville; Gabon: lack of awareness; misperceptions; established alternatives; and cost. Interventions and future investigations designed to increase EMS utilization in Gabon should target these four areas. Link for e-copy: https://www.afjem.org/article/S2211-419X%2813%2900013-X/pdf Barriers to utilization of pre-hospital emergency medical services among residents in Libreville, Gabon: a qualitative study [] / Nichole Bosson ; Michael A. Redlener, Author ; George L. Foltin, Author ; Maria C. Raven, Author ; Mark P Foran, Author ; Stephen P. Wall, Author . - Cape Town (South Africa) : African Federation for Emergency Medicine, 2013 . - p.172-177, tab. : Journal Article. - (African Journal of Emergency Medicine, ISSN 2211-419X; 3(4)) .
ISSN : 2211-419X
Languages : English
Keywords: Emergency Medical Services Health Services Misuse Health Services Accessibility Socioeconomic Factors Gabon - Libreville Abstract: Introduction :In 2002; the West-African nation of Gabon established an emergency medical system (EMS); Service d'Aide Medicale Urgente (SAMU); in Libreville; yet few people access it. Our objective was to describe Libreville residents' knowledge and attitudes toward the SAMU in an effort to understand why this service is underutilized. Methods :Qualitative interviews consisting of nine open-ended questions were conducted on a convenience sample of twenty patients; three visitors and two patient/visitor dyads at the Jeanne Ebori Hospital Emergency Centre in October 2009. Eligible subjects arrived in vehicles other than the SAMU and were ill enough to require hospital admission. Exclusion criteria were: under 21years old; unable to speak French; or medically unstable. A bilingual team member audio-recorded the interviews in French and transcribed them into eng. Investigators organized text into codes; then into themes and theoretical constructs. Intercoder agreement was excellent. Data were collected until theoretical saturation was achieved. Results: Analysis of data revealed no difference in response between patients and visitors. People underused SAMU because of financial costs; lack of awareness of the program; use of traditional modes of transportation; infrastructure flaws; perceived response times and other misconceptions. Conclusion: We identified remediable barriers to EMS (SAMU) access in Libreville; Gabon: lack of awareness; misperceptions; established alternatives; and cost. Interventions and future investigations designed to increase EMS utilization in Gabon should target these four areas. Link for e-copy: https://www.afjem.org/article/S2211-419X%2813%2900013-X/pdf E-copies: Download the digital copy of the document
http://download.journals.elsevierhealth.com/pdfs/journals/2211-419X/PIIS2211419X1300013X.pdfURL
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