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‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area

BACKGROUND: There is international evidence that people with disabilities face barriers when accessing primary healthcare services and that there is inadequate information about effective interventions that work to improve the lives of people with disabilities, especially in low-income and middle-in...

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Autores principales: Vergunst, Richard, Swartz, Leslie, Mji, Gubela, MacLachlan, Malcolm, Mannan, Hasheem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592846/
https://www.ncbi.nlm.nih.gov/pubmed/26434691
http://dx.doi.org/10.3402/gha.v8.29003
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author Vergunst, Richard
Swartz, Leslie
Mji, Gubela
MacLachlan, Malcolm
Mannan, Hasheem
author_facet Vergunst, Richard
Swartz, Leslie
Mji, Gubela
MacLachlan, Malcolm
Mannan, Hasheem
author_sort Vergunst, Richard
collection PubMed
description BACKGROUND: There is international evidence that people with disabilities face barriers when accessing primary healthcare services and that there is inadequate information about effective interventions that work to improve the lives of people with disabilities, especially in low-income and middle-income countries. Poor rural residents generally experience barriers to accessing primary healthcare, and these problems are further exacerbated for people with disabilities. OBJECTIVE: In this study, we explore the challenges faced by people with disabilities in accessing healthcare in Madwaleni, a poor rural Xhosa community in South Africa. DESIGN: Purposive sampling was done with 26 participants, using semi-structured interviews and content analysis to identify major themes. RESULTS: This study showed a number of barriers to healthcare for people with disabilities. These included practical barriers, including geographical and staffing issues, and attitudinal barriers. CONCLUSIONS: It is suggested that although there are practical barriers that need to be addressed, attitudinal barriers could potentially be addressed more easily and cost effectively.
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spelling pubmed-45928462015-11-04 ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area Vergunst, Richard Swartz, Leslie Mji, Gubela MacLachlan, Malcolm Mannan, Hasheem Glob Health Action Original Article BACKGROUND: There is international evidence that people with disabilities face barriers when accessing primary healthcare services and that there is inadequate information about effective interventions that work to improve the lives of people with disabilities, especially in low-income and middle-income countries. Poor rural residents generally experience barriers to accessing primary healthcare, and these problems are further exacerbated for people with disabilities. OBJECTIVE: In this study, we explore the challenges faced by people with disabilities in accessing healthcare in Madwaleni, a poor rural Xhosa community in South Africa. DESIGN: Purposive sampling was done with 26 participants, using semi-structured interviews and content analysis to identify major themes. RESULTS: This study showed a number of barriers to healthcare for people with disabilities. These included practical barriers, including geographical and staffing issues, and attitudinal barriers. CONCLUSIONS: It is suggested that although there are practical barriers that need to be addressed, attitudinal barriers could potentially be addressed more easily and cost effectively. Co-Action Publishing 2015-10-01 /pmc/articles/PMC4592846/ /pubmed/26434691 http://dx.doi.org/10.3402/gha.v8.29003 Text en © 2015 Richard Vergunst et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Original Article
Vergunst, Richard
Swartz, Leslie
Mji, Gubela
MacLachlan, Malcolm
Mannan, Hasheem
‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title_full ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title_fullStr ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title_full_unstemmed ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title_short ‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area
title_sort ‘you must carry your wheelchair’ – barriers to accessing healthcare in a south african rural area
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592846/
https://www.ncbi.nlm.nih.gov/pubmed/26434691
http://dx.doi.org/10.3402/gha.v8.29003
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