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Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa

As a result of collaboration amongst the various decision-makers in the field of healthcare, there has been an improvement in the access to healthcare and living conditions globally. Nonetheless, poorer communities continue to benefit the least from public investment. To bridge the gap, self-care ca...

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Autores principales: Nyatela, Athini, Nqakala, Sizwe, Singh, Leanne, Johnson, Taylor, Gumede, Siphamandla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760858/
https://www.ncbi.nlm.nih.gov/pubmed/36545492
http://dx.doi.org/10.3389/frph.2022.1073246
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author Nyatela, Athini
Nqakala, Sizwe
Singh, Leanne
Johnson, Taylor
Gumede, Siphamandla
author_facet Nyatela, Athini
Nqakala, Sizwe
Singh, Leanne
Johnson, Taylor
Gumede, Siphamandla
author_sort Nyatela, Athini
collection PubMed
description As a result of collaboration amongst the various decision-makers in the field of healthcare, there has been an improvement in the access to healthcare and living conditions globally. Nonetheless, poorer communities continue to benefit the least from public investment. To bridge the gap, self-care can be a viable alternative as it allows individuals and communities to reduce their dependence on government healthcare solutions. Barriers to self-care do exist. Some of these are cost effectiveness, usability of self-care instruments, differentiated strategies and linkage to care. In identifying these obstacles, it is also worthwhile to investigate how they can be mitigated. To encourage sustained self-care in the HIV continuum, contextual factors as well as the manner in which individuals and communities engage with self-care must be considered. In South Africa, multiple variables come into play: literacy levels, cultural influences, socio-economic conditions and access to resources are some of these. Evidence demonstrates how self-care can be promoted by various stakeholders re-strategising to tweak and in some cases totally change existing structures. This paper explores some of the transformations, like at a governmental level where the supply of HIV self-testing kits is increased, at a production level where instructions for use are reformatting, in communities where sports programmes fulfil the dual purpose of developing sport skills and providing HIV education concurrently, and at an individual level where greater awareness invites greater participation in self-care. While self-care is a promising proposal, it is not a replacement for traditional health-care practices, but a complementary approach
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spelling pubmed-97608582022-12-20 Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa Nyatela, Athini Nqakala, Sizwe Singh, Leanne Johnson, Taylor Gumede, Siphamandla Front Reprod Health Reproductive Health As a result of collaboration amongst the various decision-makers in the field of healthcare, there has been an improvement in the access to healthcare and living conditions globally. Nonetheless, poorer communities continue to benefit the least from public investment. To bridge the gap, self-care can be a viable alternative as it allows individuals and communities to reduce their dependence on government healthcare solutions. Barriers to self-care do exist. Some of these are cost effectiveness, usability of self-care instruments, differentiated strategies and linkage to care. In identifying these obstacles, it is also worthwhile to investigate how they can be mitigated. To encourage sustained self-care in the HIV continuum, contextual factors as well as the manner in which individuals and communities engage with self-care must be considered. In South Africa, multiple variables come into play: literacy levels, cultural influences, socio-economic conditions and access to resources are some of these. Evidence demonstrates how self-care can be promoted by various stakeholders re-strategising to tweak and in some cases totally change existing structures. This paper explores some of the transformations, like at a governmental level where the supply of HIV self-testing kits is increased, at a production level where instructions for use are reformatting, in communities where sports programmes fulfil the dual purpose of developing sport skills and providing HIV education concurrently, and at an individual level where greater awareness invites greater participation in self-care. While self-care is a promising proposal, it is not a replacement for traditional health-care practices, but a complementary approach Frontiers Media S.A. 2022-12-05 /pmc/articles/PMC9760858/ /pubmed/36545492 http://dx.doi.org/10.3389/frph.2022.1073246 Text en © 2022 Nyatela, Nqakala, Singh, Johnson and Gumede. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Reproductive Health
Nyatela, Athini
Nqakala, Sizwe
Singh, Leanne
Johnson, Taylor
Gumede, Siphamandla
Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title_full Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title_fullStr Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title_full_unstemmed Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title_short Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa
title_sort self-care can be an alternative to expand access to universal health care: what policy makers, governments and implementers can consider for south africa
topic Reproductive Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760858/
https://www.ncbi.nlm.nih.gov/pubmed/36545492
http://dx.doi.org/10.3389/frph.2022.1073246
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