Tshaka Babalwa, Visagie Surona, Ned Lieketseng Y
Centre for Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Afr J Disabil. 2023 Jan 27;12:1112. doi: 10.4102/ajod.v12i0.1112. eCollection 2023.
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.
This study aimed to identify the challenges leading to non-use of healthcare services among persons with mobility impairments in Cofimvaba.
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.
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.
The findings indicated that persons with disabilities are experiencing a combination of structural and environmental challenges which make them stop accessing healthcare.
The article shares insights on access challenges that influence non-use of the often-needed healthcare services within the context of rural areas.
获得初级卫生保健是所有人的一项基本权利。然而，残疾人在获得医疗保健时遇到困难，因为存在各种环境和个人障碍，这可能导致他们不使用此类服务。
本研究旨在确定导致科菲姆瓦巴行动不便者不使用医疗服务的挑战。
采用滚雪球抽样的描述性定性设计。使用自行编制的访谈指南，用科萨语对五名停止使用医疗服务的参与者进行了半结构化访谈。采用归纳主题分析法从数据中提炼代码和主题。
研究结果揭示了行动不便者在获得医疗保健方面遇到的主要挑战。这些挑战包括道路不通、地理位置偏远、经济上难以承受以及护理的间接成本、健康问题很少或不多、医疗机构内的物理基础设施困难以及态度障碍。
研究结果表明，残疾人正面临结构和环境方面的综合挑战，这使得他们不再使用医疗服务。
本文分享了在农村地区背景下影响不使用经常需要的医疗服务的获取挑战的见解。
