ArticleAfrican journal of primary health care & family medicine2015
The impact of health service variables on healthcare access in a low resourced urban setting in the Western Cape, South Africa.
Article in African journal of primary health care & family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Lower limb prosthesis abandonment and recycling of used components in the public healthcare sector of the Eastern Cape Province of South Africa.Canadian prosthetics & orthotics journal · 2026Article
- Barriers to Chronic Disease Healthcare Access in Rural Eastern Cape Province, South Africa.International journal of environmental research and public health · 2025Article
- Evaluating perspectives and attitudes towards the South African medical internship programme.BMC medical education · 2025Article
- 'Sometimes I feel like the only physio in the whole wide world, so alone'.The South African journal of physiotherapy · 2025Article
- Bridging the chasm between patients' needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape.BMC health services research · 2024Article
- Clinical recommendations for chronic musculoskeletal pain in South African primary health care.African journal of primary health care & family medicine · 2023Article
- Why are they "unreached"? Macro and Meso determinants of health care access in hard to reach areas of Odisha, India.International journal for equity in health · 2023Article
- Design of a syringe extension device (Chloe SED®) for low-resource settings in sub-Saharan Africa: a circular economy approach.Frontiers in medical technology · 2023Article
- Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa.African journal of disability · 2023Article
- Rehabilitation and primary care treatment guidelines, South Africa.Bulletin of the World Health Organization · 2022Article
- Experiences of Organisations of (or That Serve) Persons with Disabilities during the COVID-19 Pandemic and National Lockdown Period in South Africa.International journal of environmental research and public health · 2022Article
- Unfair labour practice on staff in primary health care facilities, North West province, South Africa: A qualitative study.Curationis · 2022Article
- Article
- Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study.BMC public health · 2021Article
- WASH infrastructure and practices in primary health care clinics in the rural Vhembe District municipality in South Africa.BMC family practice · 2021Article
- Contracting of private medical practitioners in a National Health Insurance pilot district: What has been the effect on primary healthcare utilisation indicators?African journal of primary health care & family medicine · 2020Article
- Reasons for late presentation for antenatal care, healthcare providers' perspective.BMC health services research · 2019Article
- Socioeconomic Determinants of Knowledge of Kidney Disease Among Residents in Nigerian Communities in Lagos State, Nigeria.Oman medical journal · 2019Article
- "They don't care about us": older people's experiences of primary healthcare in Cape Town, South Africa.BMC geriatrics · 2019Article
- Access to primary care for persons with spinal cord injuries in the greater Gaborone area, Botswana.African journal of disability · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth care access is complex and multi-faceted and, as a basic right, equitable access and services should be available to all user groups.
objectivesThe aim of this article is to explore how service delivery impacts on access to healthcare for vulnerable groups in an urban primary health care setting in South Africa.
methodsA descriptive qualitative study design was used. Data were collected through semi-structured interviews with purposively sampled participants and analysed through thematic content analysis.
resultsService delivery factors are presented against five dimensions of access according to the ACCESS Framework. From a supplier perspective, the organisation of care in the study setting resulted in available, accessible, affordable and adequate services as measured against the DistrictHealth System policies and guidelines. However, service providers experienced significant barriers in provision of services, which impacted on the quality of care, resulting in poor client and provider satisfaction and ultimately compromising acceptability of service delivery. Although users found services to be accessible, the organisation of services presented them with challenges in the domains of availability, affordability and adequacy, resulting in unmet needs, low levels of satisfaction and loss of trust. These challenges fuelled perceptions of unacceptable services.
conclusionWell developed systems and organisation of services can create accessible, affordable and available primary healthcare services, but do not automatically translate into adequate and acceptable services. Focussing attention on how services are delivered might restore the balance between supply (services) and demand (user needs) and promote universal and equitable access.
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