Evidence map›Paper›PMID 26434691›Full record

ArticleGlobal health action2015

'You must carry your wheelchair'--barriers to accessing healthcare in a South African rural area.

Richard Vergunst, Leslie Swartz, Gubela Mji, Malcolm MacLachlan, Hasheem Mannan

Abstract read
In one paragraph

Article in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed.

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  8. Review
  9. Conceptualising hardship areas in Sub-Saharan Africa: a scoping review.International journal for equity in health · 2025
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  10. Article
  11. Article
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  14. Who really decides? Feeding decisions 'made' by caregivers of children with cerebral palsy.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Richard VergunstAlan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.
Leslie SwartzAlan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, Stellenbosch, South Africa; lswartz@sun.ac.za.
Gubela MjiCentre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa.
Malcolm MacLachlanCentre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa.
Hasheem MannanSchool of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Dublin, Ireland.

Funding

The Global Partnership for AIDS Behavioral Research: South Africa and U.S.R24AA022919 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2013 to 2017
$2.4M
NIAAA NIH HHS R24 AA022919
6 · The paper itself

Abstract

backgroundThere 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.

objectiveIn this study, we explore the challenges faced by people with disabilities in accessing healthcare in Madwaleni, a poor rural Xhosa community in South Africa.

designPurposive sampling was done with 26 participants, using semi-structured interviews and content analysis to identify major themes.

resultsThis study showed a number of barriers to healthcare for people with disabilities. These included practical barriers, including geographical and staffing issues, and attitudinal barriers.

conclusionsIt is suggested that although there are practical barriers that need to be addressed, attitudinal barriers could potentially be addressed more easily and cost effectively.

Indexed as

Health Services AccessibilityPersons with DisabilitiesWheelchairsAdolescentAdultAttitude of Health PersonnelChildChild, PreschoolFemaleGlobal HealthHumansInterviews as TopicMaleMiddle AgedPovertyPrimary Health Careaccessbarriersdisabilityhealthrural

Identifiers

PMID26434691
PMCPMC4592846

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.