Evidence map›Paper›PMID 29062760›Full record

ArticleAfrican journal of disability2017

The experiences and challenges faced by rehabilitation community service therapists within the South African Primary Healthcare health system.

Lieketseng Ned, Lizahn Cloete, Gubela Mji

Open access · goldAbstract readCase Reports
In one paragraph

Article in African journal of disability, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
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

29 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Article
  3. Guidelines for interprofessional practice in rehabilitation at primary health care level.African journal of primary health care & family medicine · 2025
    Article
  4. Article
  5. Stakeholders' views on public-private partnerships for rehabilitation services in South Africa ahead of National Health Insurance.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  6. Practical insights for enhancing primary care rehabilitation services in low-resource contexts.African journal of primary health care & family medicine · 2025
    Article
  7. Article
  8. 'Sometimes I feel like the only physio in the whole wide world, so alone'.The South African journal of physiotherapy · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Perceptions of integrated rehabilitation service delivery in a metropolitan district.African journal of primary health care & family medicine · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

3 authors at 1 institution in 1 country.

Lieketseng NedCentre for Rehabilitation Studies, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.ORCID 0000-0001-9844-7828
Lizahn CloeteDivision of Occupational Therapy, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, University of Stellenbosch, South Africa.ORCID 0000-0001-6791-098X
Gubela MjiCentre for Rehabilitation Studies, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.ORCID 0000-0002-6477-4123
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwenty-two years after the promulgation of a plethora of progressive health policies since 1994, the South African public health system reflects a number of stumbling blocks regarding implementation. Rehabilitation professionals are not sufficiently equipped nor allowed the opportunity to comprehensively implement Primary Healthcare (PHC) from a bottom-up approach, thus engaging communities. Training on addressing social health determinants and their impact on ill-health and health outcomes is inadequate. The inadequate understanding of the advocacy role that rehabilitation professionals could play in addressing social health determinants remains a challenge in healthcare. Rehabilitation, a pillar of PHC, remains poorly understood in terms of its role within the health system.

aimWe argue for rehabilitation as a vehicle for addressing social determinants of health with community service practitioners playing a critical role in addressing the inequities within the healthcare package.

settingThe article reflects the opportunities and challenges faced by rehabilitation community service therapists in the delivery of rehabilitation services in a rural area of the Eastern Cape province of South Africa.

methodsA single case study from the perspective of a researcher was used to explore the experience and reflection of the first author during her community service as an occupational therapist.

resultsThe case study highlights some existing gaps within the delivery of rehabilitation services in the rural Eastern Cape. A community service package with a specific approach towards addressing social determinants of health for persons with disability at a community level is suggested.

conclusionAdvocating for a rehabilitation service package to shift to community-based levels is critical. It is envisaged that a community-based approach will facilitate an understanding of the barriers faced by persons with disabilities as constituting disability, thus facilitating learning about the disabling consequences of the rural environment coupled with the system as experienced by persons with disabilities.

Identifiers

PMID29062760
PMCPMC5645568
OpenAlexW2747172833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.