ArticleAfrican journal of disability2019
Access to primary care for persons with spinal cord injuries in the greater Gaborone area, Botswana.
Article in African journal of disability, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Are primary healthcare facilities in Ethiopia complying with accessibility standards for disability-inclusion? an accessibility audit in Bahir Dar City.BMC health services research · 2026Article
- Physical activity of community-dwelling adults with traumatic spinal cord injuries in the Cape Metropole.The South African journal of physiotherapy · 2025Article
- Outcomes 10-years after traumatic spinal cord injury in Botswana - a long-term follow-up study.Spinal cord series and cases · 2024Article
- Challenges in traumatic spinal cord injury care in developing countries - a scoping review.Frontiers in public health · 2024Article
- Non-use of healthcare services among persons with mobility impairments in Cofimvaba, South Africa.African journal of disability · 2023Article
- Views of health care users and providers: Solutions to improve the prevention of secondary health conditions among people with spinal cord injury, South Africa.Spinal cord series and cases · 2022Article
- Experiences of spinal cord injury patients admitted to the rehabilitation unit at the national referral hospital in Khomas region, Namibia.African journal of disability · 2022Article
- A National Accessibility Audit of Primary Health Care Facilities in Brazil-Are People with Disabilities Being Denied Their Right to Health?International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with spinal cord injury (SCI) often have great need for healthcare services, but they report access challenges. Primary care access to people with SCI has not been explored in Botswana.
objectiveThis study aimed to identify barriers and facilitators that users with spinal cord injuries experience in accessing primary care services in the greater Gaborone area, Botswana.
methodsA quantitative, cross-sectional, observational study was conducted. Data were collected with a structured questionnaire from 57 participants with traumatic and non-traumatic SCI. Descriptive and inferential analysis was performed.
resultsThe male to female ratio was 2.8:1. The mean age of participants was 40 years (standard deviation 9.59). Road traffic crashes caused 85% of the injuries. Most participants visited primary care facilities between 2 and 10 times in the 6 months before the study. Participants were satisfied with the services (63%) and felt that facilities were clean (95%) and well maintained (73.5%). Preferential treatment, respect, short waiting times and convenient hours facilitated satisfaction with services. Availability was hampered by insufficient provider knowledge on SCI as indicated by 71.9% of participants, and shortage of consumables (80.7%). Structural challenges (42.1% could not enter the facility by themselves and 56.5% could not use the bathroom) and lack of height-adjustable examining couches (66.7%) impeded accessibility. Cost was incurred when participants (64.9%) utilised private health services where public services failed to address their needs.
conclusionPrimary care services were mostly affordable and adequate. Availability, acceptability and accessibility aspects created barriers.
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