ArticleFrontiers in public health2026
Gender disparities in disability persist while healthcare access shows no net improvement in South Africa: a general household survey trend analysis, 2020-2024.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To examine trends in disability prevalence by sex and province in South Africa between 2020 and 2024, and to test whether the reported gender gap and changes in healthcare access indicators are consistent with genuine population characteristics rather than sampling variation. Methods: A descriptive cross-sectional trend analysis was conducted using five consecutive General Household Survey (GHS) statistical releases (2020-2024). Disability was measured using the Washington Group Short Set. Because the releases report population counts alongside percentages, two-proportion Results: National disability prevalence fluctuated between 4.5 and 5.0%, with no significant linear trend ( Conclusion: The female excess in disability prevalence is a statistically consistent, year-on-year finding, robust under design-effect sensitivity analysis, while overall prevalence and medical aid coverage showed no statistically detectable linear trend despite visible fluctuation. Provincial patterns remained uneven, and most households continued to rely on public facilities. These findings support disability-inclusive, gender-responsive, equity-oriented health policy, with attention to public-sector rehabilitation and primary healthcare in high-burden provinces.
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