Inequities in health outcomes and access to health care in South Africa: a comparison between persons with and without disabilities

Moodley, Jacqueline; Ross, Eleanor

doi:10.1080/09687599.2015.1034846

Cited by 35 publications

(37 citation statements)

References 22 publications

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“…This study in a rural area within South Africa confirms earlier studies [1,14] that persons with disabilities have poorer reported health outcomes than persons with no disabilities. Mental health problems increase with severity of disability and females had more mental health problems than males.…”

Section: Discussionsupporting

confidence: 89%

“…This is despite some persons with disabilities having increased health needs [21,22]. Moodley and Ross [1] found in South Africa that persons with disabilities reported poorer health as well as higher incidence of communicable and non-communicable diseases.…”

Section: Disability and Inequity In Healthmentioning

confidence: 99%

“…Although health should be a universal opportunity, this is not the case for many subsections of society [1], including persons with disabilities. Despite general agreement that health is not experienced equitably [2], there is relatively little research looking specifically at potential disparities between disability status and health [3].…”

Section: Introductionmentioning

confidence: 99%

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The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa

Vergunst

Swartz

Hem

et al. 2018

Disability and Rehabilitation

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This study found that persons with disabilities have poorer reported health outcomes than persons with no disabilities. There is also an association between disability severity and mental health issues as assessed by the GHQ-12. A significantly higher percentage of persons with disability did not get health care when needed. Persons with disabilities also have less favorable attitudes toward competence of health care workers. This study has shown greater health needs and less satisfaction with services, which strongly indicates insufficient access for persons with disabilities in a rural impoverished are within South Africa. Implications for rehabilitation Persons with disabilities in rural South Africa have poorer reported health outcomes. Persons with disabilities have less favorable attitudes towards competence of health care workers in rural South Africa. Better access to health care for persons with disabilities is needed in rural South Africa.

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Section: Discussionsupporting

confidence: 89%

Section: Disability and Inequity In Healthmentioning

confidence: 99%

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The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa

Vergunst

Swartz

Hem

et al. 2018

Disability and Rehabilitation

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“…This has been reported to be the case in some studies among people with disabilities (Ahumuza et al, 2014;Abdi et al, 2015). With regard to the socioeconomic and access to healthcare variables, their relationship with healthcare seeking is intricately interdependent by the relationship between poverty and disability, which underlies difficulty in accessing healthcare among people with disabilities in terms of ability to reach and pay for healthcare seeking expenses (Gudlavetti et al, 2014;Moodley & Ross, 2015;Abdi et al, 2015). As can be seen in the results, education and employment variables were not significant in the multivariate model.…”

Section: Ijphcsmentioning

confidence: 93%

“…The high cost was related to the price people with disability had to pay for the service and also for extra charges incurred in instances where a person using a wheelchair was required to pay double the fare and also pay for an assistant, as they need assistance to travel to health facilities (Abdi et al, 2015;Grut, Mji, Braathen, & Ingstad, 2012;Maart & Jelsma, 2014;Saloojee, Phohole, Saloojee, & Ijsselmuiden, 2007). The influence of costs on healthcare seeking among people with disabilities could be due to the fact that they utilize more of hospital services, which has been documented to be high and a determinant of healthcare expenditure among people with disabilities (Moodley and Ross, 2015;Badu et al 2015;Trani et al 2010). People with disabilities are more likely to utilize hospital facilities due to their high need for specialist services and emergency care.…”

Section: Ijphcsmentioning

confidence: 99%

Determinants of Health Care Seeking Behaviour and Unmet Need Among People With Physical Disabilities in Nigeria

Zandam¹,

Juni

Hayati³

et al. 2019

IJPHCS

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Background: Generally people with disabilities have high healthcare need that is likely as a result of primary condition causing the disability, comorbidity or their vulnerability to diseases. Despite these health challenges and need for healthcare those living in poor countries have poor healthcare seeking behaviour and experience unmet healthcare needs. Materials and Methods: A cross sectional population based survey was used to collect data from 285 respondent recruited using multi-stage sampling methods Result: Result from multiple regression analysis shows several variables independently to be significantly with healthcare seeking behaviour such as gender, age, location, SES, health status, and perceived cost of healthcare. Report of unmet needs for healthcare is associated with gender, age, location, SES, income, health status, distance, and perceived service quality. Conclusion: If the healthcare needs of people with disability have to be met, innovative strategies will need to be devised to reach out to people with disabilities, especially women, elderly and the poor with disabilities.

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Association of Multidimensional Poverty With Dementia in Adults Aged 50 Years or Older in South Africa

et al. 2022

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Key Points Question Is multidimensional poverty associated with dementia in older adults in low- and middle-income countries? Findings In this cross-sectional study of 227 adults aged 50 years or older living in Soweto, Johannesburg, South Africa, 20% of adults with dementia were poor compared with 10% of those without dementia, with a difference of 118% on the Multidimensional Poverty Index. The risk of dementia was 2.31 times higher for adults who were multidimensionally poor. Meaning These results suggest that public policies addressing factors associated with poverty may be helpful to delay the onset and reduce the prevalence of dementia among older adults.

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Inequities in health outcomes and access to health care in South Africa: a comparison between persons with and without disabilities

Cited by 35 publications

References 22 publications

The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa

The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa

Determinants of Health Care Seeking Behaviour and Unmet Need Among People With Physical Disabilities in Nigeria

Association of Multidimensional Poverty With Dementia in Adults Aged 50 Years or Older in South Africa

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