‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area

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

doi:10.3402/gha.v8.29003

Cited by 66 publications

(106 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14 Thus, this can potentially hamper them to attain a better health outcome. 15,16 In addition, without the appropriate wheelchair, mobility outside their homes becomes more difficult or not possible. This will lead to a poorer quality of lifepossibly related to lack of opportunities and access to social activities, education, and employment.…”

Section: Discussionmentioning

confidence: 99%

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia

Pratiwi

Setiyaningsih

Mahardya

et al. 2019

J Community Empowerment for Health

View full text Add to dashboard Cite

An estimated 10% of the global population has disabilities, and 1 out of 10 require wheelchairs. Although imperative, the provision of wheelchair services remains challenging, especially in low resource settings. Interacting barriers in availability of wheelchair services and healthcare access can negatively affect households of people with disabilities in productivity and obtaining income. The availability of wheelchair services can potentially lessen the related economic burden. However, to date there is limited evidence concerning the economic gain of the wheelchair users in Indonesia. This study aims to analyze the economic impact of using wheelchairs on households in rural Central Java Province, Indonesia. Economic gains of wheelchair users were measured using a cross-sectional survey in Central Java, Indonesia during 2017. The questionnaires consisted of three main sections, namely general information, socio-economic information before and after using adaptive wheelchair, and income and spending related information. A total of 60 adaptive wheelchair users and parent proxy completed the questionnaires. More than half (55%) of the respondents were male, became impaired in 1998, and used an adaptive wheelchair starting in 2009. Medical conditions of the respondents related to need for a wheelchair are cerebral palsy (29%), paraplegia (29%), and polio (15.5%). Three-fourths of the respondents were working in the informal sector. On average, there is a significant increase of Rp. 217,662 in monthly household income between before and after using a wheelchair. However, there was no significant difference in spending before and after using a wheelchair. Respondents feel that using a wheelchair is beneficial particularly in mobility and helping in their activities. Wheelchair use can increase the income of households with disability. Clients responded that there have been several aspects which need further support, including skills improvement, employment generation for people with disabilities, and adequate public transportation facilities.

show abstract

Section: Discussionmentioning

confidence: 99%

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia

Pratiwi

Setiyaningsih

Mahardya

et al. 2019

J Community Empowerment for Health

View full text Add to dashboard Cite

show abstract

“…A qualitative study has reported that poor people living with disabilities in rural areas experience unique problems in accessing healthcare and there is higher prevalence of disability in the rural compared with the urban areas. 23,24 OOP expenditures for health care are a huge burden and a big challenge for the poor. This is too difficult for the rural and tribal communities to manage and cope with the high costs.…”

Section: Themementioning

confidence: 99%

Simple and basic yet vital and essential health services: an exploration of perception of junior health care service providers regarding rural health services in India

Joshi¹,

Joshi²

2018

Int J Community Med Public Health

View full text Add to dashboard Cite

Background: Health services should be scientifically reviewed and researched continuously.. In 2017, at the occasion of completion of seven decades of the India's Independence, a self-funded “doctors' perception study project” was launched. Present paper is an outcome of this project which will soon be followed by similar projects involving other stakeholders of health care as well.Methods: Fifteen individual face to face in depth interviews (FFIDIs) and ten focus group discussions (FGDs) were conducted during the year 2017 among the junior level health care providers working at a rural health training center. Thematic (content) analysis method was used.Results: A big gap exists between the concept and its implementation. Several ‘people factors’ and ‘system factors’ emerged besides quite a few ‘contradictions’, ‘malpractices’ and ‘deficiencies’. Perceptions regarding various ‘priority domains’ for improvement, ‘needs’ and ‘strategies’ were also explored. The emphasis was on improving peoples’ awareness action and access; staff recruitment, health care facilities and patient referral.Conclusions: Access barriers are disastrous and devastating for the poor and the disabled. There is a close mutual relation among the various issues. Chaos is being allowed to exist in which there are irrational use of drugs, mushrooming of ‘quacks’ and diversion of resources from public to private sector. Addressing all the issues requires peoples’ awareness and action along with political and administrative vision and will. A different politics is needed. Introspection, internal reforms and more community engagement is expected from the medical community.

show abstract

“…Often the physically disabled persons may defer taking care of their health needs or preventive services because of the cost (deVries‐McClintock et al., ). The lack of health insurance and the inability to pay any associated expenses has contributed to lack of preventive services received by this population (Chevarley et al., ; Vengunst, Swartz, Mji, MacLachlan, & Mannan, ).…”

Section: Synthesis Of the Literaturementioning

confidence: 99%

“…In addition, diagnostic equipment such as mammogram machines could not accommodate wheelchair bound individuals (Pharr, 2014;Smith, 2008). Vergunst, Swartz, Mji, MacLachlan, and Mannan (2015) To study the challenges faced by persons with disabilities when accessing health care in a rural setting in South Africa Phenomonological; semistructured interviews; n = 26…”

Section: Physical Environment and System Issuesmentioning

confidence: 99%

Obstacles to preventive care for individuals with disability

Marrocco

Krouse

2017

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Background and purpose Individuals with disabilities have been identified as a population with a significantly lower usage of preventive services. Nurse practitioners (NPs) provide a key access point in the healthcare delivery system for preventive services for vulnerable populations such as those with disabilities. It is essential to understand existing barriers that prohibit access to effective preventive care for this vulnerable population. Methods Systematic search and review of Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, PubMed, Google Scholar, and government reports and World Health Organizations reports. Twenty‐six articles were included in the review. Conclusions This literature review confirmed previous notions that people with disabilities are receiving much fewer preventive services than the general population. The studies reviewed identified four major barriers that contributed to the lack of preventive care. These barriers included physical environment and system, transportation, provider knowledge and attitude, and financial. Recognition of the obstacles that this subpopulation faces in accessing preventive care services is the first step to effectively remedying this problem. Implications for practice Preventive services have been identified as one of the cornerstones to improving health and quality of life. By understanding the circumstances that restrict those with disabilities from accessing preventive services, NPs can provide meaningful and effective solutions.

show abstract

‘You must carry your wheelchair’ – barriers to accessing healthcare in a South African rural area

Cited by 66 publications

References 36 publications

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia

Simple and basic yet vital and essential health services: an exploration of perception of junior health care service providers regarding rural health services in India

Obstacles to preventive care for individuals with disability

Contact Info

Product

Resources

About