Search this journal:     Advanced search
Original Research

The impact of health service variables on healthcare access in a low resourced urban setting in the Western Cape, South Africa

Elsje Scheffler, Surona Visagie, Marguerite Schneider

African Journal of Primary Health Care & Family Medicine; Vol 7, No 1 (2015), 11 pages. doi: 10.4102/phcfm.v7i1.820

Submitted: 15 January 2015
Published:  19 June 2015

Abstract

Background: Health care access is complex and multi-faceted and, as a basic right, equitable access and services should be available to all user groups.

Objectives: The aim of this article is to explore how service delivery impacts on access to healthcare for vulnerable groups in an urban primary health care setting in South Africa.

Methods: A descriptive qualitative study design was used. Data were collected through semi-structured interviews with purposively sampled participants and analysed through thematic content analysis.

Results: Service delivery factors are presented against five dimensions of access according to the ACCESS Framework. From a supplier perspective, the organisation of care in the study setting resulted in available, accessible, affordable and adequate services as measured against the DistrictHealth System policies and guidelines. However, service providers experienced significant barriers in provision of services, which impacted on the quality of care, resulting in poor client and provider satisfaction and ultimately compromising acceptability of service delivery. Although users found services to be accessible, the organisation of services presented them with challenges in the domains of availability, affordability and adequacy, resulting in unmet needs, low levels of satisfaction and loss of trust. These challenges fuelled perceptions of unacceptable services.

Conclusion: Well developed systems and organisation of services can create accessible, affordable and available primary healthcare services, but do not automatically translate into adequate and acceptable services. Focussing attention on how services are delivered might restore the balance between supply (services) and demand (user needs) and promote universal and equitable access.


Full Text:  |  HTML  |  EPUB  |  XML  |  PDF (316KB)

Author affiliations

Elsje Scheffler, Centre for Rehabilitation Studies, Stellenbosch University and Psychology Department, Stellenbosch University, South Africa
Surona Visagie, Centre for Rehabilitation Studies, Stellenbosch University and Psychology Department, Stellenbosch University, South Africa
Marguerite Schneider, Psychology Department, Stellenbosch University and Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, South Africa

Metrics

Total abstract views: 1319
Total article views: 2037

Cited-By

No related citations found

Comments on this article

Before posting your comment, please read our policy.
Post a Comment (Login required)


ISSN: 2071-2928 (print) | ISSN: 2071-2936 (online)

Connect on: Facebook, Twitter, Google+, LinkedIn and YouTube

Subscribe to our newsletter

All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license.

©2016 AOSIS (Pty) Ltd. All rights reserved. No unauthorised duplication allowed.

AOSIS Publishing | Empowering Africa through access to knowledge
Postnet Suite #110, Private Bag X19, Durbanville, South Africa, 7551
Tel: 086 1000 381 
Tel: +27 21 975 2602 
Fax: 086 5004 974

publishing(AT)aosis.co.za replace (AT) with @

Please read the privacy statement.