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

Journal: Disability and rehabilitation

Volume: 41

Issue: 22

Year of Publication: 2020

Affiliated Institutions:  Department of Psychology, Alan J Flisher Centre for Public Mental Health, Stellenbosch University , Stellenbosch , South Africa. Department of Health, SINTEF Technology and Society , Oslo , Norway. School of Nursing Midwifery & Health Systems, Health Sciences Centre University College Dublin , Dublin , Ireland. Centre for Rehabilitation Studies, Stellenbosch University , Stellenbosch , South Africa. Department of Psychiatry & Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town , Cape Town , South Africa.

Abstract summary 

Health should be a universal phenomenon. However, little is known about the relationship between disability status and health issues - particularly in rural areas. This study looks at health issues of persons with disabilities in Madwaleni, a rural impoverished area in South Africa in 2011, and compares them to persons with no disabilities. Standardized questionnaires were used in the survey to assess disability and health status. The sample comprised of 773 individuals - 322 persons with disability and 451 comparisons (without disability) - covering 527 households. Children under the age of five were excluded from the sample. We used purposive sampling. 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.

Authors & Co-authors:  Vergunst Richard R Swartz Leslie L Hem Karl-Gerhard KG Eide Arne Henning AH Mannan Hasheem H MacLachlan Malcolm M Mji Gubela G Schneider Marguerite M

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1080/09638288.2018.1478001
SSN : 1464-5165
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Rural health;South Africa;disability
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England