Healthcare access for children in a low-income area in Cape Town: A mixed-methods case study
South African Family Practice
| Field | Value | |
| Title | Healthcare access for children in a low-income area in Cape Town: A mixed-methods case study | |
| Creator | Profitt, Luke B. Bresick, Graham Rossouw, Liezel Van Stormbroek, Ben Ras, Tasleem Von Pressentin, Klaus | |
| Description | Background: In Cape Town, the under-5 mortality rate has plateaued to 20 per 1000 live births, with 60% of child deaths occurring out of hospital. The southern subdistrict has the largest paediatric population in Metro West and accounts for 31% of deaths. This study aimed to uncover the access barriers and facilitators underlying this high burden of out-of-hospital deaths.Methods: An exploratory mixed-methods case study design employed three data collection strategies: a quantitative survey with randomly sampled community members, semi-structured interviews with purposively sampled caregivers whose children presented critically ill or deceased (January 2017 – December 2020) and a nominal group technique (NGT) to build solution-oriented consensus among purposively sampled health workers, representing different levels of care in the local health system.Results: A total of 62 community members were surveyed, 11 semi-structured caregiver interviews were conducted, and 11 health workers participated in the NGT. Community members (74%) experienced barriers in accessing care. Knowledge of basic home care for common conditions was limited. Thematic analysis of interviews showed affordability, acceptability, and access, household and facility factor barriers. The NGT suggested improvement in community-based services, transport access and lengthening service hours would facilitate access.Conclusion: While multiple barriers to accessing care were identified, facilitators addressing these barriers were explored. Healthcare planners should examine the barriers within their geographic areas of responsibility to reduce child deaths.Contribution: This study uncovers community perspectives on childhood out-of-hospital deaths and makes consensus-based recommendations for improvement. | |
| Publisher | AOSIS | |
| Date | 2023-12-20 | |
| Identifier | 10.4102/safp.v65i1.5754 | |
| Source | South African Family Practice; Vol 65, No 1 (2023): Part 4; 12 pages 2078-6204 2078-6190 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://safpj.co.za/index.php/safpj/article/view/5754/8349
https://safpj.co.za/index.php/safpj/article/view/5754/8350
https://safpj.co.za/index.php/safpj/article/view/5754/8351
https://safpj.co.za/index.php/safpj/article/view/5754/8352
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