Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review
 
Creator Appel, Kayla Nackerdien, Faeez Christian, Carmen S.
 
Subject — tuberculosis; pandemic; COVID-19; healthcare access; South Africa; Penchansky and Thomas framework; demand-side issues; supply-side issues.
Description Background: Tuberculosis (TB) remains a major public health issue in South Africa, a high-burden TB country. The coronavirus disease 2019 (COVID-19) pandemic has exacerbated challenges in accessing essential TB services. This scoping review explores how access to TB care was impacted during the pandemic.Aim: This research aimed to review original studies on access to TB care in South Africa during the COVID-19 pandemic using a scoping review methodology.Method: A scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. Five databases were systematically searched for original peer-reviewed research published between 2020 and 2022. Data were extracted and synthesised using the Penchansky and Thomas framework of healthcare access.Results: Three studies met the inclusion criteria. The review identified significant disruptions in TB service delivery during the pandemic, including reduced diagnostic capacity, healthcare facility closures and economic barriers. Patients reported delayed diagnoses and increased stigma, while healthcare workers faced resource shortages and operational challenges.Conclusion: The COVID-19 pandemic has exacerbated pre-existing barriers to TB care in South Africa, highlighting critical gaps in healthcare delivery. This review provides insights into the challenges faced and emphasises the need for resilient health systems to sustain TB care during future health crises.Contribution: This article highlights the impact of the COVID-19 pandemic on TB care access in South Africa, identifying key barriers across healthcare access dimensions and offering recommendations to improve TB care delivery during public health emergencies.
 
Publisher AOSIS
 
Contributor
Date 2025-07-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Scoping review
Format text/html application/epub+zip text/xml application/vnd.openxmlformats-officedocument.spreadsheetml.sheet application/pdf
Identifier 10.4102/phcfm.v17i1.4944
 
Source African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 8 pages 2071-2936 2071-2928
 
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://phcfm.org/index.php/phcfm/article/view/4944/8484 https://phcfm.org/index.php/phcfm/article/view/4944/8485 https://phcfm.org/index.php/phcfm/article/view/4944/8486 https://phcfm.org/index.php/phcfm/article/view/4944/8481 https://phcfm.org/index.php/phcfm/article/view/4944/8487
 
Coverage South Africa 2020-2022 —
Rights Copyright (c) 2025 Kayla Appel, Faeez Nackerdien, Carmen S. Christian https://creativecommons.org/licenses/by/4.0
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