Publications (CFS)

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https://hdl.handle.net/10566/6151

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Browsing by Subject "Access"

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    Stakeholders’ perspectives on the barriers to accessing health care services in rural settings: A human capabilities approach
    (Bentham Science Publishers, 2021-04-12) Chinyakata, Rachel; Roman, Nicolette V.; Msiza, Fikile B.
    Despite efforts to achieve universal access to health care by various stakeholders globally, most developing countries continue to face serious health delivery challenges, especially in rural areas. Introduction: These inhibit individuals and communities’ ability to obtain health care services when needed and the freedom to use health care. Although issues of access to health care have been widely researched in South Africa, a detailed account on access to health care in particular communities is necessary for developing interventions that are tailored to the specific needs of that community. Understanding the accounts of stakeholders to the perceived barriers to access to health care services can help comprehend the issues that hinder people from accessing health care. Therefore, this study explored the stakeholders’ perspectives on the barriers to accessing health care services in rural settings in South Africa. Methods: A qualitative approach was used to guide the collection and analysis of the data. Data were collected from a sample of stakeholders selected from three rural areas in South Africa and analysed through thematic analysis. According to the stakeholders interviewed, there are some barriers that exist in the community that impede access to health. Reusults: These are limited or lack of health care facilities and personnel, shortages of medicine, distrust in the health care providers, opening hours of health care facilities and financial constraints, which resulted in the perceived poor health status of the people in those rural areas. Conclusion: This study calls for multifaceted health care reforms and strategies to address infrastructure deficiencies, human resources and medicine shortages to ensure equitable provision of high-quality public services. These strategies or measures must be tailored to the specific needs of rural communities. © 2021 Chinyakata et al.
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    Utilization of cervical cancer screening services and its associated factors in Iran: a case–control study
    (BMC, 2023) Dadipoor, Sara; Alav, Azin; Kader, Zeinab; Kakhak, Hadi Eshaghi Sani; Mohseni, Shokrollah; Shahabi, Nahid
    Background Considering the high incidence rate of cervical cancer (CC) in Iran, screening is an efective way of reducing the impact of the disease due to early detection. Thus, the recognition of the factors afecting the use of cervical cancer screening (CCS) services is essential.The present study aimed to determine the associated factors of CCS in women living in the suburbs of Bandar Abbas in the south of Iran. Methods The present case–control study was conducted between January and March 2022 in the suburban areas of Bandar abbas. Two hundred participants were assigned to the case group and 400 participants were assigned to the control group. A self-constructed questionnaire was used to collect the data. This questionnaire contained demographic information, reproductive information, knowledge of CC, knowledge of CCS and access to the screening. Univariate and multivariate regression analyses were run to analyze the data. The data were analyzed in STATA 14.2 at a signifcance level of p<0.05. Results The mean and standard deviation of participants’ age in the case group was 30.33±4.892, and in the control group was 31.35±6.149. The mean and standard deviation of knowledge in the case group was 10.21±1.815 and in the control group was 7.24±2.447. The mean and standard deviation of access was 43.72±6.339 in the case and 37.17±4.828 in the control group. The results of multivariate regression analysis showed the following factors increased the odds of CCS: knowledge (OR medium=18.697, OR high=13.413), access (OR medium=4.028, OR high=8.126), being married (OR=3.193), being educated (OR diploma=2.587, OR university degree=1.432), middle and high SES (OR Middle=6.078, OR Upper=6.608), and not smoking (OR=1.144). Also, women’s reproductive status, including history of sexually transmitted diseases (OR=2.612), use of oral contraceptives (OR=1.579), sexual hygiene (OR=8.718). Conclusions In the light of the present fndings, it can be concluded that besides increasing suburban women’s knowledge, their access to screening facilities should be improved. The present fndings showed the need to remove the barriers to CCS in women of low SES to increase the rate of CCS. The present fndings contribute to a better understanding of factors involved in CCS.