Examining the Availability and Accessibility of Rehabilitation Services in a Rural District of South Africa: A Mixed-Methods Study.

摘要: Introduction: Rehabilitation services aim to optimise individuals’ functioning and reduce disability. However, people with disabilities, who represent a key population of users rehabilitation services, continue have unmet needs for that include the provision assistive devices. This paper examines availability accessibility in rural district South Africa order explore why persist. Methods: All nine hospitals were included study. capacity was assessed by examining available devices, consumables human resources at level health facility. Data collection conducted using Global Co-operative Assistive Technology [GATE] Products List, AT2030’s ATScale priority list African National Catalogue Commodities Primary Health Care Facilities. Descriptive statistics then used analysis. For qualitative component, semi-structured interviews adults physical disabilities household barriers accessing device inclusive consequences thereof same district. An interview guide based on WHO system building blocks used. Thematic content analysis guided transcripts. Findings: The findings research demonstrate service constrained as result low devices [2–22%] [2–47%], well as, possibly, shortage providers [n = 30] an unequal distribution across facilities 9]. In addition, reported poor referral pathways, financial constraints, transport road consideration equipment unavailability services. Moreover, these access predisposed individuals finance-, health- person-related harm. Conclusion: is lack Africa. are not adequately accessible because existing enable populations achieve optimised functioning.