Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa
Includes bibliographical references.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613284266409984 |
|---|---|
| access_status_str | Open Access |
| author | Docrat, Sumaiyah |
| author2 | Cleary, Susan |
| author_browse | Cleary, Susan Docrat, Sumaiyah |
| author_facet | Cleary, Susan Docrat, Sumaiyah |
| author_sort | Docrat, Sumaiyah |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/10337 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:41.762Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/10337 An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa Docrat, Sumaiyah Cleary, Susan Health Economics Includes bibliographical references. The control of tuberculosis (TB) in South Africa has fallen short of the targets outlined by the World Health Organization and without improvement; TB is expected to have grave consequences for both the mortality and morbidity of South Africans as well as crippling financial consequences for the public health system. While services in the public sector are free at the point of use, little is known about overall access barriers and their implications for treatment adherence. This paper explores these barriers from the perspective of TB patients enrolled in Directly Observed Treatment, Short-Course (DOTS) in Mitchell's Plain, South Africa. Using a comprehensive framework of access, in-depth interviews were conducted with 334 TB patients across five facilities in Mitchell's Plain, to assess barriers across the dimensions of availability, affordability and acceptability. Summary statistics were computed and comparisons of access barriers between adherent and non-adherent groups, and between socioeconomic groups were explored using bivariate, multivariate linear and logistic regressions. Among the respondents, 244 (73.05%) met the criteria for adherence (i.e. reported that they had never missed a dose of TB medication) while 90 (26.95%) met the criteria for non-adherence. Marital status, age, birth province, costs of self-care and costs of other providers were found to be significantly associated with adherence (P-values <0.05). There was no significant evidence of inequalities in access by socioeconomic status (all P-values > 0.05). Nonetheless, the results revealed that the poor face increased costs of accessing TB-services, compared to the rich, though this association was not deemed to be significant. 2014-12-28T14:42:06Z 2014-12-28T14:42:06Z 2012 Master Thesis Masters MPH http://hdl.handle.net/11427/10337 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Docrat, Sumaiyah An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| thesis_degree_str | Master's |
| title | An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| title_full | An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| title_fullStr | An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| title_full_unstemmed | An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| title_short | An analysis of adherence & equity in access to TB services in Mitchell's Plain, South Africa |
| title_sort | analysis of adherence equity in access to tb services in mitchell s plain south africa |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/10337 |
| work_keys_str_mv | AT docratsumaiyah ananalysisofadherenceequityinaccesstotbservicesinmitchellsplainsouthafrica AT docratsumaiyah analysisofadherenceequityinaccesstotbservicesinmitchellsplainsouthafrica |