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An evaluation of the access to public health care for diabetic patients in Zimbabwe
Includes bibliographical references (leaves 118-127).
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Public Health and Family Medicine
2014
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| _version_ | 1867613278679597056 |
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| access_status_str | Open Access |
| author | Masuka, Pardon |
| author2 | McIntyre, Di |
| author_browse | Masuka, Pardon McIntyre, Di |
| author_facet | McIntyre, Di Masuka, Pardon |
| author_sort | Masuka, Pardon |
| collection | Thesis |
| description | Includes bibliographical references (leaves 118-127). |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/10753 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:35.758Z |
| 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 | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/10753 An evaluation of the access to public health care for diabetic patients in Zimbabwe Masuka, Pardon McIntyre, Di Public Health Includes bibliographical references (leaves 118-127). Zimbabwe is facing very serious economic challenges including hyperinflation, poor international relations, scarce foreign currency and a crumbling infrastructure. This situation has adversely affected all sectors of the economy, including health care. Resources for health care have significantly dwindled and the population's disposable incomes are very low. However, the burden of disease due to HIV/AIDS, TB, Malaria and Diabetes is increasing unabated. Thus, the current study seeks to determine whether public sector diabetes care services are available, affordable, acceptable and also whether access to care is equitable or not. A cross sectional design was adopted for this study. Questionnaires were administered to 179 patients who presented at public health facilities in Harare, 15 provider interviews were done, 15 health facility checklists were completed, one Provincial Medical Director completed a questionnaire and three focus group discussions (FGDs) were conducted. Purposive sampling was used for key informant interviews (PMDs) and also, in the selection of FGD participants. For provider interviews, nurses who attended to Diabetics were selected as respondents. All Diabetic patients who presented for care at selected health facilities were interviewed. The study also conveniently selected 10 facilities from high density areas, three from the medium and two from the low density areas for checklists. Study findings show that the major challenges lie with availability and affordability of care. In summary, there is a shortage of resources such as staff, drugs, equipment and supplies. Patients also face high direct and indirect costs of care due to high drug, food and transport costs. Membership of medical aid seems to be restricted to the richest patients. Moreover, poorest the patients do not belong to any support groups. However, the interaction between patients and their providers is reported to be good. There is a high level of trust between patients and their providers and in addition, patients affirm that providers respect the principle of confidentiality. 2014-12-31T19:53:56Z 2014-12-31T19:53:56Z 2008 Master Thesis Masters MPH http://hdl.handle.net/11427/10753 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Masuka, Pardon An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| thesis_degree_str | Master's |
| title | An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| title_full | An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| title_fullStr | An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| title_full_unstemmed | An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| title_short | An evaluation of the access to public health care for diabetic patients in Zimbabwe |
| title_sort | evaluation of the access to public health care for diabetic patients in zimbabwe |
| topic | Public Health |
| url | http://hdl.handle.net/11427/10753 |
| work_keys_str_mv | AT masukapardon anevaluationoftheaccesstopublichealthcarefordiabeticpatientsinzimbabwe AT masukapardon evaluationoftheaccesstopublichealthcarefordiabeticpatientsinzimbabwe |