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Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa
Access to health care is a very important concept which has equally important implications to the health status of individuals. However, there have been a lot of debates among researchers and policy makers on what constitutes access, and how it can be made less conceptual and more operational. T...
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| Format: | Thesis |
| Language: | English |
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Health Economics Unit
2015
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| _version_ | 1867613153078018048 |
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| access_status_str | Open Access |
| author | Mweemba, Chrispin |
| author2 | Cleary, Susan |
| author_browse | Cleary, Susan Mweemba, Chrispin |
| author_facet | Cleary, Susan Mweemba, Chrispin |
| author_sort | Mweemba, Chrispin |
| collection | Thesis |
| description | Access to health care is a very important concept which has equally important
implications to the health status of individuals. However, there have been a lot of debates among researchers and policy makers on
what constitutes access, and how it can be made less conceptual and more operational. The concept of access has continued to receive
increased attention because of a growing realisation of its importance in health policy. Furthermore, provision of services alone
without understanding barriers individuals face in accessing services could result in less optimal outcomes. It is therefore necessary
to have an understanding of what "access" entails and factors that influence it if we are to have a real chance of improving access to
health services and therefore enhance health. In this thesis access is viewed as consisting of three (3) interrelated and measurable
dimensions (availability, affordability and acceptability). These access dimensions are related to both the system and user characteristics.
Access is therefore said to have been achieved when all the three dimensions have been satisfied. Using the above definition of access,
the main focus of this thesis is on access barriers (in relation to the three access dimensions) to both Tuberculosis (TB) and Antiretroviral Treatment (ART)
services in Mitchell's Plain, Cape Town South Africa. Secondary cross-sectional data was used for this purpose. Access to TB and HIV treatment has been given
priority because the two diseases have had a massive and negative impact on public health in the country. In addition, patients using these services may face
similar barriers to care. Findings of this thesis are expected to provide insights into the barriers TB and HIV patients face in seeking care
vis-a-vis availability, affordability and acceptability of services. Findings will therefore prove valuable in as far as improving access is concerned. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/12589 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:35.974Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2015 |
| publishDateRange | 2015 |
| publishDateSort | 2015 |
| 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:11427/12589 Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa Mweemba, Chrispin Cleary, Susan Public Health Access to health care is a very important concept which has equally important implications to the health status of individuals. However, there have been a lot of debates among researchers and policy makers on what constitutes access, and how it can be made less conceptual and more operational. The concept of access has continued to receive increased attention because of a growing realisation of its importance in health policy. Furthermore, provision of services alone without understanding barriers individuals face in accessing services could result in less optimal outcomes. It is therefore necessary to have an understanding of what "access" entails and factors that influence it if we are to have a real chance of improving access to health services and therefore enhance health. In this thesis access is viewed as consisting of three (3) interrelated and measurable dimensions (availability, affordability and acceptability). These access dimensions are related to both the system and user characteristics. Access is therefore said to have been achieved when all the three dimensions have been satisfied. Using the above definition of access, the main focus of this thesis is on access barriers (in relation to the three access dimensions) to both Tuberculosis (TB) and Antiretroviral Treatment (ART) services in Mitchell's Plain, Cape Town South Africa. Secondary cross-sectional data was used for this purpose. Access to TB and HIV treatment has been given priority because the two diseases have had a massive and negative impact on public health in the country. In addition, patients using these services may face similar barriers to care. Findings of this thesis are expected to provide insights into the barriers TB and HIV patients face in seeking care vis-a-vis availability, affordability and acceptability of services. Findings will therefore prove valuable in as far as improving access is concerned. 2015-03-10T12:53:51Z 2015-03-10T12:53:51Z 2011 Master Thesis Masters MPH http://hdl.handle.net/11427/12589 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Mweemba, Chrispin Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| thesis_degree_str | Master's |
| title | Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| title_full | Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| title_fullStr | Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| title_full_unstemmed | Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| title_short | Assessing access barriers to Tuberculosis (TB) and Antiretroviral (ARV) treatment in Mitchell's Plain, Cape Town South Africa |
| title_sort | assessing access barriers to tuberculosis tb and antiretroviral arv treatment in mitchell s plain cape town south africa |
| topic | Public Health |
| url | http://hdl.handle.net/11427/12589 |
| work_keys_str_mv | AT mweembachrispin assessingaccessbarrierstotuberculosistbandantiretroviralarvtreatmentinmitchellsplaincapetownsouthafrica |