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The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services
Includes bibliographical references.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2015
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| _version_ | 1867613329927700480 |
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| access_status_str | Open Access |
| author | Zulu, Tryphine |
| author2 | Sinanovic, Edina |
| author_browse | Sinanovic, Edina Zulu, Tryphine |
| author_facet | Sinanovic, Edina Zulu, Tryphine |
| author_sort | Zulu, Tryphine |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/13268 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:25.395Z |
| 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:11427/13268 The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services Zulu, Tryphine Sinanovic, Edina Health Economics Includes bibliographical references. Deafness affects about 15- 26% of the world’s population with an estimated prevalence of 3.7% in South Africa. Although sign language Interpreters (SLIs) improve the communication challenges in health care they are unaffordable for many Deaf people. On the other hand, there are no legal provisions in place to ensure the provision of SLIs in the health sector in most countries including South Africa. However, to advocate for funding of such initiatives, reliable cost estimates are essential and such data is scarce. To bridge this gap, this study estimated the costs of providing such a service at the District health services level based on estimates obtained from a pilot-project that initiated the first South African Sign Language Interpreter (SASLI) service in health-care. The ingredients method was used to calculate the unit cost per visit at the SASLI Project level from a provider perspective. The average SASLI utilisation rate was calculated from the projects records for 2008-2013. Sensitivity analyses were carried out to determine the effect of changing the discount rate and personnel costs. The unit costs per SASLI-assisted visit were used in estimating the costs of scaling up this service to the District Health Services. Average utilisation rates increased from 1.66 to 3.58 per person per year from 2008 -2013 with unmet need falling from 38.8% in 2008 to 10.8% by 2013. The cost per visit was R2074.80 in 2013 whilst the estimated costs of scaling up this service ranged from R143.6million to R775million in the Cape Metropole District. These cost estimates represent 2.4%-12.8% of the budget for the Western Cape District Health Services. The results show that in the presence of SLIs, Deaf SL users utilise health care service to a similar extent as the average population, however this service would requires significant capital investment by government to enable access to healthcare for the Deaf. 2015-07-02T08:29:37Z 2015-07-02T08:29:37Z 2014 Master Thesis Masters MPH http://hdl.handle.net/11427/13268 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Zulu, Tryphine The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| thesis_degree_str | Master's |
| title | The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| title_full | The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| title_fullStr | The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| title_full_unstemmed | The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| title_short | The socio-economic status, sign language interpreter utilisation and the cost of providing South African sign language interpreter services in the Cape Metropole District health services |
| title_sort | socio economic status sign language interpreter utilisation and the cost of providing south african sign language interpreter services in the cape metropole district health services |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/13268 |
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