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Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa

Background: People with disabilities in impoverished rural areas of South Africa struggle to access healthcare, despite the right to health established by the Constitution and the United Nations Convention on the Rights of Persons with Disabilities. Health system challenges and structural conditions...

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Main Author: Sherry, Kate
Other Authors: Reid , Steve
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2016
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access_status_str Open Access
author Sherry, Kate
author2 Reid , Steve
author_browse Reid , Steve
Sherry, Kate
author_facet Reid , Steve
Sherry, Kate
author_sort Sherry, Kate
collection Thesis
description Background: People with disabilities in impoverished rural areas of South Africa struggle to access healthcare, despite the right to health established by the Constitution and the United Nations Convention on the Rights of Persons with Disabilities. Health system challenges and structural conditions of poverty impact this group in specific ways, with implications for households and communities that are not well understood. To date, health systems research and design have largely omitted disability considerations. Primary health care (PHC) calls for community engagement with health systems, to voice local needs, influence service provision, and hold providers to account. However, current models of community engagement rely on certain political, social and economic conditions, which are not present for rural people with disabilities in South Africa. Purpose: This study sought to understand the existing engagement between rural people with disabilities and healthcare workers in the PHC interface, and thus to theorise how this could be strengthened for more responsive and equitable services.
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institution University of Cape Town (South Africa)
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provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
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spelling oai:open.uct.ac.za:11427/20370 Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa Sherry, Kate Reid , Steve Duncan, Madeleine Public Health Background: People with disabilities in impoverished rural areas of South Africa struggle to access healthcare, despite the right to health established by the Constitution and the United Nations Convention on the Rights of Persons with Disabilities. Health system challenges and structural conditions of poverty impact this group in specific ways, with implications for households and communities that are not well understood. To date, health systems research and design have largely omitted disability considerations. Primary health care (PHC) calls for community engagement with health systems, to voice local needs, influence service provision, and hold providers to account. However, current models of community engagement rely on certain political, social and economic conditions, which are not present for rural people with disabilities in South Africa. Purpose: This study sought to understand the existing engagement between rural people with disabilities and healthcare workers in the PHC interface, and thus to theorise how this could be strengthened for more responsive and equitable services. 2016-07-15T11:20:07Z 2016-07-15T11:20:07Z 2016 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/20370 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Public Health
Sherry, Kate
Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
thesis_degree_str Doctoral
title Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
title_full Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
title_fullStr Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
title_full_unstemmed Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
title_short Occupations of citizenship : the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in South Africa
title_sort occupations of citizenship the missing layer in empowered engagement between rural people with disabilities and primary healthcare workers in south africa
topic Public Health
url http://hdl.handle.net/11427/20370
work_keys_str_mv AT sherrykate occupationsofcitizenshipthemissinglayerinempoweredengagementbetweenruralpeoplewithdisabilitiesandprimaryhealthcareworkersinsouthafrica