Abstract：
:Healthcare access and utilization remain key challenges in the Global South. South Africa represents this given that more than twenty years after the advent of democratic elections, the national government continues to confront historical systems of spatial manipulation that generated inequities in healthcare access. While the country has made significant advancements, governmental agencies have mirrored international strategies of healthcare decentralization and focused on local provision of primary care to increase healthcare access. In this paper, we show the significance of place in shaping access and health experiences for rural populations. Using data from a structured household survey, focus group discussions, qualitative interviews, and clinic data conducted in northeast South Africa from 2013 to 2016, we argue that decentralization fails to resolve the uneven landscapes of healthcare in the contemporary period. This is evidenced by the continued variability across the study area in terms of government-sponsored healthcare, and constraints in the clinics in terms of staffing, privacy, and patient loads, all of which challenge the access-related assumptions of healthcare decentralization.
journal_name
Health Placejournal_title
Health & placeauthors
Winchester MS,King Bdoi
10.1016/j.healthplace.2018.02.009subject
Has Abstractpub_date
2018-05-01 00:00:00pages
200-207eissn
1353-8292issn
1873-2054pii
S1353-8292(17)30551-8journal_volume
51pub_type
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