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Accessibility of healthcare in rural Zimbabwe: The perspective of nurses and healthcare users
Open accessAbstract
BACKGROUND: Accessibility of healthcare in rural areas is globally impeded by physical, material, human, financial and managerial resources and societal barriers in the healthcare system. Developing countries like Zimbabwe are significantly affected. AIM: The aim of this article was to share the perspectives of nurses and healthcare users (HCUs) in the rural areas of Zimbabwe with regard to the accessibility of healthcare. SETTING: The study was conducted at 45 rural health facilities in Chegutu district, Mashonaland West province and Masvingo district in Masvingo province, Zimbabwe. METHODS: A self-administered questionnaire (for professional nurses) and a structured interview questionnaire (for HCUs) were utilised to gather data in a cross-sectional survey. Two districts were randomly sampled from 59 districts. All nurses working in 45 public health facilities in the selected two districts, who were willing and available to participate, were included. Ninety nurses participated in the study. The HCUs were selected through a multistage sampling technique. The sample size for HCUs was calculated by using Dobson's formula, and 445 HCUs were included via convenience sampling. RESULTS: Nurses reported challenges such as work overload because of staffing shortages (55%) and the supply of necessary medical drugs that lacked consistency in both the quantity and type ordered(46.7%). The challenges faced by HCUs included long distances from villages to health facilities (86%), unaffordability of transport costs and lack of access to medical drugs (59.95%), causing them to seek assistance from traditional healers (43%). CONCLUSION: Both the nurses and HCUs perceived grave challenges regarding access to health facilities, health workers and medical drugs, all of which are bound to have an impact on the health of communities in rural Zimbabwe.
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“High-level infrastructural constraints emerged as serious challenges of multi-agent RAG systems in low-resource settings for the implementation [46][47].”
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Coombs, N. C., Campbell, D. G., & Caringi, J. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07829-2 · Cited by 296
Ebrahimi, N., Yousefi, Z., Khosravi, G. R., Eskandari-Malayeri, F., Golabi, M., Askarzadeh, M., Shams, M. H., Ghezelbash, B., & Eskandari, N. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1150238 · Cited by 147
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Metadata
- Authors
- Mangundu, M., Roets, L., & van Rensberg, E. J.
- Affiliations
- University of South Africa (ZA)
- Corresponding author
- Mangundu, Manenji
- Venue
- African Journal of Primary Health Care & Family Medicine
- Publisher
- AOSIS
- Published
- 2020-05-14
- Volume
- 12
- Issue
- 1
- Pages
- e1-e7
- ISSN
- 2071-2928 (ISSN-L)
- 2071-2936
- PMC
- PMC7284155
- OpenAlex
- W3024836116
- Cited by
- 41
- References
- 18
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 6 · 2023: 10 · 2022: 1 · 2021: 11 · 2020: 1
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- African Journal of Primary Health Care & Family Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Health Professions › General Health Professions › Healthcare Quality and Satisfaction
- Keywords
- health care access, rural health, nurses' perceptions, labor shortage, drug shortages, distance to health facility, transportation costs, traditional healers, rural Zimbabwe, Chegutu District, Masvingo District
- MeSH terms
- Adult, Attitude of Health Personnel, Cross-Sectional Studies, Female, Health Workforce, Health Services Accessibility, Humans, Male, Middle Aged, Nurses, Patient Acceptance of Health Care, Surveys and Questionnaires, Rural Population, Zimbabwe, Rural Health Services, Qualitative Research
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- Mangundu, M., Roets, L., & van Rensberg, E. J. (2020). Accessibility of healthcare in rural Zimbabwe: The perspective of nurses and healthcare users. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v12i1.2245
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