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Papers by Qhayiya Magaqa

Previous studies have examined health policy implementation globally. However, few studies have e... more Previous studies have examined health policy implementation globally. However, few studies have examined policy implementation as it relates to rehabilitation services. This study aimed to report on the factors which may be contributing to policy implementation gaps in rehabilitation services in a rural district of South Africa. Qualitative semi-structured interviews were conducted with rehabilitation providers who have both clinical and managerial duties in health facilities. The framework method was used to guide analysis. Findings suggest that gaps between rehabilitation policy and the available services may be attributable to a lack of systems hardware and the presence of maladaptive systems software. Additionally, the limited ability of rehabilitation managers to exercise their power to plan and organise rehabilitation services constrained policy implementation. The implications of this work point to the need to better include rehabilitation managers in priority setting and res...

International Journal of Environmental Research and Public Health, 2021

Introduction: Rehabilitation services aim to optimise individuals’ functioning and reduce disabil... more Introduction: Rehabilitation services aim to optimise individuals’ functioning and reduce disability. However, people with disabilities, who represent a key population of users of rehabilitation services, continue to have unmet needs for rehabilitation services that include the provision of assistive devices. This paper examines the availability and accessibility of rehabilitation services in a rural district of South Africa in order to explore why unmet needs for rehabilitation services persist. Methods: All nine district hospitals in a rural district of South Africa were included in the study. Rehabilitation services capacity was assessed by examining the available assistive devices, consumables and human resources at the level of the health facility. Data collection was conducted using the Global Co-operative Assistive Technology [GATE] Assistive Products List, AT2030’s ATScale priority list and the South African National Catalogue of Commodities for Primary Health Care Facilitie...

Health Research Policy and Systems

Background Recent estimates report that 2.4 billion people with health conditions globally could ... more Background Recent estimates report that 2.4 billion people with health conditions globally could benefit from rehabilitation. While the benefits of rehabilitation for individuals and society have been described in the literature, many individuals, especially in low- and middle-income countries do not have access to quality rehabilitation. As the need for rehabilitation continues to increase, it is crucial that health systems are adequately prepared to meet this need. Practice- and policy-relevant evidence plays an important role in health systems strengthening efforts. The aim of this paper is to report on the outcome of a global consultative process to advance the development of a research framework to stimulate health policy and systems research (HPSR) for rehabilitation, in order to generate evidence needed by key stakeholders. Methods A multi-stakeholder participatory technical consultation was convened by WHO to develop a research framework. This meeting included participants f...

Bulletin of the World Health Organization

Thesis Chapters by Qhayiya Magaqa

Thesis, 2021

This research examines the availability and accessibility of rehabilitation services in South Afr... more This research examines the availability and accessibility of rehabilitation services in South Africa from a health policy and systems perspective and uses the Capability Approach as the theoretical framework for the whole study. The key components of this research are: 1) rehabilitation policies 2) rehabilitation service capacity and 3) perspectives from people with disabilities as users of the service. My study employs both quantitative and qualitative designs to address the research questions. The policy component qualitatively examines the extent to which South Africa's policies facilitate access to rehabilitation services in the public sector through a review of policies for the period 1994-2019. The rehabilitation service capacity complements the policy review by establishing the readiness of district hospitals in a rural district of South Africa to provide these services using an adapted health facility assessment tool. The health facility assessment includes a quantitative descriptive assessment of the infrastructural accessibility of the health facility, and the availability of assistive devices, equipment, and the rehabilitation workforce. The combined findings from the policy review and the service capacity then inform a qualitative description of the implementation gap. In order to understand the contributing factors to this implementation gap, interviews with health facility rehabilitation managers were conducted to explore these further. Finally, interviews with people with physical disabilities uncover the barriers and facilitators to accessing the rehabilitation services in the included district hospitals. The findings point to important gaps in rehabilitation services in the district across all components of the services. Further, these supply-side gaps reinforce each other and interact with prevailing demand-side barriers to constrain access to rehabilitation services for people with physical disabilities. My study makes a theoretical contribution by expanding the Capability Framework, and then concludes with key recommendations.