Tebogo Gumede

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OBJECTIVE To measure the direct cost burdens (health care expenditure as a percent of total household expenditure) for households in rural South Africa, and examine the expenditure and use patterns driving those burdens, in a setting with free public primary health care and hospital exemptions for the poor. METHODS Data on illness events, treatment(More)
OBJECTIVE To explore why South African women still abort outside designated services where there is substantial legal service provision. DESIGN Descriptive study. SETTING Three hospitals in Gauteng Province in South Africa. Sample Forty-six women attending hospital with incomplete abortion who had abortions induced outside of designated facilities. (More)
BACKGROUND There is an increasing burden of chronic illness in low and middle income countries, driven by TB/HIV, as well as non-communicable diseases. Few health systems are organized to meet the needs of chronically ill patients, and patients' perspectives on the difficulties of accessing care need to be better understood, particularly in poor resourced(More)
Improving the quality of life of all South Africans has become a major concern to health care practitioners, organisations and politicians. However, the paucity of local information on health-related quality of life (HRQOL) does not allow us to address this public health challenge. In order to rectify this deficiency and complement international research,(More)
This paper describes sociological fieldwork conducted in the autumn of 2008 in eleven rural communities of South Africa. The goal of the fieldwork was to evaluate the potential role of automated telephony services in improving access to important government information and services. Our interviews, focus group discussions and surveys revealed that Lwazi, a(More)
Despite good intentions and commitment from providers, prevention-of-mother-to-child-transmission of HIV (PMTCT) services can be difficult for pregnant women to access, despite the provision of free health services for women and children. We examined the introduction of PMTCT services in a very poor rural area of the Eastern Cape, South Africa, to assess(More)
A study was conducted with 487 black adult residents of a South African informal settlement (151 men and 336 women) to ascertain satisfaction with personal and environmental quality of life. It was hypothesised that: (1) health status and life satisfaction were the underlying dimensions of personal quality of life (PQOL); (2) health status and life(More)
Over the last 10-15 years, poor African households have had to cope with the burden of increased levels of chronic illness such as HIV/AIDS. How do these households cope with the cost burdens of ill health and healthcare, and has this burden further impoverished them? What policy responses might better support these households? This is a report from the(More)
Successful ICT projects depend on complex, interrelated sociological and technical factors for which there are no standard theoretical framework for prediction or analysis. Morphological analysis is a problem-solving method for deaning, linking, and evaluating problem spaces that are inherently nonquantitative. In this article, we show how our research team(More)