Barriers to accessing Public Primary Health care among elderly people in Mpheni village, Limpopo Province.

Abstract

Background As individuals age, their health demands increase compared to younger populations. When these demands are not adequately met by Primary Health Care (PHC) systems, it can lead to the progression of chronic diseases, increased comorbidities, and worsening health outcomes. This, in turn, reduces the overall quality of life for older adults. There is a gap between the ideal PHC policy framework and its practical implementation, especially in rural communities like Mpheni Village, Limpopo Province. Purpose of the Study This study aimed to explore and describe the barriers preventing the elderly population of the Mpheni community from accessing and benefiting from PHC services. Methods An exploratory qualitative research design was used. Participants were selected through non-probability convenience sampling, focusing on those aged 60 years and above, residing in Mpheni, and self-reporting challenges in accessing PHC services. Data were collected through semi-structured interviews with 10 participants and analysed using thematic content analysis. Ethical principles including informed consent, confidentiality, and trustworthiness were strictly observed. Results The study identified several barriers to PHC access, including long waiting times caused by staff shortages, transportation challenges due to poor infrastructure and high costs, and frequent medication shortages. These issues negatively impacted participants’ health, exacerbated chronic conditions, and led to psychological distress such as anxiety, depression, and feelings of neglect. While clinics were praised for their cleanliness and free services, participants expressed the need for specialised elderly care, improved communication about medication availability, and mobile clinic services. Recommendations To improve PHC service delivery for the elderly in rural areas, the study recommends the introduction of mobile clinics, training of PHC personnel in geriatric care, timely medication supply, and enhanced transport services. Policies must be tailored to ensure accessibility and responsiveness to the needs of the ageing population.