![]() A barrier to remaining in care was the lack of clear communication between persons with TBI and health facilities regarding follow-up care. The most significant barriers reported were related to receiving definitive care, mostly due to a lack of diagnostic imaging at community health centres and the district hospital, delays in interfacility transfers due to ambulance delays and human and infrastructural limitations. ![]() Participants mentioned that alcohol abuse and high neighbourhood crime could lead to delays in seeking and reaching care. We conducted 13 individual interviews (six with persons with TBI history, seven with healthcare providers from each of the five facilities, neurosurgery department and emergency medical service heads and two focus group discussions involving eight additional healthcare providers. Quantitative data were analysed descriptively while qualitative data were analysed thematically, following inductive and deductive approaches.įive healthcare facilities (three community health centres, one district hospital and one tertiary hospital) were surveyed. We purposively recruited individuals with a history of TBI (n = 6) and 15 healthcare professionals working with persons with TBI (seven individuals representing each of the five facilities, the heads of neurosurgery and emergency medical services and eight additional healthcare providers who participated in the focus group discussions). The four-delay framework that describes delays in four phases was used: seeking, reaching, receiving, and remaining in care. Perceived barriers to accessing TBI care were explored using qualitative interviews and focus group discussions. A facility survey was carried out on health facilities offering trauma care in Khayelitsha township, Cape Town, South Africa. This study outlined the barriers to accessing TBI care in a South African township. TBI is a time-sensitive condition requiring a responsive and organized health system to minimize morbidity and mortality. ![]() South Africa has a high traumatic injury burden resulting in a significant number of persons suffering from traumatic brain injury (TBI). ![]()
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