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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Equity and access to health services in Lesotho: issues and challenges
Authors:Makoa, Elsie
Mpemi, Regina
Tsekoa, Lineo
Tlali, Momo
Ralejoane, Ntsoaki
Biesma, Regien
Brugha, R.
Odonkor, Philip
Periodical:Lesotho Social Sciences Review (ISSN 1028-0790)
Notes:biblio. refs.
Geographic terms:Lesotho
Southern Africa
Subjects:access to health care
health care
health personnel
health policy
Medicine, Nutrition, Public Health
Health services accessibility
Medical care
Medical policy
Abstract:This paper investigates issues and challenges facing health service delivery in Lesotho within a framework of equity-access interrelationships and makes recommendations for improved service delivery. Data were obtained on three thematic areas - infrastructure, human resources and access to health services - through document reviews and national in-depth interviews of senior level personnel in the Ministry of Health and Social Welfare, international development partners and local and international NGOs. The findings indicate that while natural barriers such as topography and climate pose major challenges, man-made barriers, such as the attitude of health personnel, financial constraints, inadequate and poor management of human and financial resources, create complex challenges that may require multisectoral approaches for solutions. Bibliogr., sum. [Journal abstract]