Local knowledge on fear and avoidance of the health system
Participants identified a range of influences on under-5 mortality. Fundamental root causes related to social contexts
and contributory influences related to the health system were identified as follows.
Lack of education
unemployment and poverty
Inadequate housing and
Lack of clean water
Unreliable emergency transport
Delays in facilities
Poor quality care
Lack of medicines
Fear and avoidance of the health system
Circumstances of dearths
Acting to reduce under-5 mortality:knowledge partnerships for coordinated action
Wariri, O., D'Ambruoso, L., Van Der Merwe, M., Spies, B., Mtwunga, I., Masinga, S., Mdluli, D., Gosen, G., Moccoem, V., Khosa, S., Kahn. K., Byass, P., & Twine, R. (2017). 'Bridging the gap: connecting communities and health authorities with knowledge partnerships in Mpumalanga province, South Africa. Unpublished manuscript.