{"id":"https://openalex.org/W7224253748","doi":"https://doi.org/10.38159/ehass.2026798","title":"\u201cBeyond the Clinic Door\u201d: Examining healthcare status and access challenges of persons experiencing street homelessness in the city of Johannesburg, South Africa","display_name":"\u201cBeyond the Clinic Door\u201d: Examining healthcare status and access challenges of persons experiencing street homelessness in the city of Johannesburg, South Africa","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224253748","doi":"https://doi.org/10.38159/ehass.2026798"},"language":"en","primary_location":{"id":"doi:10.38159/ehass.2026798","doi":"https://doi.org/10.38159/ehass.2026798","is_oa":true,"landing_page_url":"https://doi.org/10.38159/ehass.2026798","pdf_url":"https://noyam.org/?sdm_process_download=1&download_id=19064","source":{"id":"https://openalex.org/S4210198098","display_name":"E-Journal of Humanities Arts and Social Sciences","issn_l":"2720-7722","issn":["2720-7722","2821-8949"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"E-Journal of Humanities, Arts and Social Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://noyam.org/?sdm_process_download=1&download_id=19064","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069334722","display_name":"Constance Matshidiso Lelaka","orcid":"https://orcid.org/0000-0003-3021-562X","observed_orcids":["https://orcid.org/0000-0003-3021-562X"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Constance Matshidiso Lelaka","raw_affiliation_strings":["University of the Witwatersrand"],"raw_orcid":"https://orcid.org/0000-0003-3021-562X","affiliations":[{"raw_affiliation_string":"University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046120821","display_name":"Nokuthula Ngabisa Dlamini","orcid":"https://orcid.org/0000-0002-5671-9263","observed_orcids":["https://orcid.org/0000-0002-5671-9263"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Phumuzani Mpofu","raw_affiliation_strings":["University of the Witwatersrand"],"raw_orcid":"https://orcid.org/0000-0002-5671-9263","affiliations":[{"raw_affiliation_string":"University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133218191","display_name":"Johanna Kedibone Deka","orcid":"https://orcid.org/0009-0007-5684-9694","observed_orcids":["https://orcid.org/0009-0007-5684-9694"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Johanna Deka","raw_affiliation_strings":["University of the Witwatersrand"],"raw_orcid":"https://orcid.org/0009-0007-5684-9694","affiliations":[{"raw_affiliation_string":"University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045489157","display_name":"Emmison Muleya","orcid":"https://orcid.org/0000-0001-5931-1872","observed_orcids":["https://orcid.org/0000-0001-5931-1872"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Emmison Muleya","raw_affiliation_strings":["University of the Witwatersrand"],"raw_orcid":"https://orcid.org/0000-0001-5931-1872","affiliations":[{"raw_affiliation_string":"University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I192619145"],"apc_list":{"value":580,"currency":"GHS","value_usd":100},"apc_paid":{"value":580,"currency":"GHS","value_usd":100},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":"9","first_page":"2583","last_page":"2583"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11464","display_name":"Homelessness and Social Issues","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11464","display_name":"Homelessness and Social Issues","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12147","display_name":"Urban and Rural Development Challenges","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3322","display_name":"Urban Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/street-homelessness","display_name":"street homelessness","score":0.9449999928474426},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7730000019073486},{"id":"https://openalex.org/keywords/hiv-aids","display_name":"HIV/AIDS","score":0.7400000095367432},{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.6380000114440918},{"id":"https://openalex.org/keywords/poverty","display_name":"poverty","score":0.5529999732971191},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.7480000257492065},{"id":"https://openalex.org/keywords/resilience","display_name":"resilience","score":0.6600000262260437},{"id":"https://openalex.org/keywords/informal-support-networks","display_name":"informal support networks","score":0.7990000247955322},{"id":"https://openalex.org/keywords/faith-based-organizations","display_name":"faith-based organizations","score":0.7910000085830688},{"id":"https://openalex.org/keywords/human-dignity","display_name":"human dignity","score":0.515999972820282},{"id":"https://openalex.org/keywords/family-reintegration","display_name":"family reintegration","score":0.8489999771118164},{"id":"https://openalex.org/keywords/human-rights","display_name":"human rights","score":0.7020000219345093},{"id":"https://openalex.org/keywords/johannesburg","display_name":"Johannesburg","score":0.5680000185966492}],"concepts":[{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5472000241279602},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5273000001907349},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5005999803543091},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.47609999775886536},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.45660001039505005},{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.43869999051094055},{"id":"https://openalex.org/C70587473","wikidata":"https://www.wikidata.org/wiki/Q7834111","display_name":"Transformative learning","level":2,"score":0.4075999855995178},{"id":"https://openalex.org/C113470044","wikidata":"https://www.wikidata.org/wiki/Q6056506","display_name":"Interpretative phenomenological analysis","level":3,"score":0.39649999141693115},{"id":"https://openalex.org/C73282008","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Coping (psychology)","level":2,"score":0.38670000433921814},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.38089999556541443},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.37929999828338623},{"id":"https://openalex.org/C132829578","wikidata":"https://www.wikidata.org/wiki/Q581151","display_name":"Situated","level":2,"score":0.3790999948978424},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.3788999915122986},{"id":"https://openalex.org/C2780151969","wikidata":"https://www.wikidata.org/wiki/Q949149","display_name":"Sanitation","level":2,"score":0.3463999927043915},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.34310001134872437},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.3398999869823456},{"id":"https://openalex.org/C2779885105","wikidata":"https://www.wikidata.org/wiki/Q182263","display_name":"Empathy","level":2,"score":0.32659998536109924},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.3158999979496002},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.31200000643730164},{"id":"https://openalex.org/C2778652608","wikidata":"https://www.wikidata.org/wiki/Q1752840","display_name":"Salutogenesis","level":4,"score":0.3021000027656555},{"id":"https://openalex.org/C140988679","wikidata":"https://www.wikidata.org/wiki/Q7140444","display_name":"Participatory action research","level":2,"score":0.2842999994754791},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.2831000089645386},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.2718999981880188},{"id":"https://openalex.org/C2779341259","wikidata":"https://www.wikidata.org/wiki/Q1631460","display_name":"Housing First","level":4,"score":0.2702000141143799},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.26809999346733093},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2669999897480011},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C48856860","wikidata":"https://www.wikidata.org/wiki/Q12029","display_name":"Addiction","level":2,"score":0.26330000162124634},{"id":"https://openalex.org/C3019221131","wikidata":"https://www.wikidata.org/wiki/Q55621107","display_name":"Lived experience","level":2,"score":0.25459998846054077},{"id":"https://openalex.org/C169437150","wikidata":"https://www.wikidata.org/wiki/Q8458","display_name":"Human rights","level":2,"score":0.2538999915122986}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.38159/ehass.2026798","doi":"https://doi.org/10.38159/ehass.2026798","is_oa":true,"landing_page_url":"https://doi.org/10.38159/ehass.2026798","pdf_url":"https://noyam.org/?sdm_process_download=1&download_id=19064","source":{"id":"https://openalex.org/S4210198098","display_name":"E-Journal of Humanities Arts and Social Sciences","issn_l":"2720-7722","issn":["2720-7722","2821-8949"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"E-Journal of Humanities, Arts and Social Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.38159/ehass.2026798","doi":"https://doi.org/10.38159/ehass.2026798","is_oa":true,"landing_page_url":"https://doi.org/10.38159/ehass.2026798","pdf_url":"https://noyam.org/?sdm_process_download=1&download_id=19064","source":{"id":"https://openalex.org/S4210198098","display_name":"E-Journal of Humanities Arts and Social Sciences","issn_l":"2720-7722","issn":["2720-7722","2821-8949"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"E-Journal of Humanities, Arts and Social Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.761900007724762,"id":"https://metadata.un.org/sdg/11","display_name":"Sustainable cities and communities"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320312008","display_name":"National Institute for Health and Care Excellence","ror":"https://ror.org/015ah0c92"},{"id":"https://openalex.org/F4320332162","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224253748.pdf","grobid_xml":"https://content.openalex.org/works/W7224253748.grobid-xml"},"referenced_works_count":32,"referenced_works":["https://openalex.org/W79229537","https://openalex.org/W1979290264","https://openalex.org/W1979829370","https://openalex.org/W2013310012","https://openalex.org/W2068155640","https://openalex.org/W2087280070","https://openalex.org/W2105368594","https://openalex.org/W2107329907","https://openalex.org/W2123783128","https://openalex.org/W2125377010","https://openalex.org/W2132295262","https://openalex.org/W2170150724","https://openalex.org/W2174951582","https://openalex.org/W2605903129","https://openalex.org/W2748152523","https://openalex.org/W2765934641","https://openalex.org/W2767478650","https://openalex.org/W2775696527","https://openalex.org/W2974911573","https://openalex.org/W3002661109","https://openalex.org/W3019579152","https://openalex.org/W3080785521","https://openalex.org/W3102851221","https://openalex.org/W3158424684","https://openalex.org/W3211931498","https://openalex.org/W4200514656","https://openalex.org/W4206557971","https://openalex.org/W4312076061","https://openalex.org/W4386423173","https://openalex.org/W4392559971","https://openalex.org/W4403814000","https://openalex.org/W4412737088"],"related_works":["https://openalex.org/W7152068149","https://openalex.org/W7078167183","https://openalex.org/W7172250013","https://openalex.org/W1495501130","https://openalex.org/W3019579152","https://openalex.org/W7171399226","https://openalex.org/W1859696783","https://openalex.org/W2110688561","https://openalex.org/W6904794422","https://openalex.org/W3128908487"],"abstract_inverted_index":{"This":[0],"study":[1,38,163],"explores":[2],"the":[3,16,37,46,67,152,208],"health":[4,172,185,193],"conditions,":[5],"service":[6,120],"barriers,":[7,107,190],"and":[8,30,63,69,83,95,102,118,126,142,145,158,173,194,197,204],"coping":[9],"mechanisms":[10],"of":[11,19,26,49,90,111,128,188],"people":[12],"experiencing":[13],"homelessness":[14,166],"in":[15,116,167],"urban":[17],"context":[18],"Johannesburg.":[20],"Guided":[21],"by":[22,54,99],"Andersen\u2019s":[23],"Behavioural":[24],"Model":[25],"Health":[27],"Services":[28],"Use":[29],"situated":[31],"within":[32],"a":[33,40,76,109,171],"transformative":[34],"research":[35],"paradigm,":[36],"used":[39],"qualitative":[41],"phenomenological":[42],"design":[43],"to":[44,104,201],"capture":[45],"lived":[47],"experiences":[48],"10":[50],"homeless":[51],"adults":[52],"recruited":[53],"purposive":[55],"sampling.":[56],"Data":[57],"were":[58],"generated":[59],"through":[60,136],"in-depth":[61],"interviews":[62],"thematically":[64],"analysed":[65],"using":[66],"Braun":[68],"Clarke":[70],"(2006)":[71],"framework.":[72],"The":[73,162],"findings":[74],"reveal":[75],"complex":[77],"interplay":[78],"between":[79],"poverty,":[80],"illness,":[81],"stigma,":[82],"systemic":[84],"exclusion.":[85],"Participants":[86],"reported":[87],"high":[88],"rates":[89],"HIV/AIDS,":[91],"tuberculosis,":[92],"respiratory":[93],"infections,":[94],"substance-related":[96],"illnesses,":[97],"compounded":[98],"poor":[100],"sanitation":[101],"exposure":[103],"violence.":[105],"Structural":[106],"including":[108],"lack":[110],"identification":[112],"documents,":[113],"discriminatory":[114],"treatment":[115],"clinics,":[117],"fragmented":[119],"delivery,":[121],"significantly":[122],"hindered":[123],"healthcare":[124,206],"access":[125],"continuity":[127],"care.":[129],"Despite":[130],"these":[131],"adversities,":[132],"participants":[133],"displayed":[134],"resilience":[135],"informal":[137],"networks,":[138],"support":[139],"from":[140],"non-profit":[141],"faith-based":[143],"organisations,":[144],"personal":[146],"spirituality.":[147],"A":[148],"recurring":[149],"theme":[150],"was":[151],"longing":[153],"for":[154,207],"dignity,":[155],"family":[156,198],"reconnection,":[157],"reintegration":[159],"into":[160],"society.":[161],"concludes":[164],"that":[165],"Johannesburg":[168],"is":[169],"both":[170],"human":[174],"rights":[175],"issue,":[176],"necessitating":[177],"coordinated,":[178],"multi-sectoral":[179],"interventions.":[180],"Recommendations":[181],"include":[182],"mobile":[183],"outreach":[184],"services,":[186],"removal":[187],"administrative":[189],"expanded":[191],"mental":[192],"addiction":[195],"programs,":[196],"reunification":[199],"initiatives":[200],"promote":[202],"inclusive":[203],"equitable":[205],"city\u2019s":[209],"most":[210],"marginalised":[211],"populations.":[212]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-10-30T00:00:00"}