Bridging Healthcare Gaps, A Quantitative Study of Home Health Care in eThekwini Metro

Home health care, as a sub-acute medical service in eThekwini Metro, KwaZulu-Natal, has addressed critical healthcare gaps in South Africa by enhancing access, equity, and quality in resource-constrained settings. This model has responded to the growing burden of chronic diseases, aging populations, and a strained healthcare system. The study sought to evaluate the feasibility, societal acceptance, and sustainability of home health care, offering insights into its transformative potential. The research focused on eThekwini Metro, encompassing urban, peri-urban, and rural populations, reflecting diverse socio economic and infrastructural challenges. A quantitative, descriptive design was employed, with 388 respondents recruited through judgmental and snowball sampling. Data were collected via structured online questionnaires and were analysed using descriptive and inferential statistical techniques, including Chi-square tests, t-tests, and logistic regression. Home health care demonstrated strong public acceptance, with 81.44% support. Economic modelling highlighted cost efficiencies through reduced hospitalisation, although barriers such as workforce shortages and limited digital infrastructure persisted. The study confirmed the potential of home health care to decentralise healthcare delivery and alleviate systemic challenges in eThekwini Metro. Scalability depended on investments in workforce development, digital health infrastructure, and public-private partnerships. Policymakers should prioritise comprehensive policies, community engagement, and innovative funding mechanisms like cost-sharing. Future research should assess long-term impacts and explore technological integrations to enhance equity and efficiency.