Abstract
The success of strategies to revitalize primary health care services such as those advocated by the Bamako Initiative requires a response adapted to the expectations of the populations, especially in terms of quality. The goal of this study was to investigate community perceptions of availability, accessibility, acceptability and affordability of biomedical health care services in a rural area of the Northern Province in South Africa.
 
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Highlights
Medical facilities in the Northeln Province are inadequate considering the size of tlie population
A number of other factors like subjective evaluation ofpersonal health and not being member of a medical scheme, but not illness attributes influenced their attitude towards health services
The success of strategies to revitalise primary health care services such as those advocated by the Bamako Initiative rests largely on their ability to meet the expectations of population, especially in ternls of quality
Summary
Medical facilities in the Northeln Province are inadequate considering the size of tlie population. The national average is 5.1 beds, and 6.5 beds per 1000 people in Gauteng. The national average is 0.6 doctors per 1000 people. Another important determinant of health status is the availability of health facilities. This includes accessibility and quality of service. Health facilities are more readily available in urban areas. These facilities have a strong curative bias, and inany are situated too far from wliere the poor people live.
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