Barriers hindering drug users seeking access to substance use disorder treatment in the Limpopo Province, South Africa.

Peter  Thembinkosi Singwane; Remember Samuel Jonnie

doi:10.51168/sjhrafrica.v7i3.2448

Authors

Peter Thembinkosi Singwane Department of Social Work, University of Limpopo, 0727, South Africa
Remember Samuel Jonnie Department of Social Work, University of Limpopo, 0727, South Africa

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2448

Keywords:

Substance abuse, Barriers, Substance Use Disorders, Treatment, South Africa

Abstract

Background

Substance use disorders (SUDs) remain a persistent and complex social challenge in South Africa, with disproportionately severe consequences in rural and semi-rural communities. Despite the availability of treatment services, drug users continue to face significant difficulties accessing appropriate care. This study explores the barriers that prevent drug users from seeking and accessing SUD treatment in Mankweng township, Limpopo Province.

Methodology

Guided by a qualitative research design, data were collected through semi-structured, in-depth interviews with ten drug users actively seeking treatment. Participants were approached and interviewed face to face. A semi-structured interview guide containing open ended questions and probing prompts was used during the data collection process. The data were analysed using thematic analysis, involving systematic transcription, coding, and theme development.

Results

The findings reveal multiple, interrelated barriers that constrain access to treatment, including fear of stigmatisation, limited social and familial support, inadequate information about available treatment services, and the compounding effects of psychological distress, particularly depression and chronic stress. Participants further highlighted the pervasive and debilitating impact of substance use on their social functioning, mental health, and overall quality of life.

Conclusion.

The findings of this study underscore the need for contextually responsive, stigma-reduction interventions, improved dissemination of treatment information, and the integration of psychosocial support within substance use treatment services. Due to a severe financial crisis, numerous households in Mankweng struggle to afford treatment centres for their children. Many expressed willingness to cease drug use, but cannot access treatment centres because no public institutions are available in their area. Addressing these barriers is critical to enhancing treatment accessibility and promoting recovery among drug users in rural South African contexts.

Recommendation.

The study recommends increased community education regarding substance abuse to improve knowledge of drug addiction, empowering drug users with information about accessing SUD treatment resources.

Author Biographies

Peter Thembinkosi Singwane, Department of Social Work, University of Limpopo, 0727, South Africa

Lecture, Department of Social Work, University of Limpopo, South Africa.

Remember Samuel Jonnie, Department of Social Work, University of Limpopo, 0727, South Africa

Master of Social Work student, Department of Social Work, University of Limpopo, South Africa.

References

Alam, M. K. (2021). A systematic qualitative case study: questions, data collection, NVivo analysis and saturation. Qualitative Research in Organizations and Management: An International Journal, 16(1), 1-31.

Asante, K. O., Asiama-Sampong, E., & Appiah, R. (2021). A qualitative exploration of the role of NGOs in the recovery support for persons with substance use disorders in a low-income African setting. Substance Abuse Treatment, Prevention, and Policy, 16(1), 62.

Ayinkamiye, E., & Spencer, J. (2021). An investigation of funding models that influence the sustainability of selected non-profit organisations in Cape Town, South Africa. African Journal of Public Affairs, 12(3), 62-90.

Baloyi, D. E., & Khosa, P. (2025). Voices of social workers on the barriers that women face in accessing substance use treatment services in Limpopo province, South Africa. Journal of Social Development in Africa, 40(1), 86-107.

Birkeland, B., Weimand, B., Ruud, T., Maybery, D., & Vederhus, J. K. (2021). Perceived family cohesion, social support, and quality of life in patients undergoing treatment for substance use disorders compared with patients with mental and physical disorders. Addiction Science & Clinical Practice, 16(1), 44.

Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis?. Qualitative research in psychology, 18(3), 328-352.

Busetto, L., Wick, W., & Gumbinger, C. (2020). How to use and assess qualitative research methods. Neurological Research and practice, 2(1), 14.

Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., ... & Walker, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of research in Nursing, 25(8), 652-661.

Chauke, M. C. (2021). Knowledge and attitudes regarding the effects of substance abuse among high school learners in the Collins Chabane Municipality, Limpopo Province (Doctoral dissertation).

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.

Dopp, A. R., Manuel, J. K., Breslau, J., Lodge, B., Hurley, B., Kase, C., & Osilla, K. C. (2022). Value of family involvement in substance use disorder treatment: Aligning clinical and financing priorities. Journal of Substance Abuse Treatment, 132, 108652.

Earnshaw, V. A. (2020). Stigma and substance use disorders: A clinical, research, and advocacy agenda. American Psychologist, 75(9), 1300.

Farhoudian, A., Razaghi, E., Hooshyari, Z., Noroozi, A., Pilevari, A., Mokri, A., ... & Malekinejad, M. (2022). Barriers and facilitators to substance use disorder treatment: An overview of systematic reviews. Substance abuse: research and treatment, 16, 11782218221118462.

Franz, D., Marsh, H. E., Chen, J. I., & Teo, A. R. (2019). Using Facebook for qualitative research: a brief primer. Journal of medical Internet research, 21(8), e13544.

Gomez, E., Gyger, M., Borene, S., Klein-Cox, A., Denby, R., Hunt, S., & Sida, O. (2023). Using SBIRT (Screen, Brief Intervention, and Referral Treatment) training to reduce the stigmatization of substance use disorders among students and practitioners. Substance Abuse: Research and Treatment, 17, 11782218221146391.

Gormley, M. A. (2020). Identifying and Addressing Barriers to Accessing Treatment for Substance Use Disorders among Opioid-misusing Individuals Following Implementation of the Affordable Care Act.

Guy-Evans, O. (2020). Bronfenbrenner’s ecological systems theory. Simply Psychology, 10518-046.

Heijdra Suasnabar, J. M., & Hipple Walters, B. (2020). Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review. International journal of mental health systems, 14(1), 74.

Kampira, A., & Meyer, J. (2021). A Brief Introduction to Thematic Analysis doi:10.13140/RG.2.2.25899.57128

Kane, E. M., Snethen, J. A., Gwon, S. H., & Oh, H. K. (2023). Affected family members' social support experiences when assisting an individual with a substance use disorder. Journal of Nursing Scholarship, 55(3), 590-598.

Karimunhenga, T. N., & Singwane, T. P. (2025). Perceptions of Social Workers Regarding the Psychosocial Drivers of Gangs and Violence in Cape Town, South Africa. African Journal of Development Studies, 15(3), 99.

Karino, K., Ambikile, J. S., & Iseselo, M. K. (2023). Prevalence of substance use and associated factors among patients with mental illness at Muhimbili National Hospital, Dar es Salaam, Tanzania. medRxiv, 2023-01.

Khan, J. A., Raman, A. M., Sambamoorthy, N., & Prashanth, K. (2023). Research methodology (Methods, approaches, and techniques). San International Scientific Publications.

Koketso, M. F., Calvin, M. J., Lehlokwe, S. I., & Mafa, P. (2019). Perspectives of single mothers on the socio-emotional and economic influence of ' absent fathers' in a child's life: a case study of a rural community in South Africa. e-BANGI Journal, 16(4).

Lindenfeld, Z., Cantor, J. H., & Chang, J. E. (2024). Trends in the availability of comprehensive services within outpatient substance use treatment facilities from 2018 to 2022. The American Journal of Drug and Alcohol Abuse, 50(5), 715-726.

Machethe, P., Obioha, E. E., & Mofokeng, J. T. (2022). Community-based initiatives in preventing and combatting drug abuse in a South African township. International Journal of Research In Business and Social Science. https://doi. org/10.20525/ijrbs. v11i1, 1555.

Makwana, D., Engineer, P., Dabhi, A., & Chudasama, H. (2023). Sampling methods in research: A review. International Journal of Trend in Scientific Research and Development, 7(3), 762-768.

Managa, T. L. (2022). Factors associated with substance use amongst secondary school learners in the Thulamela Municipality of the Limpopo Province. University of Venda (Doctoral dissertation).

Matsebula, C. N., & Singwane, T. P. (2025). Mental Illness amongst Family Members: Perceptions of Family Caregivers at a Selected Hospital in Mpumalanga, South Africa. e-BANGI Journal, 22(2).

Mohamed, I. I., Ahmad, H. E. K., Hassaan, S. H., & Hassan, S. M. (2020). Assessment of anxiety and depression among substance use disorder patients: a case-control study. Middle east current psychiatry, 27(1), 22.

Mpanza, D. M., Govender, P., & Voce, A. (2022). Perspectives of service providers on aftercare service provision for persons with substance use disorders at a Rural District in South Africa. Substance Abuse Treatment, Prevention, and Policy, 17(1), 60.

Muhia, D. (2021). Impact of peer influence on substance abuse among students in public day secondary schools in Thika Sub-County, Kiambu County. Journal of sociology, psychology and religious, 1(1), 1-18.

Muthelo, L., Mbombi, M. O., Mphekgwana, P., Mabila, L. N., Dhau, I., Tlouyamma, J., ... & Maimela, E. (2023). Exploring roles of stakeholders in combating substance abuse in the DIMAMO Surveillance Site, South Africa. Substance abuse: research and treatment, 17, 11782218221147498.

Myers, B., Koch, J. R., Johnson, K., & Harker, N. (2022). Factors associated with patient-reported experiences and outcomes of substance use disorder treatment in Cape Town, South Africa. Addiction Science & Clinical Practice, 17(1), 8.

Navarro, J. L., & Tudge, J. R. (2023). Technologizing Bronfenbrenner: neo-ecological theory. Current Psychology, 42(22), 19338-19354.

Ndou, N., & Khosa, P. (2023). Factors influencing relapse in individuals with substance use disorders: an ecological perspective. Social Work/Maatskaplike Werk, 59(1), 1-23.

Ngene, N. C., Khaliq, O. P., & Moodley, J. (2023). Inequality in health care services in urban and rural settings in South Africa. African Journal of Reproductive Health, 27(5), 87-95.

Nord-Baade, S., Ness, O., Jensen, C. B., Rowe, M., Opheim, E., & Landheim, A. (2024). Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review. PLoS One, 19(12), e0315758.

Nyashanu, T., & Visser, M. (2022). Treatment barriers among young adults living with a substance use disorder in Tshwane, South Africa. Substance abuse treatment, prevention, and policy, 17(1), 75.

Oguizu, O. J., Ifeagwazi, C. M., & Chukwuorji, J. C. (2019). Personality traits as predictors of readiness to change among treatment-seeking substance use disorder patients in Northern Nigeria. Nigerian Journal of Psychological Research, 15(1).

Rakhshani, T., Kamranpoor, S., Kamyab, A., Yari, A., & Khani Jeihooni, A. (2025). The effect of an educational intervention in prevention of drug abuse in students. International Journal of Adolescence and Youth, 30(1), 2442026.

Ratshisusu, L., Simani, O. E., Blackard, J. T., & Selabe, S. G. (2024). The Impact of Drugs and Substance Abuse on Viral Pathogenesis-A South African Perspective. Viruses, 16(6), 971.

Schamp, J., Simonis, S., Roets, G., Van Havere, T., Gremeaux, L., & Vanderplasschen, W. (2021). Women’s views on barriers and facilitators for seeking alcohol and drug treatment in Belgium. Nordic Studies on Alcohol and Drugs, 38(2), 175-189.

Shahid, A., & Asmat, A. (2023). Stigmatisation and perceived social support as predictor of treatment of substance use disorder (SUD): A systematic review. JPMA. The Journal of the Pakistan Medical Association, 73(4), 848-852.

Sibisi, N., & Makka, A. (2022). Financial challenges experienced by South African non-profit organisations regarding CSR implementation. Social Responsibility Journal, 18(6), 1089-1105.

Singwane, T. P., & Ramoshaba, D. J. (2024). Exploring Crystal Methamphetamine Use Among School-Going Learners: A Qualitative Case Study in South African Schools. e-BANGI Journal, 21(4).

Tomaszewski, L. E., Zarestky, J., & Gonzalez, E. (2020). Planning qualitative research: Design and decision making for new researchers. International journal of qualitative methods, 19, 1609406920967174.

Wogen, J., & Restrepo, M. T. (2020). Human rights, stigma, and substance use. Health and human rights, 22(1), 51.

Woods, C., Kim, B., Guo, K., Nyguen, T., Taplayan, S., & Aronowitz, T. (2022). Factors that influence substance use among American Indian/Alaskan Native Youth: A systematic mixed studies review. Journal of the American Psychiatric Nurses Association, 28(1), 37-57.

Yang, E., & Sanborn, B. (2021). Ecological systems theory. In A handbook of theories on designing alignment between people and the office environment (pp. 101-114). Routledge.