Original Research

Lived experiences of LGBTQI+ persons when accessing primary healthcare facilities in Gauteng, South Africa: An interpretative phenomenological inquiry

George J. Nkabinde-Thamae, Charlene Downing
Curationis | Vol 49, No 1 | a2838 | DOI: https://doi.org/10.4102/curationis.v49i1.2838 | © 2026 George J. Nkabinde-Thamae, Charlene Downing | This work is licensed under CC Attribution 4.0
Submitted: 18 October 2025 | Published: 19 August 2026

About the author(s)

George J. Nkabinde-Thamae, Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
Charlene Downing, Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa

Abstract

Background: Access to dignified healthcare services is regarded as a human right; however, individuals identified as LGBTQI+ persons still appear to be humiliated and uncared for when accessing primary healthcare facilities.
Objectives: This study explored and described the experiences of the LGBTQI+ persons when accessing primary healthcare facilities.
Method: A qualitative interpretative phenomenological analysis was employed. Unstructured individual interviews were conducted with 16 self-identified LGBTQI+ persons from five districts and analysed using inductive thematic analysis.
Results: Three themes were identified: (1) social injustice, (2) professional nurses’ unpreparedness for inclusive care and (3) experiences of affirmative care. Each theme encompassed relevant sub-themes.
Conclusion: The results revealed a lack of humanity and uncaring healthcare services that LGBTQI+ individuals received when accessing primary healthcare facilities in Gauteng, South Africa.
Contribution: These findings advocate for inclusive, respectful, dignified and sensitive healthcare services.


Keywords

LGBTQI+; discrimination; homophobia; healthcare; primary healthcare; inclusivity

Sustainable Development Goal

Goal 3: Good health and well-being

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