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Table 1 Characteristics of the seven stages of the Candidacy Framework

From: Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa

Stages of candidacy

Description of stages

Identification of candidacy

The process by which individuals come to view themselves as legitimate candidates for particular services

Navigation of services

Knowing how to interact with appropriate services in relation to identified candidacy

Permeability of services

Includes the level of explicit, implicit gate-keeping within a service and the complexity of its referral systems referring to the ‘cultural alignment’ between users and services

Appearing at services and asserting candidacy

The actions that individuals must take to assert their candidacy in an interaction with a healthcare professional

Adjudication by professionals

Candidacy, as expressed by service-users, is validated or otherwise by healthcare professionals which influences subsequent service offers

Offers of, resistance to, services

Emphasises that follow-up services may be appropriately or inappropriately offered and that these may or may not be acted upon by service-users

Operating conditions and local production of candidacy

This incorporates factors that influence decisions about subsequent service provision (e.g. the resources available for addressing candidacy) and the kinds of contingent relationships that develop between professionals and service-users over a few encounters

  1. Source: [16]