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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]