The influence of corruption and governance in the delivery of frontline health care services in the public sector: a scoping review of current and future prospects in low and middle-income countries of south and south-east Asia

The spread of the Covid-19 brought global institutions, societies, states and economies in a critical position as they encounter a new worldwide multilevel crisis. At the same time, states have had to handle this crisis acquiring an interventionist role, protecting the social and economic cohesion, providing better health care services for their citizens and investing in scientific research, as a means to restrict this new pandemic. In order to handle that situation and its consequences, the use of all the available resources became necessary as well as the improvement of the cooperation between the private and the public sector. In Greece private sector has shown an unprecedented willingness for Greece’s CSR tradition, to contribute government’s efforts.

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Estimating resource needs for HIV/AIDS health care services in low-income and middle-income countries

Health Policy ◽

10.1016/j.healthpol.2003.12.010 ◽

2004 ◽

Vol 69 (2) ◽

pp. 189-200 ◽

Cited By ~ 23

Author(s):

Stefano Bertozzi ◽

Juan-Pablo Gutierrez ◽

Marjorie Opuni ◽

Neff Walker ◽

Bernhard Schwartländer

Keyword(s):

Health Care ◽

Low Income ◽

Health Care Services ◽

Middle Income ◽

Middle Income Countries ◽

Care Services ◽

Resource Needs ◽

Hiv Aids

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The ethical imperative to scale up health care services for people with severe mental disorders in low and middle income countries

Postgraduate Medical Journal ◽

10.1136/pgmj.2009.081596 ◽

2009 ◽

Vol 85 (1008) ◽

pp. 509-513 ◽

Cited By ~ 11

Author(s):

V Patel ◽

S Bloch

Keyword(s):

Health Care ◽

Mental Disorders ◽

Health Care Services ◽

Scale Up ◽

Severe Mental Disorders ◽

Middle Income ◽

Ethical Imperative ◽

Middle Income Countries ◽

Care Services ◽

Low And Middle Income

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Does Disability Increase Households’ Health Financial Risk: Evidence From The Uganda Demographic and Health Survey

10.21203/rs.3.rs-800939/v1 ◽

2021 ◽

Author(s):

Wilfried GUETS ◽

Deepak Kumar Kumar Behera

Keyword(s):

Health Care ◽

Public Sector ◽

Health Survey ◽

Health Expenditure ◽

Health Care Services ◽

Financial Risk ◽

Demographic And Health Survey ◽

The Public ◽

Care Services ◽

Low Middle Income Countries

Abstract Background: In the last few years, there has been a worldwide commitment to protect the vulnerable individuals from higher financial risk through out-of-pocket (OOP) health expenditure and provide a platform for universal access to healthcare through a pre-payment insurance mechanism. In a developing country like Uganda, OOP spending represents a significant component of health expenditure. Financial risk protection strategy for the vulnerable is always a debatable issue in these economies. Therefore, this study examines the influence of disability and socio-demographic factors on households’ health financial risks in Uganda.Methods: We used cross-sectional, nationally representative data from the Uganda Demographic and Health Survey (UDHS) collected in 2016 by the Uganda Bureau of Statistics (UBOS) in Uganda. We measured Financial risk (households’ health expenditure) by money paid for health care services. We estimated the “probit” model to investigate the effect of disability on health financial risk.Results: A total of 19,305 households were included in this study. Almost 33% of households paid money for health care services access, among which 32% paid through out-of-pocket. Almost 41% of household heads were affected by disability. The majority (73%) of families went to the public sector for health care services. The mean age was 45 years (SD±15). We find that disability significantly increases the probability of household financial risk (p < 0.01). The private sector’s choice for health care services is likely to increase the financial risk compared to the public sector (p < 0.01). The wealthier the household was, the more money paid for health service was (p < 0.01).Conclusion: Our results indicated that disability and household socio-demographic characteristics were associated with health financial risk in Uganda. Identifying families with disability and experiencing difficult living conditions constitute an entry point for health authorities to enhance health coverage progress in low – middle-income countries.JEL Classification: J14; I14; J1; I32; J71; C83

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Does disability increase households’ health financial risk: evidence from the Uganda demographic and health survey

Global Health Research and Policy ◽

10.1186/s41256-021-00235-x ◽

2022 ◽

Vol 7 (1) ◽

Author(s):

Wilfried Guets ◽

Deepak Kumar Behera

Keyword(s):

Health Care ◽

Public Sector ◽

Health Survey ◽

Health Expenditure ◽

Health Care Services ◽

Financial Risk ◽

Demographic And Health Survey ◽

Health Coverage ◽

The Public ◽

Care Services

Abstract Background In the last few years, there has been a worldwide commitment to protect the vulnerable individuals from higher financial risk through out-of-pocket (OOP) health expenditure. This study examines the influence of disability and socio-demographic factors on households’ health financial risks in Uganda. Methods We used nationally representative cross-sectional data from the Uganda Demographic and Health Survey (UDHS) collected in 2016 by the Uganda Bureau of Statistics (UBOS) in Uganda. We measured financial risk (households’ health expenditure) by money paid for health care services. We estimated the “probit” model to investigate the effect of disability on health financial risk. Results A total of 19,305 households were included in this study. Almost 32% of households paid money for health care services access, among which 32% paid through out-of-pocket. Almost 41% of household heads were affected by disability. The majority (73%) of families went to the public sector for health care services. The mean age was 45 years (SD ± 15). We find that disability is significantly associated with the household financial risk (p < 0.01). The private sector’s choice for health care services is likely to positively affect the financial risk compared to the public sector (p < 0.01). The wealthier the household was, the more money paid for health service was (p < 0.01). Conclusion Our results indicated that disability and household socio-demographic characteristics were associated with health financial risk in Uganda. Identifying families with disability and experiencing difficult living conditions constitute an entry point for health authorities to enhance health coverage progress in low and middle-income countries.

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Integration of Primary Health-Care Services in Women’s Shelters: A Scoping Review

Trauma Violence & Abuse ◽

10.1177/1524838018781105 ◽

2018 ◽

Vol 21 (3) ◽

pp. 610-623 ◽

Cited By ~ 2

Author(s):

Tara Mantler ◽

Kimberley T. Jackson ◽

Edmund J. Walsh

Keyword(s):

Health Care ◽

Primary Health Care ◽

Scoping Review ◽

Health Care Services ◽

Health Consequences ◽

Women's Shelters ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services ◽

Women’S Shelters

Women who have experienced intimate partner violence (IPV) have significant detrimental physical and mental health consequences associated with the violence as well as numerous barriers to health-care and social service utilization. Service integration offers a solution to help support women who have experienced violence overcome negative health consequences as well as barriers to system navigation and use. The purpose of this scoping review was to examine research activity pertaining to IPV and primary health-care and women’s shelters integration. Namely, the aim was to determine the extent, range, and nature of research related to the effects of integrating primary health-care services and women’s shelters. Nineteen sources were identified as potentially relevant from four electronic databases, with four articles meeting the inclusion criteria of integration of primary health-care and women’s shelter services where outcomes were presented related to the efficacy of primary health-care received and integration. Numerical analysis revealed considerable homogeneity among articles in terms of methodological approaches, patient populations, and type of integration. Inductive thematic content analysis revealed three themes that resulted from integration: (1) increased access to and acceptability of services, (2) bridge back to health-care, and (3) decreasing future health-care burden. The findings from this scoping review represent a first attempt to summarize the literature, indicate a need for additional research, and suggest implications for practice.

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Video Relay Interpreting and Overcoming Barriers in Health Care for Deaf Users: A Scoping Review (Preprint)

10.2196/preprints.32439 ◽

2021 ◽

Author(s):

Minerva Rivas Velarde ◽

Caroline Jagoe ◽

Jess Cuculick

Keyword(s):

Health Care ◽

Sign Language ◽

Scoping Review ◽

Secondary Analysis ◽

Healthcare Services ◽

Eligibility Criteria ◽

Middle Income ◽

Middle Income Countries ◽

Healthcare Settings ◽

Study Selection

UNSTRUCTURED Abstract Objectives To identify existing evidence regarding the use of Video Remote Interpretation (VRI) in healthcare settings. To assess if VRI technology can enable deaf-users to overcome interpretation barriers and improve communication outcomes between them and health care personnel. Design Scoping review. Data sources Seven medical research databases (Medline, Web of Science, Embase, Google Scholar) from 2006 and bibliographies and citations of relevant papers. Searches included articles in English, Spanish and French. Eligibility criteria for study selection Original articles about the use of VRI for Deaf or Hard of Hearing sign language users (DHH) for, or within, healthcare. Results From the original 176 articles identified, 120 were eliminated after reading the article title and abstract, and 41 articles were excluded after they were fully read. Fifteen articles were selected for inclusion. Four were literature reviews; four were surveys, three qualitative studies; and one mixed-methods study that combined qualitative and quantitative data, one brief communication, one quality improvement report and one secondary analysis. This scoping review identified a knowledge gap regarding the quality of interpretation and training of sign language interpretation for healthcare. It also shows that this area is under researched and evidence is scant. All evidence was from high-income countries which is particularly problematic given that the majority of DHH persons live in low- and middle-income countries. Conclusions Furthering our understanding on the use of VRI technology is pertinent and relevant. Available literature shows that VRI may enable deaf-users to overcome interpretation barriers and can potentially improve communication outcomes between them and health personnel within healthcare services. For VRI to be acceptable, sign language users require a VRI system supported by devices with large screen and a reliable internet connection, as well as qualified interpreters trained on medical interpretation.

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