scholarly journals Reimagining measures of spatial access to health care in lowand middle-income countries: using road network analysis to validate self-reported perceptions of geospatial barriers

2021 ◽  
Vol 3 ◽  
pp. 1-1
Author(s):  
Lois Park ◽  
Amber Birdwell ◽  
Yao-Yi Chiang
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Access To Health Care ◽  
Road Network ◽  
Spatial Access ◽  
Middle Income ◽  
Middle Income Countries ◽  
Access To Health

scholarly journals Evidence on access to health care information by women of reproductive age in Low-and-Middle-Income Countries: Scoping Review

2020 ◽  
Author(s):  
Joyce Twahafifwa Shatilwe ◽  
Desmond Kuupiel ◽  
Tivani P. Mashamba-Thompson
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Reproductive Age ◽  
Health Care Information ◽  
Women Of Reproductive Age ◽  
Healthcare Information ◽  
Middle Income ◽  
Middle Income Countries ◽  
Access To Health ◽  
Care Information

Abstract Background Majority of women of reproductive age in Low and Middle Income Countries (LMICs) are not able to access health services due to different factors. The main objective of this scoping review is to map the literature on access to healthcare information by women of reproductive age in LMICs. Methods The literature search was conducted through the following databases: Scholar, Science Direct, PubMed, EBSCOhost (Academic search complete, CINAHL with full text, MEDLINE with full text, MEDLINE, and PsycINFO), Emerald, Embase, published and peer reviewed journals, organizational projects, reference list, grey literature as well as reports related to this objective were included in the study. Studies reporting evidence on interventions aimed at enabling access to health care information in LMICs published during the period 2004 to until recent, were eligible for inclusion. Identified key words were used to search articles from the databases. Following title screening, two reviewers independently reviewed the abstracts and full articles. Inclusion and exclusion criteria was considered to guide the screening. Results A total of 451 900 articles were identified from all the databases searched. Of these, four articles meet inclusion criteria after full article screening and were included for data extraction. The included articles were conducted in the following countries: Eastern Uganda, Gauteng, South Africa, Myanmar and Nepal. The themes that emerged from our study are as follows: accessibility, financial accessibility/affordability, connectivity and challenges. This study demonstrated that, there are minimal interventions that enable women of reproductive age to access healthcare information in terms of accessibility, financial accessibility and connectivity. The study further revealed that with the minimal strategies tried, such as telemedicine and text messages, a large population of women could be reached and this strategies are less cost. Conclusion The findings of the study revealed poor access and utilization of maternal healthcare information by women of reproductive age. We therefore recommend primary studies in other LMICs to determine the accessibility, financial accessibility, connectivity and challenges faced by women of reproductive age in LMICs to reduce maternal and neonatal mortality rate and to achieve the Sustainable Development Goal 3.

Access as a policy-relevant concept in low- and middle-income countries

2009 ◽  
Vol 4 (2) ◽  
pp. 179-193 ◽  
Author(s):  
DI MCINTYRE ◽  
MICHAEL THIEDE ◽  
STEPHEN BIRCH
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Comprehensive Evaluation ◽  
Health Care Systems ◽  
Three Dimensions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Access To Health ◽  
Care Systems

Abstract:Although access to health care is frequently identified as a goal for health care policy, the precise meaning of access to health care often remains unclear. We present a conceptual framework that defines access to health care as theempowermentof an individual to use health care and as a multidimensional concept based on the interaction (or degree of fit) between health care systems and individuals, households, and communities. Three dimensions of access are identified: availability, affordability, and acceptability, through which access can be evaluated directly instead of focusing on utilisation of care as a proxy for access. We present the case for the comprehensive evaluation of health care systems as well as the dimensions of access, and the factors underlying each dimension. Such systemic analyses can inform policy-makers about the ‘fit’ between needs for health care and receipt of care, and provide the basis for developing policies that promote improvements in the empowerment to use care.

scholarly journals Medical Education and Training: Building In-Country Capacity at All Levels

2016 ◽  
Vol 34 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Fredrick Chite Asirwa ◽  
Anne Greist ◽  
Naftali Busakhala ◽  
Barry Rosen ◽  
Patrick J. Loehrer
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
National Level ◽  
Cancer Control ◽  
Tertiary Hospital ◽  
Middle Income ◽  
Middle Income Countries ◽  
High Resource ◽  
Medical Education And Training ◽  
Representative Model

Poorly trained workers and limited workforce capacity contribute immensely to barriers in cancer control in low- and middle-income countries (LMICs). Because of an increasing disease burden and the gap in trained personnel, it is critical that LMICs must develop appropriate in-country training programs at all levels to adequately address their cancer-related outcomes. The training in LMICs of cancer health personnel should address priority cancer diseases in the specific country by developing caregivers, trainers, researchers, and administrators at all levels of health care and all cadres of staff, from the community level to the national level. The Academic Model of Providing Access to Health care is a representative model of how a public tertiary hospital like the Moi Teaching and Referral Hospital in an LMIC setting can leverage its resources, collaborate with partners from high-resource countries, and assist in the development of a training center to spearhead a sustainable education program.

Gender perspectives in migration

2021 ◽  
pp. 55-62
Author(s):  
Rangaswamy Thara ◽  
Aarthi Raman
Keyword(s):  
Mental Health ◽  
Access To Health Care ◽  
Mental Health Problems ◽  
Women Refugees ◽  
Social Significance ◽  
Middle Income ◽  
Middle Income Countries ◽  
Access To Health ◽  
Gender Perspectives

There is critical and compelling evidence to suggest that whatever form migration takes place, it is accompanied by differing levels of stress, which may fall disproportionately on women. This considerable stress may well lead to mental health problems, even though migrants may be more resilient. This chapter reviews work on gender perspectives in mental health aspects of migration. Although of great clinical and social significance, this aspect has not been well researched, especially in low- and middle-income countries. While both genders are susceptible to psychological problems, women seem to have higher rates of depression and anxiety. Young women refugees are often sexually exploited and abused. This is particularly marked in the antenatal and postnatal periods, more so if access to health care is problematic. The country of origin of the migrants, their literacy and socio-economic levels, family cohesiveness, and quality of social support need to be considered when planning interventions for this group.

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