Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature
Objective To identify factors associated with accessing and utilisation of healthcare and provision of health services in slums.Design A scoping review incorporating a conceptual framework for configuring reported factors.Data sources MEDLINE, Embase, CINAHL, Web of Science and the Cochrane Library...
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BMJ Publishing Group
2022-05-01
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| author | Frances Griffiths Oyinlola Oyebode Paramjit Gill Romaina Iqbal Rita Yusuf Richard Lilford Catherine Kyobutungi Jo Sartori Richard J Lilford Simon Smith Yen-Fu Chen Navneet Aujla Peter Diggle Iqbal Azam Omar Rahman Jason Madan Caroline Kabaria Blessing Mberu Bronwyn Harris Pauline Bakibinga Olufunke Fayehun Peter Kibe Akinyinka Omigbodun Narjis Rizvi Ria Wilson Godwin Yeboah Lyagamula Kisia Ahsana Nazish Eme Owoaje Grant Tregonning Olalekan Uthman Samuel Watson Ziraba Kasiira Nelson Mbaya Shukri Mohammed Anne Njeri Syed Shifat Ahmed Nazratun Choudhury Doyin Odubanjo Motunrayo Ayobola Mary Osuh Olalekan Taiwo João Porto de Albuquerque Ji-Eun Park Motunrayo M Ajisola |
| author_facet | Frances Griffiths Oyinlola Oyebode Paramjit Gill Romaina Iqbal Rita Yusuf Richard Lilford Catherine Kyobutungi Jo Sartori Richard J Lilford Simon Smith Yen-Fu Chen Navneet Aujla Peter Diggle Iqbal Azam Omar Rahman Jason Madan Caroline Kabaria Blessing Mberu Bronwyn Harris Pauline Bakibinga Olufunke Fayehun Peter Kibe Akinyinka Omigbodun Narjis Rizvi Ria Wilson Godwin Yeboah Lyagamula Kisia Ahsana Nazish Eme Owoaje Grant Tregonning Olalekan Uthman Samuel Watson Ziraba Kasiira Nelson Mbaya Shukri Mohammed Anne Njeri Syed Shifat Ahmed Nazratun Choudhury Doyin Odubanjo Motunrayo Ayobola Mary Osuh Olalekan Taiwo João Porto de Albuquerque Ji-Eun Park Motunrayo M Ajisola |
| author_sort | Frances Griffiths |
| collection | DOAJ |
| description | Objective To identify factors associated with accessing and utilisation of healthcare and provision of health services in slums.Design A scoping review incorporating a conceptual framework for configuring reported factors.Data sources MEDLINE, Embase, CINAHL, Web of Science and the Cochrane Library were searched from their inception to December 2021 using slum-related terms.Eligibility criteria Empirical studies of all designs reporting relevant factors in slums in low and middle-income countries.Data extraction and synthesis Studies were categorised and data were charted according to a preliminary conceptual framework refined by emerging findings. Results were tabulated and narratively summarised.Results Of the 15 469 records retrieved from all years, 4368 records dated between 2016 and 2021 were screened by two independent reviewers and 111 studies were included. The majority (63 studies, 57%) were conducted in Asia, predominantly in India. In total, 104 studies examined healthcare access and utilisation from slum residents’ perspective while only 10 studies explored provision of health services from providers/planners’ perspective (three studies included both). A multitude of factors are associated with accessing, using and providing healthcare in slums, including recent migration to slums; knowledge, perception and past experience of illness, healthcare needs and health services; financial constraint and competing priorities between health and making a living; lacking social support; unfavourable physical environment and locality; sociocultural expectations and stigma; lack of official recognition; and existing problems in the health system.Conclusion The scoping review identified a significant body of recent literature reporting factors associated with accessing, utilisation and provision of healthcare services in slums. We classified the diverse factors under seven broad categories. The findings can inform a holistic approach to improving health services in slums by tackling barriers at different levels, taking into account local context and geospatial features of individual slums.Systematic review registration number https://osf.io/694t2. |
| format | Article |
| id | doaj-art-dba8f07afac749e3abd21db2d9617e6c |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-dba8f07afac749e3abd21db2d9617e6c2025-08-20T01:47:50ZengBMJ Publishing GroupBMJ Open2044-60552022-05-0112510.1136/bmjopen-2021-055415Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literatureFrances Griffiths0Oyinlola Oyebode1Paramjit Gill2Romaina Iqbal3Rita YusufRichard Lilford4Catherine KyobutungiJo Sartori5Richard J Lilford6Simon Smith7Yen-Fu Chen8Navneet Aujla9Peter Diggle10Iqbal Azam11Omar RahmanJason Madan12Caroline KabariaBlessing Mberu13Bronwyn Harris14Pauline BakibingaOlufunke FayehunPeter Kibe15Akinyinka OmigbodunNarjis RizviRia WilsonGodwin Yeboah16Lyagamula Kisia17Ahsana NazishEme OwoajeGrant TregonningOlalekan UthmanSamuel Watson18Ziraba KasiiraNelson MbayaShukri MohammedAnne NjeriSyed Shifat AhmedNazratun ChoudhuryDoyin OdubanjoMotunrayo AyobolaMary OsuhOlalekan TaiwoJoão Porto de AlbuquerqueJi-Eun Park19Motunrayo M Ajisola20Doctors in Distress3 Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK1 Warwick Medical School, University of Warwick, Coventry, UKDepartment of Community Health Sciences, The Aga Khan University, Karachi, Sindh, PakistanInstitute of Applied Health Research, University of Birmingham, Birmingham, UKInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UKprofessorThe University of Queensland Institute for Social Science Research, Indooroopilly, Queensland, Australia3 Warwick Evidence, Warwick Medical School, University of Warwick, Coventry, UK1 Warwick Medical School, University of Warwick, Coventry, UKCentre for Health Informatics, Computing and Statistics, Lancaster University, Lancaster, UK5 Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan2 Warwick Medical School, University of Warwick, Coventry, UKPopulation Dynamics and Urbanization, African Population and Health Research Center, Nairobi, Kenya1 Warwick Medical School, University of Warwick, Coventry, UK1 Chronic Disease Management Unit, African Population and Health Research Center, Nairobi, Kenya4 Information and Digital Group, University of Warwick, Coventry, UK1 African Population and Health Research Center, Nairobi, KenyaSchool of Cardiovascular and Metabolic Medicine & Sciences, King`s College London Faculty of Life Sciences and Medicine, London, UK2 KM Data Division, Korea Institute of Oriental Medicine, Daejeon, South Korea5 Sociology, University of Ibadan, Ibadan, NigeriaObjective To identify factors associated with accessing and utilisation of healthcare and provision of health services in slums.Design A scoping review incorporating a conceptual framework for configuring reported factors.Data sources MEDLINE, Embase, CINAHL, Web of Science and the Cochrane Library were searched from their inception to December 2021 using slum-related terms.Eligibility criteria Empirical studies of all designs reporting relevant factors in slums in low and middle-income countries.Data extraction and synthesis Studies were categorised and data were charted according to a preliminary conceptual framework refined by emerging findings. Results were tabulated and narratively summarised.Results Of the 15 469 records retrieved from all years, 4368 records dated between 2016 and 2021 were screened by two independent reviewers and 111 studies were included. The majority (63 studies, 57%) were conducted in Asia, predominantly in India. In total, 104 studies examined healthcare access and utilisation from slum residents’ perspective while only 10 studies explored provision of health services from providers/planners’ perspective (three studies included both). A multitude of factors are associated with accessing, using and providing healthcare in slums, including recent migration to slums; knowledge, perception and past experience of illness, healthcare needs and health services; financial constraint and competing priorities between health and making a living; lacking social support; unfavourable physical environment and locality; sociocultural expectations and stigma; lack of official recognition; and existing problems in the health system.Conclusion The scoping review identified a significant body of recent literature reporting factors associated with accessing, utilisation and provision of healthcare services in slums. We classified the diverse factors under seven broad categories. The findings can inform a holistic approach to improving health services in slums by tackling barriers at different levels, taking into account local context and geospatial features of individual slums.Systematic review registration number https://osf.io/694t2.https://bmjopen.bmj.com/content/12/5/e055415.full |
| spellingShingle | Frances Griffiths Oyinlola Oyebode Paramjit Gill Romaina Iqbal Rita Yusuf Richard Lilford Catherine Kyobutungi Jo Sartori Richard J Lilford Simon Smith Yen-Fu Chen Navneet Aujla Peter Diggle Iqbal Azam Omar Rahman Jason Madan Caroline Kabaria Blessing Mberu Bronwyn Harris Pauline Bakibinga Olufunke Fayehun Peter Kibe Akinyinka Omigbodun Narjis Rizvi Ria Wilson Godwin Yeboah Lyagamula Kisia Ahsana Nazish Eme Owoaje Grant Tregonning Olalekan Uthman Samuel Watson Ziraba Kasiira Nelson Mbaya Shukri Mohammed Anne Njeri Syed Shifat Ahmed Nazratun Choudhury Doyin Odubanjo Motunrayo Ayobola Mary Osuh Olalekan Taiwo João Porto de Albuquerque Ji-Eun Park Motunrayo M Ajisola Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature BMJ Open |
| title | Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature |
| title_full | Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature |
| title_fullStr | Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature |
| title_full_unstemmed | Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature |
| title_short | Factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle-income countries: a scoping review of recent literature |
| title_sort | factors associated with accessing and utilisation of healthcare and provision of health services for residents of slums in low and middle income countries a scoping review of recent literature |
| url | https://bmjopen.bmj.com/content/12/5/e055415.full |
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