Systematic review of strategies to increase access to health services among children over five in low- and middle-income countries

Tropical Medicine & International Health : TM & IH
Tess BrightSarah Polack

Abstract

The populations of many low- and middle-income countries (LMIC) are young. Despite progress made towards achieving Universal Health Coverage and remarkable health gains, evidence suggests that many children in LMIC are still not accessing needed healthcare services. Delayed or lack of access to health services can lead to a worsening of health and can in turn negatively impact a child's ability to attend school, and future employment opportunities. We conducted a systematic review to assess the effectiveness of interventions aimed at increasing access to health services for children over 5 years in LMIC settings. Four electronic databases were searched in March 2017. Studies were included if they evaluated interventions that aimed to increase: healthcare utilisation, immunisation uptake and compliance with medication/referral. Randomised controlled trials and non-randomised study designs were included in the review. Data extraction included study characteristics, intervention type and measures of access to health services for children above 5 years of age. Study outcomes were classified as positive, negative, mixed or null in terms of their impact on access outcomes. Ten studies met the criteria for inclusion in the review. Int...Continue Reading

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Citations

Aug 31, 2019·International Journal of Environmental Research and Public Health·Antonia BaumTess Bright
Apr 15, 2020·Sexual and Reproductive Health Matters·Cecilia EspinozaKathryn Andersen
Dec 20, 2018·International Journal of Environmental Research and Public Health·Jane WilburSarah Polack
Sep 12, 2018·International Journal of Environmental Research and Public Health·Tess Bright, Hannah Kuper
Mar 22, 2019·International Journal of Environmental Research and Public Health·Tiago S JesusHelen Hoenig

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