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. Issue 5 (24th May 2022)

• Record Type: Journal Article
• Authors: Park, Ji-Eun; Kibe, Peter; Yeboah, Godwin; Oyebode, Oyinlola; Harris, Bronwyn; Ajisola, Motunrayo M; Griffiths, Frances; Aujla, Navneet; Gill, Paramjit; Lilford, Richard J; Chen, Yen-Fu
• Other Names: author non-byline.; Bakibinga Pauline author non-byline.; Kabaria Caroline author non-byline.; Kasiira Ziraba author non-byline.; Kibe Peter author non-byline.; Kisia Lyagamula author non-byline.; Kyobutungi Catherine author non-byline.; Mbaya Nelson author non-byline.; Mberu Blessing author non-byline.; Mohammed Shukri author non-byline.; Njeri Anne author non-byline.; Azam Iqbal author non-byline.; Iqbal Romaina author non-byline.; Nazish Ahsana author non-byline.; Rizvi Narjis author non-byline.; Ahmed Syed Shifat author non-byline.; Choudhury Nazratun author non-byline.; Rahman Omar author non-byline.; Yusuf Rita author non-byline.; Odubanjo Doyin author non-byline.; Ayobola Motunrayo author non-byline.; Fayehun Olufunke author non-byline.; Omigbodun Akinyinka author non-byline.; Osuh Mary author non-byline.; Owoaje Eme author non-byline.; Taiwo Olalekan author non-byline.; Lilford Richard author non-byline.; Sartori Jo author non-byline.; Watson Samuel author non-byline.; Diggle Peter author non-byline.; Aujla Navneet author non-byline.; Albuquerque João Porto de author non-byline.; Chen Yen-Fu author non-byline.; Gill Paramjit author non-byline.; Griffiths Frances author non-byline.; Harris Bronwyn author non-byline.; Madan Jason author non-byline.; Oyebode Oyinlola author non-byline.; Park Ji-Eun author non-byline.; Smith Simon author non-byline.; Tregonning Grant author non-byline.; Uthman Olalekan author non-byline.; Wilson Ria author non-byline.; Yeboah Godwin author non-byline.;
• Is Part Of: BMJ open. Volume 12:Issue 5(2022)
• Publication Date: 2022-05-24
• Subjects: health services administration & management -- international health services -- public health; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2021-055415
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : 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 .