Barriers and facilitators to implementation of essential health benefits package within primary health care settings in low‐income and middle‐income countries: A systematic review

2018 ◽  
Vol 34 (1) ◽  
pp. 15-41 ◽  
Author(s):  
Fadi El‐Jardali ◽  
Racha Fadlallah ◽  
Aref Daouk ◽  
Rana Rizk ◽  
Nour Hemadi ◽  
...  
2019 ◽  
Vol 13 (2) ◽  
pp. 144-153 ◽  
Author(s):  
Lucas N.C. Pelegrini ◽  
Gabriela M.P. Mota ◽  
Caio F. Ramos ◽  
Edson Jesus ◽  
Francisco A.C. Vale

ABSTRACT. Dementia is a public health issue making the screening and diagnosing of dementia and its prodromal phases in all health settings imperative. Objective: using PRISMA, this systematic review aimed to identify how low-, middle-, and high-income countries establish dementia and cognitive dysfunction diagnoses in primary health care. Methods: studies from the past five years in English, Spanish, and Portuguese were retrieved from Scopus, PubMed, Embase, Lilacs, Scielo, and Web of Science. Of 1987 articles, 33 were selected for analysis. Results: only three articles were from middle-income countries and there were no studies from low-income countries. The most used instrument was the Mini-Mental State Examination (MMSE). Mild Cognitive Impairment (MCI) and dementia criteria were based on experts’ recommendation as well as on the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD-10), respectively. Conclusion: differences between these criteria among high- and middle-income countries were observed.


2019 ◽  
Vol 7 (11) ◽  
pp. e1500-e1510 ◽  
Author(s):  
Karin Stenberg ◽  
Odd Hanssen ◽  
Melanie Bertram ◽  
Callum Brindley ◽  
Andreia Meshreky ◽  
...  

2015 ◽  
Vol 76 ◽  
pp. S16-S21 ◽  
Author(s):  
Margalida Gili ◽  
Caterine Vicens ◽  
Miquel Roca ◽  
Phil Andersen ◽  
Dean McMillan

2020 ◽  
Vol 35 (8) ◽  
pp. 1070-1083
Author(s):  
Jae Kyoun Kim ◽  
Kyeong Han Kim ◽  
Yong Cheol Shin ◽  
Bo-Hyoung Jang ◽  
Seong-Gyu Ko

Abstract This paper reports the findings from the first systematic review of the utilization of traditional medicine (TM) in primary health care (PHC) in low- and middle-income countries (LMICs). PHC is an important component of health care and essential for achieving universal health coverage (UHC). For countries where there is a gap in PHC, TM plays a vital role. It is widely used and has the potential to increase the coverage of PHC and UHC. Hence in situations where TM is recognized in a considerable magnitude, there are scarce evidence and minimal regulation on it and TM practitioners (TMPs). This study aims to identify the current situation in the utilization of TM in PHC or UHC in LMICs. A systematic review and thematic synthesis of qualitative and quantitative studies have been conducted. A total of 56 articles met the criteria and were included in the review. In all, 14 analytic themes have been developed including the current use of TM in PHC, higher accessibility of TM, medical pluralism, national health system, national health policy and national health insurance to include TM, including TMPs in the referral system, utilizing TMPs as community health workers, the needs of scientific research on TM and the need for training both TMPs and conventional medical staffs for better collaboration. The study concluded that it is necessary to further focus on TM in the macro level on strengthening the referral system by including TM to establish a comprehensive service delivery network under UHC and in the micro level to focus on training the TMPs and conventional medicine health workers on both areas to attain more in-depth understanding of each other, which can lead to better collaboration and quality patient care.


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