scholarly journals Barriers and Enablers to Pulmonary Rehabilitation in Low- and Middle-Income Countries: A Qualitative Study of Healthcare Professionals

2022 ◽  
Vol Volume 17 ◽  
pp. 141-153
Author(s):  
Fanuel Meckson Bickton ◽  
Harriet Shannon
Keyword(s):  
Qualitative Study ◽  
Pulmonary Rehabilitation ◽  
Healthcare Professionals ◽  
Middle Income ◽  
Middle Income Countries ◽  
Barriers And Enablers ◽  
Low And Middle Income

scholarly journals Barriers and enablers to pulmonary rehabilitation in low- and middle-income countries: a qualitative study of healthcare professionals

2021 ◽  
Author(s):  
Fanuel Bickton ◽  
Harriet Shannon
Keyword(s):  
Qualitative Study ◽  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Healthcare Professionals ◽  
Successful Implementation ◽  
Middle Income ◽  
Chronic Respiratory Diseases ◽  
Middle Income Countries ◽  
Barriers And Enablers ◽  
Low And Middle Income

Abstract Low- and middle-income countries bear a disproportionately high burden of global morbidity and mortality caused by chronic respiratory diseases. Pulmonary rehabilitation is recommended as a core intervention in the management of people with chronic respiratory diseases. However, the intervention remains poorly accessed/utilised globally, especially in low- and middle-income countries. This qualitative study explored barriers and enablers to pulmonary rehabilitation in low- and middle-income countries from the perspective of healthcare professionals with pulmonary rehabilitation experience in these settings. Online-based semi-structured in-depth interviews with healthcare professionals were undertaken to data saturation, exploring lived barriers and enablers to pulmonary rehabilitation in their low- or middle-income country. Anonymised Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis. A total of seven healthcare professionals from seven low- and middle-income countries representing Africa, Asia, and South America, were interviewed. They included five physiotherapists (four females), one family physician (male), and one pulmonologist (female). Themes for barriers to pulmonary rehabilitation included limited resources, low awareness, Coronavirus Disease 2019, and patient access-related costs. Themes for enablers included local adaptation, motivated patients, Coronavirus Disease 2019 (which spanned both enablers and barriers), better awareness/recognition, provision of PR training, and resource support. Successful implementation of these enablers will require engagement with multiple stakeholders. The findings of this study are a necessary step towards developing strategies that can overcome the existing pulmonary rehabilitation evidence-practice gap in low- and middle-income countries and alleviating the burden of chronic respiratory diseases in these countries.

scholarly journals How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study

2019 ◽  
Vol 34 (Supplement_3) ◽  
pp. iii4-iii19 ◽  
Author(s):  
Isidore Sieleunou ◽  
Anne-Marie Turcotte-Tremblay ◽  
Manuela De Allegri ◽  
Jean-Claude Taptué Fotso ◽  
Habakkuk Azinyui Yumo ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Healthcare Providers ◽  
Study Data ◽  
Essential Medicines ◽  
Middle Income ◽  
Middle Income Countries ◽  
Performance Based Financing ◽  
Low And Middle Income

Abstract Performance-based financing (PBF) is being implemented across low- and middle-income countries to improve the availability and quality of health services, including medicines. Although a few studies have examined the effects of PBF on the availability of essential medicines (EMs) in low- and middle-income countries, there is limited knowledge of the mechanisms underlying these effects. Our research aimed to explore how PBF in Cameroon influenced the availability of EMs, and to understand the pathways leading to the experiential dimension related with the observed changes. The design was an exploratory qualitative study. Data were collected through in-depth interviews, using semi-structured questionnaires. Key informants were selected using purposive sampling. The respondents (n = 55) included health services managers, healthcare providers, health authorities, regional drugs store managers and community members. All interviews were recorded, transcribed and analysed using qualitative data analysis software. Thematic analysis was performed. Our findings suggest that the PBF programme improved the perceived availability of EMs in three regions in Cameroon. The change in availability of EMs experienced by stakeholders resulted from several pathways, including the greater autonomy of facilities, the enforced regulation from the district medical team, the greater accountability of the pharmacy attendant and supply system liberalization. However, a sequence of challenges, including delays in PBF payments, limited autonomy, lack of leadership and contextual factors such as remoteness or difficulty in access, was perceived to hinder the capacity to yield optimal changes, resulting in heterogeneity in performance between health facilities. The participants raised concerns regarding the quality control of drugs, the inequalities between facilities and the fragmentation of the drug management system. The study highlights that some specific dimensions of PBF, such as pharmacy autonomy and the liberalization of drugs supply systems, need to be supported by equity interventions, reinforced regulation and measures to ensure the quality of drugs at all levels.

scholarly journals Global RECHARGE: Establishing a standard international data set for pulmonary rehabilitation in low- and middle-income countries

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Mark W Orme ◽  
Robert C Free ◽  
Adrian Manise ◽  
Amy V Jones ◽  
Azamat Akylbekov ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Data Set ◽  
Middle Income ◽  
Middle Income Countries ◽  
International Data ◽  
Low And Middle Income

The Identification and Evaluation of Methodologies to Assess the Quality of mHealth apps in High, Low & Middle-Income Countries: a Rapid Review (Preprint)

2021 ◽  
Author(s):  
Fionn Woulfe ◽  
Philip Kayode Fadahunsi ◽  
Simon Smith ◽  
Griphin Baxter Chirambo ◽  
Emma Larsson ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Healthcare Professionals ◽  
Rapid Review ◽  
Screening Process ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Mhealth Apps ◽  
Low And Middle Income

BACKGROUND There has been a rapid growth in the availability and use of mobile health (mHealth) apps around the world in recent years. However, consensus regarding an accepted standard to assess the quality of such apps does not exist. Differing interpretations of quality add to this problem. Consequently, it has become increasingly difficult for healthcare professionals to distinguish apps of high quality from those of lower quality. This exposes both patients and healthcare professionals to unnecessary risk. Despite progress, limited understanding of contributions by those in low- and middle- income countries (LMIC) on this topic exists. As such, the applicability of quality assessment methodologies in LMIC settings remains unexplored. OBJECTIVE The objectives of this rapid review are to; 1) Identify current methodologies within the literature to assess the quality of mHealth apps. 2) Understand what aspects of quality these methodologies address. 3) Determine what input has been made by authors from LMICs. 4) Examine the applicability of such methodologies in low- and middle- income settings. METHODS The review is registered with Prospero (CRD42020205149). A search of PubMed, EMBASE, Web of Science and Scopus was performed for papers relating to mHealth app quality assessment methodologies, published in English between 2005 and the 28th of December, 2020. A thematic and descriptive analysis of methodologies and papers was performed. RESULTS Electronic database searches identified 841 papers. After the screening process, 53 papers remained for inclusion; 6 proposed novel methodologies which could be used to evaluate mHealth apps of diverse medical areas of interest; 8 proposed methodologies which could be used to assess apps concerned with a specific medical focus; 39 used methodologies developed by other published authors to evaluate the quality of various groups of mHealth apps. Authors of 3 papers were solely affiliated to institutes in LMICs. A further 8 papers had at least one co-author affiliated to an institute in a LMIC. CONCLUSIONS Quality assessment of mHealth apps is complex in nature and at times, subjective. Despite growing research on this topic, to date an all-encompassing, appropriate means for evaluating the quality of mHealth apps does not exist. There has been engagement with authors affiliated to institutes in LMICs, however limited consideration of current generic methodologies for application in a LMIC settings have been identified.

scholarly journals New vaccine adoption: qualitative study of national decision-making processes in seven low- and middle-income countries

2012 ◽  
Vol 27 (suppl 2) ◽  
pp. ii5-ii16 ◽  
Author(s):  
H. E. D. Burchett ◽  
S. Mounier-Jack ◽  
U. K. Griffiths ◽  
R. Biellik ◽  
P. Ongolo-Zogo ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Middle Income ◽  
Middle Income Countries ◽  
Decision Making Processes ◽  
Low And Middle Income

scholarly journals Workplace wellness programming in low-and middle-income countries: a qualitative study of corporate key informants in Mexico and India

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Heather Wipfli ◽  
Kristin Dessie Zacharias ◽  
Nuvjote (Nivvy) Hundal ◽  
Luz Myriam Reynales Shigematsu ◽  
Deepika Bahl ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Workplace Wellness ◽  
Middle Income ◽  
Key Informants ◽  
Middle Income Countries ◽  
Low And Middle Income
Sign in / Sign up

Export Citation Format

Share Document