Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review
The rapidly expanding older population across Low- and Middle-Income Countries (LMICs) underscores the urgent need to strengthen the health systems. However, the extent of service coverage and healthcare workforce allocation strategies for geriatric and palliative care in LMICs remains inadequately...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Health Sciences Review |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772632024000199 |
| _version_ | 1797234246516998144 |
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| author | Dipika Shankar Bhattacharyya Md. Hasibul Hossain Goutam Kumar Dutta Marzia Feruz Snigdha Iffat Nowrin KM Saif-Ur-Rahman |
| author_facet | Dipika Shankar Bhattacharyya Md. Hasibul Hossain Goutam Kumar Dutta Marzia Feruz Snigdha Iffat Nowrin KM Saif-Ur-Rahman |
| author_sort | Dipika Shankar Bhattacharyya |
| collection | DOAJ |
| description | The rapidly expanding older population across Low- and Middle-Income Countries (LMICs) underscores the urgent need to strengthen the health systems. However, the extent of service coverage and healthcare workforce allocation strategies for geriatric and palliative care in LMICs remains inadequately explored. To address this, we conducted this systematic review, following the standard guidelines, to synthesize available data from four databases spanning 2011 to 2022. Utilizing the Risk of Bias Assessment tool for non-randomized studies (ROBANS) for quantitative studies and the JBI (formerly known as Joanna Briggs Institute) checklist for qualitative research, we assessed the risk of bias and the quality in the included studies. Despite a comprehensive search, only three eligible studies were found, revealing a scarcity of research. The identified challenges include deficiencies in leadership, governance, financing, and essential resources, leading to compromised service coverage. The health workforce, often limited and lacking inadequate training, exacerbates the situation. Our evidence synthesis proposes some potential solutions such as telemedicine and cross-country collaboration through distance learning mechanisms to address these issues. The findings and recommendations from this review offer valuable insights applicable across various healthcare service contexts within LMICs and advocate for more health systems research in this topic area. |
| first_indexed | 2024-04-24T16:29:01Z |
| format | Article |
| id | doaj.art-367b2978b4f24541b7ebd3df2eab2758 |
| institution | Directory Open Access Journal |
| issn | 2772-6320 |
| language | English |
| last_indexed | 2024-04-24T16:29:01Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Health Sciences Review |
| spelling | doaj.art-367b2978b4f24541b7ebd3df2eab27582024-03-30T04:40:24ZengElsevierHealth Sciences Review2772-63202024-06-0111100166Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic reviewDipika Shankar Bhattacharyya0Md. Hasibul Hossain1Goutam Kumar Dutta2Marzia Feruz Snigdha3Iffat Nowrin4KM Saif-Ur-Rahman5School of Public Health Sciences, University of Waterloo, Waterloo, CanadaNutrition Research Division, ICDDR,B, Dhaka, BangladeshNutrition Research Division, ICDDR,B, Dhaka, BangladeshDepartment of Public Health, State University of Bangladesh, Dhaka, BangladeshMaternal and Child Health Division, ICDDR,B, Dhaka, BangladeshEvidence Synthesis Ireland and Cochrane Ireland, University of Galway, Galway, Ireland; College of Medicine, Nursing, and Health Sciences, University of Galway, Galway, Ireland; Corresponding author at: Evidence Synthesis Ireland and Cochrane Ireland, College of Medicine, Nursing, and Health Sciences, University of Galway, Galway, Ireland.The rapidly expanding older population across Low- and Middle-Income Countries (LMICs) underscores the urgent need to strengthen the health systems. However, the extent of service coverage and healthcare workforce allocation strategies for geriatric and palliative care in LMICs remains inadequately explored. To address this, we conducted this systematic review, following the standard guidelines, to synthesize available data from four databases spanning 2011 to 2022. Utilizing the Risk of Bias Assessment tool for non-randomized studies (ROBANS) for quantitative studies and the JBI (formerly known as Joanna Briggs Institute) checklist for qualitative research, we assessed the risk of bias and the quality in the included studies. Despite a comprehensive search, only three eligible studies were found, revealing a scarcity of research. The identified challenges include deficiencies in leadership, governance, financing, and essential resources, leading to compromised service coverage. The health workforce, often limited and lacking inadequate training, exacerbates the situation. Our evidence synthesis proposes some potential solutions such as telemedicine and cross-country collaboration through distance learning mechanisms to address these issues. The findings and recommendations from this review offer valuable insights applicable across various healthcare service contexts within LMICs and advocate for more health systems research in this topic area.http://www.sciencedirect.com/science/article/pii/S2772632024000199Geriatric carePalliative careService coverageHealth workforceHealth systemLMICs |
| spellingShingle | Dipika Shankar Bhattacharyya Md. Hasibul Hossain Goutam Kumar Dutta Marzia Feruz Snigdha Iffat Nowrin KM Saif-Ur-Rahman Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review Health Sciences Review Geriatric care Palliative care Service coverage Health workforce Health system LMICs |
| title | Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review |
| title_full | Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review |
| title_fullStr | Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review |
| title_full_unstemmed | Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review |
| title_short | Service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle-income countries: A systematic review |
| title_sort | service coverage and health workforce allocation strategies for geriatric and palliative care in low and middle income countries a systematic review |
| topic | Geriatric care Palliative care Service coverage Health workforce Health system LMICs |
| url | http://www.sciencedirect.com/science/article/pii/S2772632024000199 |
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