Cargando…

Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review

BACKGROUND: Comprehensive antenatal, perinatal and early postnatal care has the potential to significantly reduce the 3.58 million neonatal deaths that occur annually worldwide. This paper systematically reviews data on the proportion of neonates and children < 5 years of age that have access to...

Descripción completa

Detalles Bibliográficos
Autores principales: Chandran, Aruna, Herbert, Hadley K, Lee, Anne CC, Rudan, Igor, Baqui, Abdullah H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253732/
https://www.ncbi.nlm.nih.gov/pubmed/22166258
http://dx.doi.org/10.1186/1756-0500-4-536
_version_ 1782220767222562816
author Chandran, Aruna
Herbert, Hadley K
Lee, Anne CC
Rudan, Igor
Baqui, Abdullah H
author_facet Chandran, Aruna
Herbert, Hadley K
Lee, Anne CC
Rudan, Igor
Baqui, Abdullah H
author_sort Chandran, Aruna
collection PubMed
description BACKGROUND: Comprehensive antenatal, perinatal and early postnatal care has the potential to significantly reduce the 3.58 million neonatal deaths that occur annually worldwide. This paper systematically reviews data on the proportion of neonates and children < 5 years of age that have access to health facilities in low and middle income countries. Gaps in available data by WHO region are identified, and an agenda for future research and advocacy is proposed. METHODS: For this paper, "utilization" was used as a proxy for "access" to a healthcare facility, and the term "facility" was used for any clinic or hospital outside of a person's home staffed by a "medical professional". A systematic literature search was conducted for published studies of children up to 5 years of age that included the neonatal age group with an illness or illness symptoms in which health facility utilization was quantified. In addition, information from available Demographic and Health Surveys (DHS) was extracted. RESULTS: The initial broad search yielded 2,239 articles, of which 14 presented relevant data. From the community-based neonatal studies conducted in the Southeast Asia region with the goal of enhancing care-seeking for neonates with sepsis, the 10-48% of sick neonates in the studies' control arms utilized a healthcare facility. Data from cross-sectional surveys involving young children indicate that 12 to 86% utilizing healthcare facilities when sick. From the DHS surveys, a global median of 58.1% of infants < 6 months were taken to a facility for symptoms of ARI. CONCLUSIONS: There is a scarcity of data regarding the access to facility-based care for sick neonates/young children in many areas of the world; it was not possible to generalize an overall number of neonates or young children that utilize a healthcare facility when showing signs and symptoms of illness. The estimate ranges were broad, and there was a paucity of data from some regions. It is imperative that researchers, advocates, and policy makers join together to better understand the factors affecting health care utilization/access for newborns in different settings and what the barriers are that prevent children from being taken to a facility in a timely manner.
format Online
Article
Text
id pubmed-3253732
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-32537322012-01-10 Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review Chandran, Aruna Herbert, Hadley K Lee, Anne CC Rudan, Igor Baqui, Abdullah H BMC Res Notes Research Article BACKGROUND: Comprehensive antenatal, perinatal and early postnatal care has the potential to significantly reduce the 3.58 million neonatal deaths that occur annually worldwide. This paper systematically reviews data on the proportion of neonates and children < 5 years of age that have access to health facilities in low and middle income countries. Gaps in available data by WHO region are identified, and an agenda for future research and advocacy is proposed. METHODS: For this paper, "utilization" was used as a proxy for "access" to a healthcare facility, and the term "facility" was used for any clinic or hospital outside of a person's home staffed by a "medical professional". A systematic literature search was conducted for published studies of children up to 5 years of age that included the neonatal age group with an illness or illness symptoms in which health facility utilization was quantified. In addition, information from available Demographic and Health Surveys (DHS) was extracted. RESULTS: The initial broad search yielded 2,239 articles, of which 14 presented relevant data. From the community-based neonatal studies conducted in the Southeast Asia region with the goal of enhancing care-seeking for neonates with sepsis, the 10-48% of sick neonates in the studies' control arms utilized a healthcare facility. Data from cross-sectional surveys involving young children indicate that 12 to 86% utilizing healthcare facilities when sick. From the DHS surveys, a global median of 58.1% of infants < 6 months were taken to a facility for symptoms of ARI. CONCLUSIONS: There is a scarcity of data regarding the access to facility-based care for sick neonates/young children in many areas of the world; it was not possible to generalize an overall number of neonates or young children that utilize a healthcare facility when showing signs and symptoms of illness. The estimate ranges were broad, and there was a paucity of data from some regions. It is imperative that researchers, advocates, and policy makers join together to better understand the factors affecting health care utilization/access for newborns in different settings and what the barriers are that prevent children from being taken to a facility in a timely manner. BioMed Central 2011-12-13 /pmc/articles/PMC3253732/ /pubmed/22166258 http://dx.doi.org/10.1186/1756-0500-4-536 Text en Copyright ©2011 Chandran et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Chandran, Aruna
Herbert, Hadley K
Lee, Anne CC
Rudan, Igor
Baqui, Abdullah H
Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title_full Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title_fullStr Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title_full_unstemmed Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title_short Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review
title_sort assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253732/
https://www.ncbi.nlm.nih.gov/pubmed/22166258
http://dx.doi.org/10.1186/1756-0500-4-536
work_keys_str_mv AT chandranaruna assessmentoftheproportionofneonatesandchildreninlowandmiddleincomecountrieswithaccesstoahealthcarefacilityasystematicreview
AT herberthadleyk assessmentoftheproportionofneonatesandchildreninlowandmiddleincomecountrieswithaccesstoahealthcarefacilityasystematicreview
AT leeannecc assessmentoftheproportionofneonatesandchildreninlowandmiddleincomecountrieswithaccesstoahealthcarefacilityasystematicreview
AT rudanigor assessmentoftheproportionofneonatesandchildreninlowandmiddleincomecountrieswithaccesstoahealthcarefacilityasystematicreview
AT baquiabdullahh assessmentoftheproportionofneonatesandchildreninlowandmiddleincomecountrieswithaccesstoahealthcarefacilityasystematicreview