Cargando…

Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review

South Asian Association for Regional Cooperation (SAARC) nations are a group of eight countries with low to medium Human Development Index values. They lack trained human resources in primary health care to achieve the WHO-stated goal of Universal Health Coverage. An unregulated service sector of in...

Descripción completa

Detalles Bibliográficos
Autores principales: Nayak, Prakash R., Oswal, Kunal, Pramesh, Conjeevaram S., Ranganathan, Priya, Caduff, Carlo, Sullivan, Richard, Advani, Shailesh, Kataria, Ishu, Kalkonde, Yogeshwar, Mohan, Pavitra, Jain, Yogesh, Purushotham, Arnie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812474/
https://www.ncbi.nlm.nih.gov/pubmed/36315923
http://dx.doi.org/10.1200/GO.22.00260
_version_ 1784863734980673536
author Nayak, Prakash R.
Oswal, Kunal
Pramesh, Conjeevaram S.
Ranganathan, Priya
Caduff, Carlo
Sullivan, Richard
Advani, Shailesh
Kataria, Ishu
Kalkonde, Yogeshwar
Mohan, Pavitra
Jain, Yogesh
Purushotham, Arnie
author_facet Nayak, Prakash R.
Oswal, Kunal
Pramesh, Conjeevaram S.
Ranganathan, Priya
Caduff, Carlo
Sullivan, Richard
Advani, Shailesh
Kataria, Ishu
Kalkonde, Yogeshwar
Mohan, Pavitra
Jain, Yogesh
Purushotham, Arnie
author_sort Nayak, Prakash R.
collection PubMed
description South Asian Association for Regional Cooperation (SAARC) nations are a group of eight countries with low to medium Human Development Index values. They lack trained human resources in primary health care to achieve the WHO-stated goal of Universal Health Coverage. An unregulated service sector of informal health care providers (IPs) has been serving these underserved communities. The aim is to summarize the role of IPs in primary cancer care, compare quality with formal providers, quantify distribution in urban and rural settings, and present the socioeconomic milieu that sustains their existence. METHODS: A narrative review of the published literature in English from January 2000 to December 2021 was performed using MeSH Terms Informal Health Care Provider/Informal Provider and Primary Health Care across databases such as Medline (PubMed), Google Scholar, and Cochrane database of systematic reviews, as well as World Bank, Center for Global Development, American Economic Review, Journal Storage, and Web of Science. In addition, citation lists from the primary articles, gray literature in English, and policy blogs were included. We present a descriptive overview of our findings as applicable to SAARC. RESULTS: IPs across the rural landscape often comprise more than 75% of primary caregivers. They provide accessible and affordable, but often substandard quality of care. However, their network would be suitable for prompt cancer referrals. Care delivery and accountability correlate with prevalent standards of formal health care. CONCLUSION: Acknowledgment and upskilling of IPs could be a cost-effective bridge toward universal health coverage and early cancer diagnosis in SAARC nations, whereas state capacity for training formal health care providers is ramped up simultaneously. This must be achieved without compromising investment in the critical resource of qualified doctors and allied health professionals who form the core of the rural public primary health care system.
format Online
Article
Text
id pubmed-9812474
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-98124742023-01-05 Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review Nayak, Prakash R. Oswal, Kunal Pramesh, Conjeevaram S. Ranganathan, Priya Caduff, Carlo Sullivan, Richard Advani, Shailesh Kataria, Ishu Kalkonde, Yogeshwar Mohan, Pavitra Jain, Yogesh Purushotham, Arnie JCO Glob Oncol REVIEW ARTICLES South Asian Association for Regional Cooperation (SAARC) nations are a group of eight countries with low to medium Human Development Index values. They lack trained human resources in primary health care to achieve the WHO-stated goal of Universal Health Coverage. An unregulated service sector of informal health care providers (IPs) has been serving these underserved communities. The aim is to summarize the role of IPs in primary cancer care, compare quality with formal providers, quantify distribution in urban and rural settings, and present the socioeconomic milieu that sustains their existence. METHODS: A narrative review of the published literature in English from January 2000 to December 2021 was performed using MeSH Terms Informal Health Care Provider/Informal Provider and Primary Health Care across databases such as Medline (PubMed), Google Scholar, and Cochrane database of systematic reviews, as well as World Bank, Center for Global Development, American Economic Review, Journal Storage, and Web of Science. In addition, citation lists from the primary articles, gray literature in English, and policy blogs were included. We present a descriptive overview of our findings as applicable to SAARC. RESULTS: IPs across the rural landscape often comprise more than 75% of primary caregivers. They provide accessible and affordable, but often substandard quality of care. However, their network would be suitable for prompt cancer referrals. Care delivery and accountability correlate with prevalent standards of formal health care. CONCLUSION: Acknowledgment and upskilling of IPs could be a cost-effective bridge toward universal health coverage and early cancer diagnosis in SAARC nations, whereas state capacity for training formal health care providers is ramped up simultaneously. This must be achieved without compromising investment in the critical resource of qualified doctors and allied health professionals who form the core of the rural public primary health care system. Wolters Kluwer Health 2022-10-31 /pmc/articles/PMC9812474/ /pubmed/36315923 http://dx.doi.org/10.1200/GO.22.00260 Text en © 2022 by American Society of Clinical Oncology https://creativecommons.org/licenses/by/4.0/Licensed under the Creative Commons Attribution 4.0 License: https://creativecommons.org/licenses/by/4.0/
spellingShingle REVIEW ARTICLES
Nayak, Prakash R.
Oswal, Kunal
Pramesh, Conjeevaram S.
Ranganathan, Priya
Caduff, Carlo
Sullivan, Richard
Advani, Shailesh
Kataria, Ishu
Kalkonde, Yogeshwar
Mohan, Pavitra
Jain, Yogesh
Purushotham, Arnie
Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title_full Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title_fullStr Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title_full_unstemmed Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title_short Informal Providers—Ground Realities in South Asian Association for Regional Cooperation Nations: Toward Better Cancer Primary Care: A Narrative Review
title_sort informal providers—ground realities in south asian association for regional cooperation nations: toward better cancer primary care: a narrative review
topic REVIEW ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812474/
https://www.ncbi.nlm.nih.gov/pubmed/36315923
http://dx.doi.org/10.1200/GO.22.00260
work_keys_str_mv AT nayakprakashr informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT oswalkunal informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT prameshconjeevarams informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT ranganathanpriya informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT caduffcarlo informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT sullivanrichard informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT advanishailesh informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT katariaishu informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT kalkondeyogeshwar informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT mohanpavitra informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT jainyogesh informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview
AT purushothamarnie informalprovidersgroundrealitiesinsouthasianassociationforregionalcooperationnationstowardbettercancerprimarycareanarrativereview