Looking beyond supply: a systematic literature review of demand-side barriers to health service utilization in the mountains of Nepal

Byrne, Abbey, Hodge, Andrew, Jimenez-Soto, Eliana and Morgan, Alison (2013) Looking beyond supply: a systematic literature review of demand-side barriers to health service utilization in the mountains of Nepal. Asia-Pacific Journal of Public Health, 25 6: 438-451. doi:10.1177/1010539513496139

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Author Byrne, Abbey
Hodge, Andrew
Jimenez-Soto, Eliana
Morgan, Alison
Title Looking beyond supply: a systematic literature review of demand-side barriers to health service utilization in the mountains of Nepal
Journal name Asia-Pacific Journal of Public Health   Check publisher's open access policy
ISSN 1010-5395
1941-2479
Publication date 2013-11
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/1010539513496139
Volume 25
Issue 6
Start page 438
End page 451
Total pages 14
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Collection year 2014
Language eng
Formatted abstract
Significant disparities in reproductive, maternal, newborn, and child health (RMNCH) outcomes and intervention coverage exist between the Mountains and other ecoregions of Nepal. Delivery of essential health services to remote mountainous areas is challenging and access is a known barrier to utilization. However, the contribution of demand-side barriers is poorly understood. Consequently, policies and programs cannot strategically target constraints to increase coverage. This systematic review identifies demand-side barriers to utilization of RMNCH services in the Mountain districts of Nepal. Research was drawn from MEDLINE, Web of Science, Scopus, Google Scholar, Eldis, and unpublished literature. Beyond inaccessibility, utilization is undermined by costs of care-seeking, traditional attitudes and practices, low status of women, limited health knowledge, dissatisfaction with service quality, and low and inequitable care by community health workers. The intensity and repercussions of these barriers are of greater magnitude in the Mountains where delayed care-seeking combines with long distances for critical health consequences.
Keyword Health care services
Maternal and child health
Health equity
Inequalities in health
Global health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Public Health Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
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Created: Mon, 25 Nov 2013, 08:59:25 EST by Dr Andrew Hodge on behalf of School of Public Health