The economics of health-care access in low and middle-income countries: A protocol for a scoping review of the economic impacts of seeking health care on slum-dwellers compared with other city residents

Teixeira de Siqueira-Filha, N. et al. (2021) The economics of health-care access in low and middle-income countries: A protocol for a scoping review of the economic impacts of seeking health care on slum-dwellers compared with other city residents. BMJ Open, 11, e045441. (doi: 10.1136/bmjopen-2020-045441) (PMID:34244254)

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Abstract

Introduction People living in slums face several challenges to access healthcare. Scarce and low-quality public health facilities are common problems in these communities. Costs and prevalence of catastrophic health expenditures (CHE) have also been reported as high in studies conducted in slums in developing countries and those suffering from chronic conditions and the poorest households seem to be more vulnerable to financial hardship. The COVID-19 pandemic may be aggravating the economic impact on the extremely vulnerable population living in slums due to the long-term consequences of the disease. The objective of this review is to report the economic impact of seeking healthcare on slum-dwellers in terms of costs and CHE. We will compare the economic impact on slum-dwellers with other city residents. Methods and analysis This scoping review adopts the framework suggested by Arksey and O’Malley. The review is part of the accountability and responsiveness of slum-dwellers (ARISE) research consortium, which aims to enhance accountability to improve the health and well-being of marginalised populations living in slums in India, Bangladesh, Sierra Leone and Kenya. Costs of accessing healthcare will be updated to 2020 prices using the inflation rates reported by the International Monetary Fund. Costs will be presented in International Dollars by using purchase power parity. The prevalence of CHE will also be reported. Ethics and dissemination Ethical approval is not required for scoping reviews. We will disseminate our results alongside the events organised by the ARISE consortium and international conferences. The final manuscript will be submitted to an open-access international journal. Registration number at the Research Registry: reviewregistry947.

Item Type:Articles
Additional Information:This review is supported by ARISE UK Research and Innovation’s Global Challenges Research Fund ES/S00811X/1, ARISE’s Metrics, Epidemiology and Economics work package group/University of York). EK also acknowledges support from the Medical Research Council and Scottish Government Chief Scientist Office funding (MC_UU_00022/2, SPHSU17).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Kibuchi, Dr Eliud and Quayyum, Dr Zahidul
Authors: Teixeira de Siqueira-Filha, N., Li, J., Kibuchi, E., Quayyum, Z., Phillips-Howard, P., Awal, A., Hossain Mithu, M. I., Manzoor, F., Karuga, R., Saidu, S., Smith, J., Sai, V., Garimella, S., Chumo, I., Mberu, B., Tolhurst, R., Mazumdar, S., Rao, V., Farnaz, N., Alam, W., and Elsey, H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
Published Online:09 July 2021
Copyright Holders:Copyright © Author(s) (or their employer(s)) 2021
First Published:First published in BMJ Open 11:e045441
Publisher Policy:Reproduced under a Creative Commons licence

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727651SPHSU Core Renewal: Measuring and Analysing Socioeconomic Inequalities in Health Research ProgrammeAlastair LeylandMedical Research Council (MRC)MC_UU_12017/13IHW - MRC/CSO SPHU
Office of the Chief Scientific AdviserSPHSU13