The Socio-Ecological Model Approach to Understanding Barriers and Facilitators to the Accessing of Health Services by Sex Workers: A Systematic Review

Ma, Haixia; Chan, Zenobia C.Y.; Loke, Alice Yuen

doi:10.1007/s10461-017-1818-2

Cited by 112 publications

(95 citation statements)

References 48 publications

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“…Challenges in uptake of and adherence to HIV services for FSWs have been well-documented. 26,27 There are additional challenges facing younger women, including lack of knowledge, limited social/economic empowerment, and autonomy. [28][29][30] In addition, there may be competition and mistrust between older and younger FSWs, which may result in younger women failing to access services designed for adults.…”

Section: Discussionmentioning

confidence: 99%

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Napierala

Chabata

Fearon

et al. 2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Section: Discussionmentioning

confidence: 99%

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Napierala

Chabata

Fearon

et al. 2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Section: Methodsmentioning

confidence: 99%

“…We selected the socioecological model for its utility in conceptualizing the multilevel determinants of access or use, a utility that has been demonstrated across a wide breadth of literature. [23][24][25][26] From a socioecological perspective, individuals are embedded within larger systems in which multiple levels of influence interact and mutually reinforce one another. For example, an individual's use of PPC services is influenced by factors beyond those occurring at the individual level; likewise, individuals' perceptions and practices can perpetuate what occurs at a broader level.…”

Section: Terms For Cancermentioning

confidence: 99%

Barriers to accessing palliative care for pediatric patients with cancer: A review of the literature

Haines

Frost

Kane

et al. 2018

Cancer

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Although many of the 16,000 children in the United States diagnosed who are with cancer each year could benefit from pediatric palliative care, these services remain underused. Evidence regarding the barriers impeding access to comprehensive palliative care is dispersed in the literature, and evidence specific to pediatric oncology remains particularly sparse. The purpose of the current review was to synthesize the existing literature regarding these barriers and the strategies offered to address them. The authors completed a literature search using the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science databases. In total, 71 articles were reviewed. Barriers to accessing pediatric palliative care were categorized according to the 4 levels of a modified socioecological model (ie, barriers related to policy/payment, health systems, organizations, and individuals). Major themes identified at each level included: 1) the lack of consistent and adequate funding mechanisms at the policy/payment level, 2) the lack of pediatric palliative care programs and workforce at the health systems level, 3) difficulties integrating palliative care into existing pediatric oncology care models at the organizational level, and 4) the lack of knowledge about pediatric palliative care, discomfort with talking about death, and cultural differences between providers and patients and their families at the individual level. Recommendations to address each of the barriers identified in the literature are included. Cancer 2018;124:2278-88. © 2018 American Cancer Society.

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“…The methodology utilised is based on the socio-ecological model (SEM) [42]. This model is widely used across studies for having multilevel determinants [43,44]. It has four levels; personal level; organisational level; health system level; and policy/payment level ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews

2020

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Background: Despite the significant benefits of palliative care (PC) services for cancer patients, multiple challenges hinder the provision of PC services for these patients. Low-and middle-income countries (LMICs) are witnessing a sharp growth in the burden of non-communicable diseases. There is a significant gap between demand and supply of PC in LMICs in current health services. This review aims to synthesise evidence from previous reviews and deliver a more comprehensive mapping of the existing literature about personal, system, policy, and organisational challenges and possible facilitators on the provision of PC services for cancer patients in LMICs. Methods: A systematic review of reviews was performed following PRISMA guidelines. PubMed, EMBASE, SCOPUS, PsycINFO, Web of Sciences, CINAHL, and Cochrane Library databases were searched to identify review papers published between 2000 and 2018 that considered challenges and possible facilitators to PC provision. A modified socioecological model was used as a framework for analysing and summarising findings. Results: Fourteen reviews were included. The reviews varied in terms of aim, settings, and detail of the challenges and possible facilitators. The main challenges of personal and health care systems included knowledge deficits and misunderstandings from patients, families, the general public, and health care providers about PC; and inadequate number of trained workforce. Besides, limited physical infrastructure, insufficient drugs for symptom relief and lack of a comprehensive national plan for implementing PC were the core organisational and policy level challenges that were recognised. Furthermore, the main possible facilitators that were identified included provision of adequate training for health care providers and health education for patients, families and the general public to enhance their knowledge, beliefs, and attitudes to PC. Finally, involvement of policymakers and making drugs available for symptom relief should also be in place to improve the health care systems. Conclusions: Understanding challenges to the provision of PC for people with cancer could help in the development of a PC pathway in LMICs. This knowledge could be used as a guide to develop an intervention programme to improve PC. Political influence and support are also required to ensure the sustainability and the provision of high-quality PC.

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The Socio-Ecological Model Approach to Understanding Barriers and Facilitators to the Accessing of Health Services by Sex Workers: A Systematic Review

Cited by 112 publications

References 48 publications

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Engagement in HIV Care Among Young Female Sex Workers in Zimbabwe

Barriers to accessing palliative care for pediatric patients with cancer: A review of the literature

Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews

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