Barriers and facilitators to implementation of cancer treatment and palliative care strategies in low- and middle-income countries: systematic review

Donkor, A; Luckett, T; Aranda, S; Phillips, J

Barriers and facilitators to implementation of cancer treatment and palliative care strategies in low- and middle-income countries: systematic review

Donkor, A

Luckett, T

Aranda, S Phillips, J

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Publication Type:: Journal Article
Citation:: International Journal of Public Health, 2018, 63 (9), pp. 1047 - 1057
Issue Date:: 2018-12-01

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Field	Value	Language
dc.contributor.author	Donkor, A https://orcid.org/0000-0002-6073-524X	en_US
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Aranda, S	en_US
dc.contributor.author	Phillips, J https://orcid.org/0000-0002-3691-8230	en_US
dc.date.available	2020-05-25T19:25:28Z
dc.date.issued	2018-12-01	en_US
dc.identifier.citation	International Journal of Public Health, 2018, 63 (9), pp. 1047 - 1057	en_US
dc.identifier.issn	1661-8556	en_US
dc.identifier.uri	http://hdl.handle.net/10453/126164
dc.description.abstract	© 2018, Swiss School of Public Health (SSPH+). Objectives: To appraise improvement strategies adopted by low- and middle-income countries to increase access to cancer treatments and palliative care; and identify the facilitators and barriers to implementation. Methods: A systematic review was conducted and reported in accordance with PRISMA statement. MEDLINE, CINAHL, and the Cochrane Library databases were searched. Bias was assessed using the Standards for Quality Improvement Reporting Excellence, and evidence graded using the Australian National Health and Medical Research Council system. Results: Of 3069 articles identified, 18 studied were included. These studies involved less than a tenth (n = 12, 8.6%) of all low- and middle-income countries. Most were case reports (58%), and the majority focused on palliative care (n = 11, 61%). Facilitators included: stakeholder engagement, financial support, supportive learning environment, and community networks. Barriers included: lack of human resources, financial constraints, and limited infrastructure. Conclusions: There is limited evidence on sustainable strategies for increasing access to cancer treatments and palliative care in low- and middle-income countries. Future strategies should be externally evaluated and be tailored to address service delivery; workforce; information; medical products, vaccines, and technologies; financing; and leadership and governance.	en_US
dc.relation.ispartof	International Journal of Public Health	en_US
dc.relation.isbasedon	10.1007/s00038-018-1142-2	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Palliative Care	en_US
dc.subject.mesh	Developing Countries	en_US
dc.subject.mesh	Income	en_US
dc.subject.mesh	Cancer Care Facilities	en_US
dc.subject.mesh	Health Plan Implementation	en_US
dc.subject.mesh	Health Services Accessibility	en_US
dc.title	Barriers and facilitators to implementation of cancer treatment and palliative care strategies in low- and middle-income countries: systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	9	en_US
utslib.citation.volume	63	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.issue	9	en_US
pubs.publication-status	Published	en_US
pubs.volume	63	en_US

Abstract:

© 2018, Swiss School of Public Health (SSPH+). Objectives: To appraise improvement strategies adopted by low- and middle-income countries to increase access to cancer treatments and palliative care; and identify the facilitators and barriers to implementation. Methods: A systematic review was conducted and reported in accordance with PRISMA statement. MEDLINE, CINAHL, and the Cochrane Library databases were searched. Bias was assessed using the Standards for Quality Improvement Reporting Excellence, and evidence graded using the Australian National Health and Medical Research Council system. Results: Of 3069 articles identified, 18 studied were included. These studies involved less than a tenth (n = 12, 8.6%) of all low- and middle-income countries. Most were case reports (58%), and the majority focused on palliative care (n = 11, 61%). Facilitators included: stakeholder engagement, financial support, supportive learning environment, and community networks. Barriers included: lack of human resources, financial constraints, and limited infrastructure. Conclusions: There is limited evidence on sustainable strategies for increasing access to cancer treatments and palliative care in low- and middle-income countries. Future strategies should be externally evaluated and be tailored to address service delivery; workforce; information; medical products, vaccines, and technologies; financing; and leadership and governance.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/126164