Evidence map›Paper›PMID 37653417›Full record

ArticleInternational journal for equity in health2023

Impacts of the COVID-19 pandemic on access to healthcare among people with disabilities: evidence from six low- and middle-income countries.

Xanthe Hunt, Shaffa Hameed, Shailaja Tetali, Luong Anh Ngoc, John Ganle, Lopita Huq, Tom Shakespeare, Tracey Smythe, Zeynep Ilkkursun, Hannah Kuper and 5 more

Abstract read
In one paragraph

Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Xanthe HuntInstitute for Life Course Health Research, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Room 4009, Education Building, Cape Town, South Africa. xanthehuntwrites@gmail.com.
Shaffa HameedInternational Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London, UK.
Shailaja TetaliIndian Institute of Public Health-Hyderabad, Hyderabad, India.
Luong Anh NgocCenter for Training and Research on Substance Abuse - HIV, Hanoi Medical University, Hanoi, Viet Nam.
John GanleSchool of Public Health, University of Ghana, Accra, Ghana.
Lopita HuqBRAC Institute of Governance and Development, BRAC University, Dakar, Bangladesh.
Tom ShakespeareInternational Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London, UK.
Tracey SmytheInternational Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London, UK.
Zeynep IlkkursunDepartment of Psychology, Koc University, Istanbul, Türkiye.
Hannah KuperInternational Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London, UK.
Ceren AcarturkDepartment of Psychology, Koc University, Istanbul, Türkiye.
Nanda Kishore KannuriIndian Institute of Public Health-Hyderabad, Hyderabad, India.
Vu Quynh MaiCenter for Population Health Science, Hanoi University of Public Health, Hanoi, Viet Nam.
Rifat Shahpar KhanBRAC Institute of Governance and Development, BRAC University, Dakar, Bangladesh.
Lena Morgon BanksInternational Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe pandemic has placed considerable strain on health systems, especially in low- and middle-income countries (LMICs), leading to reductions in the availability of routine health services. Emerging evidence suggests that people with disabilities have encountered marked challenges in accessing healthcare services and supports in the context of the pandemic. Further research is needed to explore specific barriers to accessing healthcare during the pandemic, and any strategies that promoted continued access to health services in LMICs where the vast majority of people with disabilities live.

methodsQualitative in-depth interviews were conducted with persons with disabilities in Ghana, Zimbabwe, Viet Nam, Türkiye (Syrian refugees), Bangladesh, and India as part of a larger project exploring the experiences of people with disabilities during the COVID-19 pandemic and their inclusion in government response activities. Data were analysed using thematic analysis.

resultsThis research found that people with disabilities in six countries - representing a diverse geographic spread, with different health systems and COVID-19 responses - all experienced additional difficulties accessing healthcare during the pandemic. Key barriers to accessing healthcare during the pandemic included changes in availability of services due to systems restructuring, difficulty affording care due to the economic impacts of the pandemic, fear of contracting coronavirus, and a lack of human support to enable care-seeking.

conclusionThese barriers ultimately led to decreased utilisation of services which, in turn, negatively impacted their health and wellbeing. However, we also found that certain factors, including active and engaged Organisations of Persons with Disabilities (OPDs) and Non-Governmental Organizations (NGOs) played a role in reducing some of the impact of pandemic-related healthcare access barriers.

Indexed as

COVID-19Persons with DisabilitiesDeveloping CountriesHealth Services AccessibilityHumansPandemicsCOVID-19Healthcare accessInclusive healthcareLockdownPandemicPeople with disabilities

Identifiers

PMID37653417
PMCPMC10472671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.