Evidence map›Paper›PMID 41530301›Full record

ArticleEvidence-based dentistry2026

Barriers and facilitators in utilisation of dental health services across low- and middle-income countries: a scoping review.

Priyanshu Kumar Shrivastava, Abhishek Mehta, Barsha Priya Deka, Manu Raj Mathur

Abstract readScoping Review
In one paragraph

Article in Evidence-based dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Priyanshu Kumar ShrivastavaPostgraduate student, Department of Epidemiology and Public Health, University College London, London, WC1E 6BT, UK.
Abhishek MehtaDepartment of Public Health Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, India. amehta@jmi.ac.in.ORCID http://orcid.org/0000-0002-9192-7615
Barsha Priya DekaDepartment of Public Health Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, India.
Manu Raj MathurDepartment of Dental Public Health and Primary Care, Institute of Dentistry, Queen Mary University of London, London, E1 2AD, UK. m.r.mathur@qmul.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis scoping review aims to systematically identify and theoretically categorise barriers and facilitators affecting access to dental care in LMICs.

methodsThis scoping review employed the Theoretical Domains Framework (TDF) to synthesise the findings thematically. A comprehensive search of literature published up to May 2025 in MEDLINE (PubMed), Embase, Scopus, and Web of Science, as well as grey literature sources, was conducted to identify relevant articles. Screening was performed using Rayyan, and data were extracted and categorised into the TDF domains.

resultsFrom the 15,140 initial hits, 214 articles were found eligible for final analysis. The maximum number of studies was published in India, Brazil, Nigeria and Iran. Eleven TDF domains were identified, and 'environmental context and resources' (n = 452, 41.5%) emerged as the most frequent domain, followed by 'beliefs about consequences' (n = 251, 23.1%) and 'knowledge' (n = 144, 13.2%). Barriers were more frequently reported than facilitators across all domains. Distinct domain patterns were observed across population subgroups and income categories, with structural barriers dominating in all contexts.

conclusionFindings from this review underscore the need for integrated, context-sensitive interventions that combine system-level reforms with behaviour change strategies to improve dental care utilisation and reduce inequalities in oral health access across LMICs. There is also a need for more research on this health issue in low-income countries.

Indexed as

Dental Health ServicesDeveloping CountriesHealth Services AccessibilityHumans

Identifiers

PMID41530301
PMCPMC13031122

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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.