Using the Social Ecological Model to identify barriers to accessing and using primary healthcare services by the rural Bangladeshi elderly: A systematic review.
Dipika Chandra, Sanjoy Kumar Chanda, Tunvir Ahamed Shohel et al.
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In 30 seconds
This systematic review examined barriers to accessing primary healthcare services among rural elderly populations in Bangladesh, utilizing the Social Ecological Model. It synthesized findings from 19 studies, identifying key barriers across individual, family, organizational, social, and policy levels. Notably, individual barriers included less physical capability and financial insolvency, while policy barriers highlighted gaps in health insurance.
Key findings
- Individual barriers included less physical capability, financial insolvency, and lack of PHC service knowledge.
- Family-level barriers involved less connectivity with family and gender disparity in healthcare decisions.
- Organizational barriers included limited infrastructure and unsatisfactory attitudes of healthcare providers.
- Policy-level barriers highlighted gaps in rural elderly health insurance.
Why it matters
Understanding these barriers is crucial for developing targeted interventions to improve access to primary healthcare for the rural elderly, ultimately contributing to better health outcomes and adherence to public health goals.