Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas

Disparity in access to healthcare between rural and urban regions occurs world-wide, both in higher and lower income countries. To offset poor health outcomes a number of approaches to structuring healthcare services can be used. Several factors have been identified to play a role, however there ar...

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Autores principales:	Agnieszka Malicka, Namrita George
Formato:	article
Lenguaje:	EN
Publicado:	Poznan University of Medical Sciences 2021
Materias:	Barriers to Healthcare Rural Healthcare Antenatal Care Child Malnutrition Bottom-up approach ASHWINI Medicine R
Acceso en línea:	https://doaj.org/article/2c62e1682e6e4c98a74a618a7fd71dee
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spelling	oai:doaj.org-article:2c62e1682e6e4c98a74a618a7fd71dee2021-12-01T08:22:18ZApplication of a bottom-up approach to reduce healthcare disparity between the urban and rural areas 10.20883/medical.e5682353-97982353-9801https://doaj.org/article/2c62e1682e6e4c98a74a618a7fd71dee2021-11-01T00:00:00Zhttps://jms.ump.edu.pl/index.php/JMS/article/view/568https://doaj.org/toc/2353-9798https://doaj.org/toc/2353-9801 Disparity in access to healthcare between rural and urban regions occurs world-wide, both in higher and lower income countries. To offset poor health outcomes a number of approaches to structuring healthcare services can be used. Several factors have been identified to play a role, however there are differing degrees of severity in how they contribute to the healthcare gap - depending on whether a higher or lower income country is being evaluated. Traditionally, healthcare systems worldwide adopt a top-down approach which is initiated by large institutions providing resources required for large scale projects along with centralisation of efforts. Although it does lead to change, the results can be short-lived. The authors discuss the bottom-up approach used in ASHWINI organisation in Gudalur, India which allowed for the development of accessible and sustainable healthcare system managed by the community. Other projects, based in part on the principles of a bottom-up approach, have been applied in other countries to reduce healthcare disparities. When designed to deliver geographically-accessible, locally managed, culturally appropriate care, the bottom-up approach can provide sustainable results and being universal in nature, it could be applied in other setting with similar set up. Agnieszka MalickaNamrita GeorgePoznan University of Medical SciencesarticleBarriers to HealthcareRural HealthcareAntenatal CareChild MalnutritionBottom-up approachASHWINIMedicineRENJournal of Medical Science (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Barriers to Healthcare Rural Healthcare Antenatal Care Child Malnutrition Bottom-up approach ASHWINI Medicine R
spellingShingle	Barriers to Healthcare Rural Healthcare Antenatal Care Child Malnutrition Bottom-up approach ASHWINI Medicine R Agnieszka Malicka Namrita George Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
description	Disparity in access to healthcare between rural and urban regions occurs world-wide, both in higher and lower income countries. To offset poor health outcomes a number of approaches to structuring healthcare services can be used. Several factors have been identified to play a role, however there are differing degrees of severity in how they contribute to the healthcare gap - depending on whether a higher or lower income country is being evaluated. Traditionally, healthcare systems worldwide adopt a top-down approach which is initiated by large institutions providing resources required for large scale projects along with centralisation of efforts. Although it does lead to change, the results can be short-lived. The authors discuss the bottom-up approach used in ASHWINI organisation in Gudalur, India which allowed for the development of accessible and sustainable healthcare system managed by the community. Other projects, based in part on the principles of a bottom-up approach, have been applied in other countries to reduce healthcare disparities. When designed to deliver geographically-accessible, locally managed, culturally appropriate care, the bottom-up approach can provide sustainable results and being universal in nature, it could be applied in other setting with similar set up.
format	article
author	Agnieszka Malicka Namrita George
author_facet	Agnieszka Malicka Namrita George
author_sort	Agnieszka Malicka
title	Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
title_short	Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
title_full	Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
title_fullStr	Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
title_full_unstemmed	Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
title_sort	application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas
publisher	Poznan University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/2c62e1682e6e4c98a74a618a7fd71dee
work_keys_str_mv	AT agnieszkamalicka applicationofabottomupapproachtoreducehealthcaredisparitybetweentheurbanandruralareas AT namritageorge applicationofabottomupapproachtoreducehealthcaredisparitybetweentheurbanandruralareas
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Application of a bottom-up approach to reduce healthcare disparity between the urban and rural areas

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