Review Article - Journal of Intensive and Critical Care Nursing (2023) Volume 6, Issue 5
The challenges of healthcare delivery in low-resource settings.Soniya Acharya*
Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA
- *Corresponding Author:
- Soniya Acharya
Department of Psychiatry
University of Minnesota
Minneapolis, MN, USA
Received: 05-Oct-2023, Manuscript No. AAICCN-23-118685; Editor assigned: 07-Oct--2023, PreQC No. AAICCN-23-118685 (PQ); Reviewed: 21-Oct-2023, QC No. AAICCN-23-118685; Revised: 24-Oct -2023, Manuscript No. AAICCN-23-118685(R); Published: 30-Oct-2023, DOI:10.35841/aaiccn-6.5.172
Citation: Acharya S. The challenges of healthcare delivery in low-resource settings. J Intensive Crit Care Nurs. 2023; 6(5):172
Access to quality healthcare is a fundamental human right, but unfortunately, it is not a reality for many individuals living in low-resource settings around the world. Low-resource settings, which can encompass rural areas, impoverished communities, or regions affected by conflict and instability, face a myriad of challenges in delivering effective healthcare. In this article, we will explore the multifaceted challenges of healthcare delivery in such environments and the potential solutions to address them.
One of the most significant challenges in low-resource settings is the lack of adequate healthcare infrastructure. This includes shortages of healthcare facilities, medical equipment, and skilled healthcare professionals. Rural areas in developing countries are often the most affected, with people having to travel long distances to access even basic healthcare services. Limited infrastructure makes it challenging to provide timely and comprehensive care .
Shortages of skilled healthcare professionals
A shortage of skilled healthcare professionals is a critical issue in low-resource settings. Many healthcare workers prefer to practice in urban areas or countries with better working conditions and higher pay, leaving remote or underprivileged regions underserved. This shortage includes not only physicians but also nurses, pharmacists, and other allied healthcare professionals who play a vital role in healthcare delivery. Inadequate access to essential medications and medical supplies is a significant barrier to healthcare delivery in low-resource settings. Many patients in these areas must often forgo necessary treatments due to unaffordability or unavailability of medications. This can have dire consequences, especially for patients with chronic conditions or infectious diseases.
Low-resource settings often have limited financial resources to invest in healthcare. Governments may struggle to allocate sufficient funds for healthcare infrastructure, personnel, and programs. As a result, healthcare facilities may lack the necessary resources to provide quality care, leading to a perpetual cycle of underinvestment and subpar healthcare outcomes .
Lack of preventive and primary care
Inadequate healthcare infrastructure and resource shortages make it challenging to provide preventive and primary care services. Preventive care, including vaccinations and health education, is essential for reducing the burden of diseases. In low-resource settings, the lack of such services can lead to higher rates of preventable illnesses. In many low-resource settings, geographical barriers compound the challenges of healthcare delivery. Patients may live in remote areas with limited transportation options, making it difficult to reach healthcare facilities in a timely manner. This geographical isolation can lead to delayed diagnoses and treatments, which can be particularly critical in emergency cases.
Cultural and societal factors
Cultural beliefs and societal norms can also pose challenges to healthcare delivery in low-resource settings. Stigma and discrimination can deter individuals from seeking care for certain conditions, such as mental health issues or infectious diseases like HIV/AIDS. Moreover, gender disparities and unequal access to care can be significant obstacles in some regions. Low-resource settings are often more vulnerable to infectious disease outbreaks. Factors such as inadequate sanitation, limited access to clean water, and overcrowded living conditions can facilitate the rapid spread of diseases. When outbreaks occur, the healthcare system may be illequipped to respond effectively, resulting in higher morbidity and mortality rates. Regions affected by conflict and political instability face additional challenges in healthcare delivery. Disrupted supply chains, damage to healthcare infrastructure, and the displacement of healthcare workers can severely impede the provision of healthcare services. Access to healthcare may be further limited by violence and insecurity .
Language and cultural barriers
In culturally diverse settings, language and cultural barriers can make it difficult for healthcare providers to communicate effectively with patients. This can lead to misunderstandings, misdiagnoses, and reduced patient trust in the healthcare system. While the challenges of healthcare delivery in low-resource settings are daunting, several solutions can help improve access to care and healthcare outcomes: Governments and international organizations should prioritize investing in healthcare infrastructure, including building and equipping healthcare facilities and ensuring the availability of essential medical equipment. Training and retaining healthcare professionals in underserved areas should be a priority. Initiatives like scholarship programs, incentives, and telemedicine can help address the healthcare workforce shortage. Improving the supply chain for medications and medical supplies is crucial. Collaboration with pharmaceutical companies, international organizations, and local manufacturing can help ensure a consistent supply of essential medical products. Public health education campaigns can raise awareness about the importance of preventive and primary care. These campaigns should be culturally sensitive and address local beliefs and norms. Telemedicine can bridge the geographical gap and provide access to healthcare services remotely. It allows patients in remote areas to consult with healthcare professionals, receive diagnoses, and access medical advice. Collaboration between public and private sectors can bring additional resources and expertise to healthcare delivery. This can lead to improved access to care and the expansion of healthcare services in underserved regions .
Utilizing community health workers who are familiar with the local culture and language can improve healthcare access. These individuals can provide basic care, education, and referrals to higher-level healthcare facilities. International organizations and NGOs play a crucial role in supporting healthcare in low-resource settings. Initiatives such as the Global Fund to Fight AIDS, Tuberculosis, and Malaria, and the World Health Organization's Essential Medicines Program have been instrumental in addressing healthcare challenges. Resolving conflicts and addressing political instability can create a more favorable environment for healthcare delivery. Peacebuilding efforts should prioritize the safety and security of healthcare providers and patients. Research into costeffective healthcare solutions and innovative technologies can help address resource constraints. For example, the development of low-cost diagnostics and treatment options can make a significant impact in low-resource settings .
In conclusion, healthcare delivery in low-resource settings is a complex and multifaceted challenge. It requires a combination of increased investment, workforce development, community engagement, and international collaboration. By addressing these challenges with a multi-faceted approach, we can work towards ensuring that all individuals, regardless of their geographic location or socio-economic status, have access to quality healthcare and the opportunity for better health outcomes.
- Murthy S, Adhikari NK. Global health care of the critically ill in low-resource settings. Ann Am Thorac Soc. 2013;10(5):509-13.
- Hoeft TJ, Fortney JC, Patel V, et al. Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review. J Rural Health. 2018;34(1):48-62.
- Khan FA, Merry AF. Improving anesthesia safety in low-resource settings. Anesth Analg. 2018;126(4):1312-20.
- Bahendeka S, Mutungi G, Tugumisirize F, et al. Healthcare delivery for paediatric and adolescent diabetes in low resource settings: type 1 diabetes clinics in Uganda. Glob Public Health. 2019;14(12):1869-83.
- Bingham A, Bishop A, Coffey P, et al. Factors affecting utilization of cervical cancer prevention services in low-resource settings. Salud Publica Mex. 2003;45(S3):408-16.