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Review Article 


A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries

Hasan Albarqi, Ali Jaber Aqeli, Marwan Mohammed Alsaati, Mansour Alsaadawi, Mohammed Sami Basubrain, Lama Rashid Elessawi.


Abstract
Objective: To identify health inequalities of access to health services for mental health patients in low and middle-income countries.
Methodology: This systematic review was conducted through electronic article search on three journal databases: PubMed, ProQuest and CINAHL Plus with full texts. Additional search was done through Google Scholar and list of references. The articles were selected based on specific criteria and keenly read for quality of information and internal validity. Articles published within the last 10 years (2013-2023) with full-access were included.
Results: A total of 4064 articles were retrieved, out of which, 17 were included as eligible. The studies were conducted in various low and middle-income countries, including Brazil, South Africa, Nigeria, Uganda, Kenya, India, Nepal, Ethiopia, Liberia, Surabaya, Rwanda, Jordan, Pakistan, Iran, and Mexico. Twelve studies applied quantitative methods, seven applied qualitative approach and one study used mixed research methodology. Three categories of health inequalities were identified: biological, including gender, age, and comorbidities; social, including race, culture, stigma, trust, family support, fear, attitude, economic status, and literacy-related variables; and structural, including place of residence, distance, accessibility, and availability of the services.
Conclusion: Stigma from social norms lead the inequalities in access to mental healthcare services in developing countries.

Key words: inequalities, mental healthcare, low and middle-Income, diverse, systematic review.


 
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How to Cite this Article
Pubmed Style

Albarqi H, Aqeli AJ, Alsaati MM, Alsaadawi M, Basubrain MS, Elessawi LR. A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. RMJ. 2024; 49(1): 209-214. doi:10.5455/rmj.20231020114345

Web Style

Albarqi H, Aqeli AJ, Alsaati MM, Alsaadawi M, Basubrain MS, Elessawi LR. A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. https://www.rmj.org.pk/?mno=173773 [Access: February 15, 2024]. doi:10.5455/rmj.20231020114345

AMA (American Medical Association) Style

Albarqi H, Aqeli AJ, Alsaati MM, Alsaadawi M, Basubrain MS, Elessawi LR. A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. RMJ. 2024; 49(1): 209-214. doi:10.5455/rmj.20231020114345


Vancouver/ICMJE Style

Albarqi H, Aqeli AJ, Alsaati MM, Alsaadawi M, Basubrain MS, Elessawi LR. A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. RMJ. (2024), [cited February 15, 2024]; 49(1): 209-214. doi:10.5455/rmj.20231020114345


Harvard Style

Albarqi, H., Aqeli, . A. J., Alsaati, . M. M., Alsaadawi, . M., Basubrain, . M. S. & Elessawi, . L. R. (2024) A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. RMJ, 49 (1), 209-214. doi:10.5455/rmj.20231020114345


Turabian Style

Albarqi, Hasan, Ali Jaber Aqeli, Marwan Mohammed Alsaati, Mansour Alsaadawi, Mohammed Sami Basubrain, and Lama Rashid Elessawi. 2024. A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. Rawal Medical Journal, 49 (1), 209-214. doi:10.5455/rmj.20231020114345


Chicago Style

Albarqi, Hasan, Ali Jaber Aqeli, Marwan Mohammed Alsaati, Mansour Alsaadawi, Mohammed Sami Basubrain, and Lama Rashid Elessawi. "A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries." Rawal Medical Journal 49 (2024), 209-214. doi:10.5455/rmj.20231020114345


MLA (The Modern Language Association) Style

Albarqi, Hasan, Ali Jaber Aqeli, Marwan Mohammed Alsaati, Mansour Alsaadawi, Mohammed Sami Basubrain, and Lama Rashid Elessawi. "A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries." Rawal Medical Journal 49.1 (2024), 209-214. Print. doi:10.5455/rmj.20231020114345


APA (American Psychological Association) Style

Albarqi, H., Aqeli, . A. J., Alsaati, . M. M., Alsaadawi, . M., Basubrain, . M. S. & Elessawi, . L. R. (2024) A Systematic Review on inequalities in access to mental healthcare services in low and middle-income countries. Rawal Medical Journal, 49 (1), 209-214. doi:10.5455/rmj.20231020114345


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