@article{fdi:010080787,
  title = {{I}s patient navigation a solution to the problem of "leaving no one behind" ? : a scoping review of evidence from low-income countries},
  author = {{L}ouart, {S}. and {B}onnet, {E}mmanuel and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{P}atient navigation interventions, which are designed to enable patients excluded from health systems to overcome the barriers they face in accessing care, have multiplied in high-income countries since the 1990s. {H}owever, in low-income countries ({LIC}s), indigents are generally excluded from health policies despite the international paradigm of universal health coverage ({UHC}). {F}ee exemption interventions have demonstrated their limits and it is now necessary to act on other dimensions of access to healthcare. {H}owever, there is a lack of knowledge about the interventions implemented in {LIC}s to support the indigents throughout their care pathway. {T}he aim of this paper is to synthesize what is known about patient navigation interventions to facilitate access to modern health systems for vulnerable populations in {LIC}s. {W}e therefore conducted a scoping review to identify all patient navigation interventions in {LIC}s. {W}e found 60 articles employing a total of 48 interventions. {M}ost of these interventions targeted traditional beneficiaries such as people living with {HIV}, pregnant women and children. {W}e utilized the framework developed by {L}evesque et al. ({P}atient-centred access to health care: conceptualising access at the interface of health systems and populations. {I}nt {J} {E}quity {H}ealth 2013;12:18) to analyse the interventions. {A}ll acted on the ability to perceive, 34 interventions on the ability to reach, 30 on the ability to engage, 8 on the ability to pay and 6 on the ability to seek. {E}valuations of these interventions were encouraging, as they often appeared to lead to improved health indicators and service utilization rates and reduced attrition in care. {H}owever, no intervention specifically targeted indigents and very few evaluations differentiated the impact of the intervention on the poorest populations. {I}t is therefore necessary to test navigation interventions to enable those who are worst off to overcome the barriers they face. {I}t is a major ethical issue that health policies leave no one behind and that {UHC} does not benefit everyone except the poorest},
  keywords = {{BURKINA} {FASO} ; {ZIMBABWE} ; {OUGANDA} ; {TANZANIE} ; {RWANDA} ; {TOGO} ; {ETHIOPIE} ; {GUINEE} {BISSAU} ; {MALAWI} ; {HAITI} ; {NEPAL} ; {ETATS} {UNIS}},
  booktitle = {},
  journal = {{H}ealth {P}olicy and {P}lanning},
  volume = {36},
  numero = {1},
  pages = {101--116},
  ISSN = {0268-1080},
  year = {2021},
  DOI = {10.1093/heapol/czaa093},
  URL = {https://www.documentation.ird.fr/hor/fdi:010080787},
}