Accessibility of occupational therapy treatment for at-risk children in low- to middle-income countries: A scoping review

African Journal of Disability

 
 
Field Value
 
Title Accessibility of occupational therapy treatment for at-risk children in low- to middle-income countries: A scoping review
 
Creator Cloete, Lizahn Shweni, Zusange Finnucane, Leah-Jade Muller, Martine van Wyk, Christelle du Plessis, Lirié
 
Subject At-risk children; occupational therapy (OT); treatment, access barriers; accessibility challenges; barriers; low- to middle-income countries barriers to rehabilitation; accessibility to treatment; occupational therapy service delivery; resource-limited settings; children.
Description Background: Barriers to occupational therapy (OT) treatment in low- to middle-income countries (LMICs) are not well documented, posing challenges for ensuring treatment accessibility.Objectives: This study focuses on at-risk children aged 0–17 years in LMICs, a vulnerable population facing unique and often overlooked barriers to accessing OT treatment. Given that low-income countries account for 85% of the world’s population, it is imperative to ensure that vulnerable children living in these regions receive adequate attention and resources to support their development and well-being.Method: This study explored the barriers to the accessibility of OT treatment for at-risk children in LMICs. Following the JBI Manual for Evidence Synthesis – 2024 edition, a search of CINAHL, PubMed, Scopus, PsycINFO and Web of Science yielded eight eligible studies. Records were screened first by title and abstract, and then by full text. All included studies were published within the last 10 years with a focus on at-risk children and/or adolescents who received OT treatment in LMICs.Results: A shortage of trained professionals is presented as the most common barrier limiting access to OT. Other barriers included limited government funding, lack of resources that impeded the delivery of treatment, social stigma and cultural attitudes, and lack of knowledge and awareness about OT.Conclusion: Further research is required to explore ways to address these barriers to improve access to OT services.Contribution: Identified barriers can facilitate actions to increase accessibility to OT interventions for at-risk children in LMICs, with the goal of improved health outcomes and greater social inclusion.
 
Publisher AOSIS
 
Contributor
Date 2025-10-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v14i0.1643
 
Source African Journal of Disability; Vol 14 (2025); 9 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1643/3875 https://ajod.org/index.php/ajod/article/view/1643/3876 https://ajod.org/index.php/ajod/article/view/1643/3877 https://ajod.org/index.php/ajod/article/view/1643/3878
 
Coverage Africa; Egypt; Ghana; Mozambique; South Africa; Vietnam 2013-2023 low-middle income countries, children
Rights Copyright (c) 2025 Lizahn Cloete, Zusange Shweni, Leah-Jade Finnucane, Martine Muller, Christelle van Wyk, Lirié du Plessis https://creativecommons.org/licenses/by/4.0
ADVERTISEMENT