Dimensions of access by Andersen et al | Definition from Andersen et al | Application in systematic review |
---|---|---|
Potential access | Health financing policy in place | Implementation of performance-based financing policy |
Realized access | Actual utilization of services as a result of the health financing policy | Utilization based on SR outcomes (ANC, skilled birth delivery, and family planning) as reported in the study |
Effective access | Improving health status from health service use and is a function of potential and realized access | Changes in the outcomes in terms of utilization as reported in the study, for example, timely use of services to improve health outcomes—attributed to the PBF policy |
Equitable access | Ensures distribution of resources based on need | Consideration of equity variables—income groups, place of residence, and contextual differences in resource allocation as reported in the study |
Inequitable access | Focused on the process of reducing the influence of social characteristics on the distribution of health services | Consideration of approaches used to address information barriers among population groups as reported in the study |
Efficient access | To minimize the cost of improving outcomes as a result of health service use | Cost minimization for specific services (ANC, skilled birth delivery, and/or family planning) to improve utilization and outcome as reported in the study |