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. 2021 Mar 18;6:61. [Version 1] doi: 10.12688/wellcomeopenres.16593.1

Table 1. Classification of barriers preventing access/utilization of healthcare by children with neurological impairments/disability.

Theme (category) of barrier Criteria for inclusion
1.   Financial constraints Determined by whether the patient/caregiver was able to pay for biomedical services
and all indirect costs incurred while seeking care.
2.   Education/ awareness Lack of/inadequate information or awareness from healthcare facilities about the
availability of care services; or caregiver/patient unable to seek services due to limited
education/information/health illiteracy.
3.   Culture/beliefs Caregivers or patients’ values and perceptions inhibiting seeking biomedical services
or societal attitude influencing health-seeking behaviour
4.   Geographical inaccessibility and
      physical barriers
Geographical inaccessibility described as the proximity of the healthcare facilities
from the patient’s/caregiver residence. Inaccessibility also included the inability
to access healthcare services due to physical disabilities and/or unfavourable
infrastructural design of healthcare facilities or transport systems.
5.   Inadequate healthcare resources and
      quality of care
The attitude of healthcare workers and availability of appropriate services/equipment
such as expert consultation, clinical assessment, supply of critical drugs, laboratory
equipment, and testing in the healthcare facilities.
6.   Confidentiality/anonymity Comprising privacy and protection of patient information of those seeking healthcare.
7.   Childcare/competing domestic roles Domestic roles such as childcare or taking care of the sick and elderly at home as
competing roles for the caregivers.