Involvement of NGO in the Care of Indigent Patients in Emergency Department: A Systematic Review

Authors

  • Rajiv Ratan Singh Professor (JG), Department of Emergency Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
  • Shobhit Shakya Professor (JG), Department of General Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
  • Pratibha Singh Associate Professor, Department of Forensic Medicine and Toxicology, SGRRIM & HS, Dehradoon, India.
  • Pradeep Kumar Yadav Associate Professor, Department of Forensic Medicine and Toxicology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

DOI:

https://doi.org/10.5281/

Keywords:

NGOs, indigent patients, emergency department, healthcare access, systematic review

Abstract

Background: Indigent patients those who lack financial means, social support, or stable housing often present unique challenges in emergency departments (EDs). Non-Governmental Organizations (NGOs) have emerged as critical stakeholders in providing holistic care for this vulnerable population, addressing medical, psychosocial, and logistical needs. Objective: This systematic review examines the extent of NGO involvement in the care of indigent patients in EDs, focusing on their roles, challenges, and impact on patient outcomes. Methods: A systematic literature search was conducted across PubMed, and Google Scholar using keywords such as “indigent patients AND emergency medical care” AND “non-governmental organizations”. Peer-reviewed articles, reports, and case studies published in the last few years were included. The data were synthesized to identify trends in NGO participation, their strategies, and their integration with healthcare services. Results: The review identified three primary roles of NGOs in ED care: (1) provision of immediate relief services, such as food, clothing, and temporary shelter; (2) facilitation of long-term support through rehabilitation programs and legal aid (3) advocacy for policy reforms to ensure sustainable care. Successful collaborations were marked by well-defined roles and effective communication between ED staff and NGOs. Challenges included inconsistent funding, lack of training, and gaps in care coordination. Evidence highlighted that NGO involvement improved patient satisfaction, and enhanced access to follow-up care. Conclusion: NGOs play a vital role in bridging care gaps for indigent patients in EDs. Strengthening partnerships between healthcare institutions and NGOs through training, funding, and policy support can optimize outcomes for this vulnerable population.

Author Biographies

  • Rajiv Ratan Singh, Professor (JG), Department of Emergency Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

    Professor (JG), Department of Emergency Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

  • Shobhit Shakya, Professor (JG), Department of General Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

    Professor (JG), Department of General Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

  • Pratibha Singh, Associate Professor, Department of Forensic Medicine and Toxicology, SGRRIM & HS, Dehradoon, India.

    Associate Professor, Department of Forensic Medicine and Toxicology, SGRRIM & HS, Dehradoon, India.

References

[1] Jha S, Ghosh S. The role of NGOs in improving healthcare access for marginalized populations in India. Indian J Public Health. 2016;60(2):145-9.

[2] Abramson TM, Sanko S, Eckstein M. Emergency medical services utilization by homeless patients. Prehospital Emergency Care. 2021 Apr 20;25(3):333-40.

[3] Singh RR, Srivastava UK, Choudhary R, Yadav PK, Tripathi SK, Ttripathi SS. Impact of Overload on Emergency Medicine Department during Festive Season in a Tertiary Care Centre in North India: A Systematic Review. International Medicine ISSN: 2667-7008. 2023 Nov 23;9(3).

[4] Singh RR, Yadav PK, Yadav S. Management Strategies for Overcrowding in Emergency Medicine Department: A Narrative Review.

[5] Singh RR, Srivastava UK, Bharti AK, Choudhary R, Yadav PK, Tripathi SK. Socioeconomic Disparities in Emergency Department Mortality: A Systematic Review. International Medicine ISSN: 2667-7008. 2023 Dec 7;9(3).

[6] Leaker H, Fox L, Holroyd-Leduc J. The impact of geriatric emergency management nurses on the care of frail older patients in the emergency department: a systematic review. Canadian geriatrics journal. 2020 Sep;23(3):250.

[7] Sarwar MR. Bangladesh Health Service Delivery: innovative NGO and private sector partnerships. IDS Bulletin. 2015 May;46(3):17-28.

[8] Zaidi S, Mayhew SH, Cleland J, Green AT. Context matters in NGO–government contracting for health service delivery: a case study from Pakistan. Health policy and planning. 2012 Oct 1;27(7):570-81.

[9] Maruf MH. GO-NGO collaboration in health sector management of Bangladesh: an evaluation of BRAC’s health programme (Doctoral dissertation, BRAC University).

[10] Bhuiyan MI, Haque A. Role of NGOs in providing available and affordable health care services to the slum people in Dhaka. Clinical Epidemiology and Global Health. 2024 Jan 1; 25:101478.

[11] Ahmed NU, Alam MM, Sultana F, Sayeed SN, Pressman AM, Powers MB. Reaching the unreachable: barriers of the poorest to accessing NGO healthcare services in Bangladesh. Journal of health, population, and nutrition. 2006 Dec;24(4):456.

[12] Nxumalo N, Goudge J, Thomas L. Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes. Global health action. 2013 Dec 1;6(1):19283.

[13] Singh S, Sharma P, Singh RR, Tripathi SK, Yadav PK. Examining the impact of socioeconomic and demographic factors on women’s health: A survey-based study of menstrual hygiene, pregnancy, and post pregnancy care in the Gonds Tribe of Sonbhadra, Uttar Pradesh. Journal of Family Medicine and Primary Care. 2024 Oct 1;13(10):4663-70.

[14] Schauer M, Schauer E. Trauma-focused public mental-health interventions: a paradigm shift in humanitarian assistance and aid work. Trauma rehabilitation after war and conflict: Community and individual perspectives. 2010:389-428.

[15] Rajabi M, Ebrahimi P, Aryankhesal A. Collaboration between the government and nongovernmental organizations in providing health-care services: A systematic review of challenges. Journal of Education and Health Promotion. 2021 Jan 1;10(1):242.

[16] Singh RR, Kumar S, Pandey A, Tripathi SK, Yadav PK, Pathak V. The Role of the Metaverse in Emergency Medicine and its Legal Implications: A Systematic Review. Toxicology. 2025 Jan;19(1).

[17] Singh RR, Upadhyay A, Singh AK, Tripathi SK, Yadav PK. Exploring the Impact of Metaverse Technologies on Patient Care: A Systematic Review of Alcohol Withdrawal Management in Emergency Department. Annals of Medicine and Medical Sciences. 2024 Dec 8:91-5.

[18] Fiorini G, Cerri C, Magri F, Chiovato L, Croce L, Rigamonti AE, Sartorio A, Cella SG. Risk factors, awareness of disease and use of medications in a deprived population: differences between indigent natives and undocumented migrants in Italy. Journal of Public Health. 2021 Jun;43(2):302-7.

[19] Gulzar L, Henry B. Interorganizational collaboration for health care between nongovernmental organizations (NGOs) in Pakistan. Social Science & Medicine. 2005 Nov 1;61(9):1930-43.

[20] Corboz J, Pasquero L, Hogg CL, Rasheed A. Enhancing a survivor-centred approach to healthcare provision in Afghanistan: Understanding and addressing the barriers faced by male victims/survivors of sexual violence. Child Abuse & Neglect. 2023 Aug 1; 142:105854.

[21] Gooding K. The role of NGOs’ service delivery experience in developing relevant research agendas: experience and challenges among NGOs in Malawi. Health research policy and systems. 2017 Dec; 15:1-4.

[22] Masefield SC, Msosa A, Grugel J. Challenges to effective governance in a low-income healthcare system: a qualitative study of stakeholder perceptions in Malawi. BMC health services research. 2020 Dec; 20:1-6.

[23] Khodayari-Zarnaq R, Kakemam E, Arab-Zozani M, Rasouli J, Sokhanvar M. Participation of Iranian non-governmental organizations in health policy-making; barriers and strategies for development. International Journal of Health Governance. 2020 Mar 2;25(1):46-56.

[24] Alieva M, Abdukakharova T, Tokoshov R, Makambai M. Regulation of NGO activities in the field of health and physical education: Problems and prospects. InBIO Web of Conferences 2024 (Vol. 120, p. 01047). EDP Sciences. DOI: https://doi.org/10.1051/bioconf/202412001047.

Downloads

Published

2025-01-07

Issue

Section

Systematic Review

How to Cite

Involvement of NGO in the Care of Indigent Patients in Emergency Department: A Systematic Review. (2025). Annals of Medicine and Medical Sciences, 4(01), 01-04. https://doi.org/10.5281/

Similar Articles

1-10 of 25

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)