Scaling Innovations From Healthcare Interventions for Street Children in Developing Countries: A Systematic Review Based on Evidence From Dodoma City

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Abstract

The study examines the trend of publications related to health interventions for street children in Sub-Saharan African countries. It involved a systematic analysis of 637,686 documents sourced from the Dimension and Google Scholar databases, covering the period from 2020 to 2025. After a thorough process of identification, screening, and eligibility assessment, only six journal articles were included in this review. Further analysis aimed to identify study outcomes associated with the Ottawa health promotion framework, which focuses on developing personal health promotion skills for street children, strengthening community action, creating a supportive environment for accessing healthcare, and enhancing health public policy that effectively addresses the health of street children. The systematic review results indicate that mobilising financial resources for street children's healthcare, addressing tropical diseases through hospital treatment rather than self-medication, fostering collaboration between government social welfare departments and civil organisations, and utilising emergency health services collectively create a supportive environment for street children. However, limited knowledge about scaling these interventions has led to misallocation of resources aimed at addressing healthcare needs for street children. The review concludes by emphasising that effective interventions such as digital banking, collaboration between civil organisations and government, the use of emergency health services, and ensuring treatment adherence among street children should be scaled up in all activities involving street children to enhance uniformity and transparency.

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