ArticleBulletin of the World Health Organization2013
Human resources for health and universal health coverage: fostering equity and effective coverage.
Article in Bulletin of the World Health Organization, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03376607 (Community- and mHealth-Based Integrated Management of Diabetes in Primary Healthcare in Rwanda), which is not on this map. Cited by 151 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Community- and mHealth-Based Integrated Management of Diabetes in Primary Healthcare in Rwanda: The D²Rwanda Study
Who cites it
151 citing papers in PubMed, 3 syntheses or guidelines pooled it, 357 citations in OpenAlex.
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- Universal Health Coverage and Facilitation of Equitable Access to Care in Africa.Frontiers in public health · 2019Pooled it
- Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review.Human resources for health · 2015Pooled it
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- Quality as part of universal health coverage in Bhutan: a narrative synthesis.The Lancet regional health. Southeast Asia · 2026Review
- Turnover intention and its determinants among midwives working in Wolaita Zone public hospitals, South Ethiopia, 2024.BMC pregnancy and childbirth · 2026Article
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- Understanding key drivers of job satisfaction in primary health care organizations in Kazakhstan: a Herzberg's two-factor theory-based qualitative study.Frontiers in health services · 2026Article
- Workforce Science and the Human-AI economy of health and care.PLOS global public health · 2026Article
- Setting priorities for healthcare interventions in Indonesia: a comprehensive conceptual framework.International journal for equity in health · 2025Review
- Primary oral healthcare in Ireland: a health systems analysis of publicly funded contracted services delivered by the general dental practitioner workforce.BMC health services research · 2025Article
- Health workforce issues and recommended practices in the implementation of Universal Health Coverage in the Philippines: a qualitative study.Human resources for health · 2025Article
- Assessing the health workforce in Afghanistan: a situational analysis into the country's capacity for Universal health coverage.Conflict and health · 2025Article
- Threshold effect of governance quality in the relationship between public health expenditure and life expectancy at birth in the West African Economic and Monetary Union.BMC health services research · 2025Article
- Optimizing emergency response systems in urban health crises: A project management approach to public health preparedness and response.Medicine · 2025Review
- Joint spatiotemporal evaluation of multiple healthcare resources: hospitals, hospital beds and physicians across 365 Chinese cities over 22 years.Frontiers in public health · 2025Article
- Task sharing for point-of-care testing: Review of national health policies and implementation landscape in 19 African countries.PLOS global public health · 2025Article
91 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 8 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates. The findings inform key principles for evidence-based decision-making on HRH in support of UHC. First, HRH are critical to the expansion of health service coverage and the package of benefits; second, HRH strategies in each of the AAAQ dimensions collectively support achievements in effective coverage; and third, success is achieved through partnerships involving health and non-health actors. Facing the unprecedented health and development challenges that affect all countries and transforming HRH evidence into policy and practice must be at the heart of UHC and the post-2015 development agenda. It is a political imperative requiring national commitment and leadership to maximize the impact of available financial and human resources, and improve healthy life expectancy, with the recognition that improvements in health care are enabled by a health workforce that is fit for purpose.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.