Evidence map›Paper›PMID 24452043›Full record

ArticleLancet (London, England)2014

Governance and health in the Arab world.

Rajaie Batniji, Lina Khatib, Melani Cammett, Jeffrey Sweet, Sanjay Basu, Amaney Jamal, Paul Wise, Rita Giacaman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Lancet (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rajaie BatnijiDepartment of Medicine, Stanford University, Stanford, CA, USA. Electronic address: rajaie.batniji@gmail.com.
Lina KhatibCarnegie Middle East Center, Beirut, Lebanon.
Melani CammettDepartment of Political Science, Brown University, Providence, RI, USA.
Jeffrey SweetFreeman Spogli Institute, Stanford University, Stanford, CA, USA.
Sanjay BasuDepartment of Medicine, Stanford University, Stanford, CA, USA.
Amaney JamalDepartment of Political Science, Princeton University, Princeton, NJ, USA.
Paul WiseFreeman Spogli Institute, Stanford University, Stanford, CA, USA.
Rita GiacamanInstitute for Community and Public Health, Birzeit University, Birzeit, West Bank, occupied Palestinian territory.

Funding

Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI FOSTER, ANDREW D. · 2001 to 2016
$7.4M
NICHD NIH HHS R24 HD041020
6 · The paper itself

Abstract

Since late 2010, the Arab world has entered a tumultuous period of change, with populations demanding more inclusive and accountable government. The region is characterised by weak political institutions, which exclude large proportions of their populations from political representation and government services. Building on work in political science and economics, we assess the extent to which the quality of governance, or the extent of electoral democracy, relates to adult, infant, and maternal mortality, and to the perceived accessibility and improvement of health services. We compiled a dataset from the World Bank, WHO, Institute for Health Metrics and Evaluation, Arab Barometer Survey, and other sources to measure changes in demographics, health status, and governance in the Arab World from 1980 to 2010. We suggest an association between more effective government and average reductions in mortality in this period; however, there does not seem to be any relation between the extent of democracy and mortality reductions. The movements for changing governance in the region threaten access to services in the short term, forcing migration and increasing the vulnerability of some populations. In view of the patterns observed in the available data, and the published literature, we suggest that efforts to improve government effectiveness and to reduce corruption are more plausibly linked to population health improvements than are efforts to democratise. However, these patterns are based on restricted mortality data, leaving out subjective health metrics, quality of life, and disease-specific data. To better guide efforts to transform political and economic institutions, more data are needed for health-care access, health-care quality, health status, and access to services of marginalised groups.

Indexed as

GovernmentHealth StatusArab WorldDelivery of Health CareGlobal HealthHumansMiddle EastMortalityPoliticsQuality Improvement

Identifiers

PMID24452043
PMCPMC4176927

What OpenQuestion holds

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Registered trials

None linked

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.