Evidence map›Paper›PMID 28588938›Full record

ArticleBMJ global health2016

Primary healthcare policy implementation in South Asia.

Chris van Weel, Ryuki Kassai, Waris Qidwai, Raman Kumar, Kanu Bala, Pramendra Prasad Gupta, Ruvaiz Haniffa, Neelamani Rajapaksa Hewageegana, Thusara Ranasinghe, Michael Kidd and 1 more

Abstract read
In one paragraph

Article in BMJ global health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Reorienting health systems towards Primary Health Care in South Asia.The Lancet regional health. Southeast Asia · 2024
    Review
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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

11 authors.

Chris van WeelDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0003-3653-4701
Ryuki KassaiDepartment of Community and Family Medicine, Fukushima Medical University, Fukushima, Japan.
Waris QidwaiDepartment of Family Medicine Service Line Family Health, Aga Khan University, Karachi, Pakistan.
Raman KumarAcademy of Family Physicians of India, New Delhi, India.
Kanu BalaBangladesh Institute of Family Medicine & Research, University of Science & Technology Chittagong, Hatirpool, Dhaka, Bangladesh.
Pramendra Prasad GuptaDepartment of General Practice and Emergency Medicine, B.P. Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.
Ruvaiz HaniffaCollege of General Practitioners of Sri Lanka, Colombo, Sri Lanka.
Neelamani Rajapaksa HewageeganaMinistry of Health, Colombo, Sri Lanka.
Thusara RanasingheWHO Country Office, Colombo, Sri Lanka.
Michael KiddFaculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Amanda HoweNorwich Medical School, University of East Anglia, Norwich, Norfolk, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Primary healthcare is considered an essential feature of health systems to secure population health and contain costs of healthcare while universal health coverage forms a key to secure access to care. This paper is based on a workshop at the 2016 World Organization of Family Doctors (WONCA) South Asia regional conference, where the health systems of Bangladesh, India, Nepal, Pakistan and Sri Lanka were presented in relation to their provision of primary healthcare. The five countries have in recent years improved the health of their populations, but currently face the challenges of non-communicable diseases and ageing populations. Primary healthcare should be a core component in restructuring health systems. However, there is a lack of understanding among policymakers of the unique contribution of primary healthcare to the health of populations. This results in insufficient investment in facilities and low priority of specialty training in the community setting. Regional collaboration could strengthen the advocacy for primary healthcare to policymakers and other stakeholders. Priorities were investment in community-based health facilities, and access to healthcare through professionals specialty-trained in the primary healthcare setting. This development fits the strategy of the WHO South East Asian Region to use community-based healthcare in achieving universal health coverage for the Asian populations.

Identifiers

PMID28588938
PMCPMC5321321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.