ReviewBMJ global health2018
Hubris, humility and humanity: expanding evidence approaches for improving and sustaining community health programmes.
Review in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How and why do women's groups (WGs) improve the quality of maternal and child health (MCH) care? A systematic review of the literature.BMJ open · 2022Pooled it
- A river, frontline families, and the double-edged sword of community participation: how nutrition interventions are shaped at the village level in Dhubri, India.Health policy and planning · 2026Article
- Hubris in the age of intelligent medicine-from clinical hierarchies to algorithmic amplification.NPJ digital medicine · 2026Review
- Strengthening the role of community health assistants in delivering primary health care: the case of maternal health services in Zambia.BMC primary care · 2025Article
- Amplifying Community Health Worker Voices to Examine the Implementation and Scaling of a Community Health Program: A Qualitative Study in the Philippines.Health services insights · 2025Article
- How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries.Global health action · 2024Article
- Individual, community and health systems factors influencing time to notification of tuberculosis: situating software and hardware bottlenecks in local health systems.BMC health services research · 2024Article
- Implementation strategies for decentralized management of multidrug-resistant tuberculosis: insights from community health systems in Zambia.Archives of public health = Archives belges de sante publique · 2024Article
- Learning from public health practice: the development of a library of community-centered practice examples.Journal of public health (Oxford, England) · 2023Article
- Applying community health systems lenses to identify determinants of access to surgery among mobile & migrant populations with hydrocele in Zambia: A mixed methods assessment.PLOS global public health · 2023Article
- Zooming in and out: a holistic framework for research on maternal, late foetal and newborn survival and health.Health policy and planning · 2022Review
- The Multiple Lenses on the Community Health System: Implications for Policy, Practice and Research.International journal of health policy and management · 2022Article
- Unlocking Trust in Community Health Systems: Lessons From the Lymphatic Filariasis Morbidity Management and Disability Prevention Pilot Project in Luangwa District, Zambia.International journal of health policy and management · 2022Article
- Exploring Politics and Contestation in the Policy Process: The Case of Zambia's Contested Community Health Strategy.International journal of health policy and management · 2022Article
- Community engagement for the Voluntary Medical Male Circumcision (VMMC) program: an analysis of key stakeholder roles to promote a sustainable program in Zambia.Gates open research · 2022Article
- Working Towards Inclusive, Socially Accountable and Resilient Community Health Systems: An Introduction to a Special Issue.International journal of health policy and management · 2022Article
- Community and health provider perspectives on the quality of family planning and contraceptive services in Kabwe District, Zambia.Sexual and reproductive health matters · 2021Article
- Community health workers at the dawn of a new era.Health research policy and systems · 2021Article
- Community health workers at the dawn of a new era: 11. CHWs leading the way to "Health for All".Health research policy and systems · 2021Review
- Community health workers at the dawn of a new era: 10. Programme performance and its assessment.Health research policy and systems · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Community-based approaches are a critical foundation for many health outcomes, including reproductive, maternal, newborn and child health (RMNCH). Evidence is a vital part of strengthening that foundation, but largely focuses on the technical content of what must be done, rather than on how disparate community actors continuously interpret, implement and adapt interventions in dynamic and varied community health systems. We argue that efforts to strengthen evidence for community programmes must guard against the hubris of relying on a single approach or hierarchy of evidence for the range of research questions that arise when sustaining community programmes at scale. Moving forward we need a broader evidence agenda that better addresses the implementation realities influencing the scale and sustainability of community programmes and the partnerships underpinning them if future gains in community RMNCH are to be realised. This will require humility in understanding communities as social systems, the complexity of the interventions they engage with and the heterogeneity of evidence needs that address the implementation challenges faced. It also entails building common ground across epistemological word views to strengthen the robustness of implementation research by improving the use of conceptual frameworks, addressing uncertainty and fostering collaboration. Given the complexity of scaling up and sustaining community RMNCH, ensuring that evidence translates into action will require the ongoing brokering of relationships to support the human creativity, scepticism and scaffolding that together build layers of evidence, critical thinking and collaborative learning to effect change.
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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.