Evidence map›Paper›PMID 30397520›Full record

ArticleBMJ global health2018

Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria.

Ajibola Awotiwon, Charlie Sword, Tracy Eastman, Christy Joy Ras, Prince Ana, Ruth Vania Cornick, Lara Fairall, Eric Bateman, Audry Dube, Robyn Curran and 7 more

Open access · goldAbstract read
In one paragraph

Article 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 33 citations in OpenAlex.

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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

17 authors at 2 institutions in 2 countries.

Ajibola AwotiwonKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Charlie SwordBMJ Global Health, BMJ, London, UK.
Tracy EastmanKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.ORCID 0000-0002-7913-7303
Christy Joy RasKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.ORCID 0000-0003-2001-172X
Prince AnaHealth Resources International West Africa, Calabar, Nigeria.
Ruth Vania CornickKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Lara FairallKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Eric BatemanKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Audry DubeKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Robyn CurranKnowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
Inemesit UdoekwereHealth Resources International West Africa, Calabar, Nigeria.
Unyime-Obong EssienHealth Resources International West Africa, Calabar, Nigeria.ORCID 0000-0002-2762-5751
Okorie AssemHealth Resources International West Africa, Calabar, Nigeria.
Theresa Sylvester EduHealth Resources International West Africa, Calabar, Nigeria.
Hajia Binta IsmailNational Primary Health Care Agency (NPHCDA), Abuja, Federal Capital Territory, Nigeria.
Olalekan Olugbenga OlubajoNational Primary Health Care Agency (NPHCDA), Abuja, Federal Capital Territory, Nigeria.
Joseph AnaHealth Resources International West Africa, Calabar, Nigeria.
University of Cape Town · ZANational Primary Health Care Development Agency · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nigeria, in its quest to strengthen its primary healthcare system, is faced with a number of challenges including a shortage of clinicians and skills. Methods are being sought to better equip primary healthcare clinicians for the clinical demands that they face. Using a mentorship model between developers in South Africa and Nigerian clinicians, the Practical Approach to Care Kit (PACK) for adult patients, a health systems strengthening programme, has been localised and piloted in 51 primary healthcare facilities in three Nigerian states. Lessons learnt from this experience include the value of this remote model of localisation for rapid localisation, the importance of early, continuous stakeholder engagement, the need expressed by Nigeria's primary healthcare clinicians for clinical guidance that is user friendly and up-to-date, a preference for the tablet version of the PACK Adult guide over hard copies and the added value of WhatsApp groups to complement the programme of face-to-face continuous learning. Introduction of the PACK programme in Nigeria prompted uptake of evidence-informed recommendations within primary healthcare services.

Indexed as

health policyhealth systemspublic healthtreatment

Identifiers

PMID30397520
PMCPMC6202991
OpenAlexW4251130259

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.