ArticleBMJ global health2018
Crossing borders: the PACK experience of spreading a complex health system intervention across low-income and middle-income countries.
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 22 papers.
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Who cites it
22 citing papers in PubMed.
- Trial
- Addressing health information inequities: making evidence-based clinical content more accessible in low- and middle-income primary care.BMJ global health · 2025Article
- Clinically sound and person centred: streamlining clinical decision support guidance for multiple long-term condition care.BMJ global health · 2024Article
- Supporting a rapid primary care response to emergent communicable disease threats with PACK (Practical Approach to Care Kit) in Florianópolis, Brazil.BMJ global health · 2024Article
- Learning health systems on the front lines to strengthen care against future pandemics and climate change: a rapid review.BMC health services research · 2024Review
- Asthma management in low and middle income countries: case for change.The European respiratory journal · 2022Review
- Understanding the interaction between cytomegalovirus and tuberculosis in children: The way forward.PLoS pathogens · 2021Review
- Revamping of Chronic Respiratory Diseases in Low- and Middle-Income Countries.Frontiers in public health · 2021Review
- Addressing barriers to primary health-care services for noncommunicable diseases in the African Region.Bulletin of the World Health Organization · 2020Article
- Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries.Health research policy and systems · 2020Review
- Effects of PACK guide training on the management of asthma and chronic obstructive pulmonary disease by primary care clinicians: a pragmatic cluster randomised controlled trial in Florianópolis, Brazil.BMJ global health · 2019Article
- Empowering frontline providers to deliver universal primary healthcare using the Practical Approach to Care Kit.BMJ (Clinical research ed.) · 2018Article
- Empowering frontline providers to deliver universal primary healthcare using the Practical and Approach to care kit.BMJ global health · 2018Article
- The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care.BMJ global health · 2018Review
- Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia.BMJ global health · 2018Review
- Back to the future with PACK.BMJ global health · 2018Article
- Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Brazil.BMJ global health · 2018Article
- Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria.BMJ global health · 2018Article
- PACK Child: the development of a practical guide to extend the scope of integrated primary care for children and young adolescents.BMJ global health · 2018Article
- The Practical Approach to Care Kit (PACK) guide: developing a clinical decision support tool to simplify, standardise and strengthen primary healthcare delivery.BMJ global health · 2018Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Developing a health system intervention that helps to improve primary care in a low-income and middle-income country (LMIC) is a considerable challenge; finding ways to spread that intervention to other LMICs is another. The Practical Approach to Care Kit (PACK) programme is a complex health system intervention that has been developed and adopted as policy in South Africa to improve and standardise primary care delivery. We have successfully spread PACK to several other LMICs, including Botswana, Brazil, Nigeria and Ethiopia. This paper describes our experiences of localising and implementing PACK in these countries, and our evolving mentorship model of localisation that entails our unit providing mentorship support to an in-country team to ensure that the programme is tailored to local resource constraints, burden of disease and on-the-ground realities. The iterative nature of the model's development meant that with each country experience, we could refine both the mentorship package and the programme itself with lessons from one country applied to the next-a 'learning health system' with global reach. While not yet formally evaluated, we appear to have created a feasible model for taking our health system intervention across more borders.
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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.