ReviewBMJ global health2018
The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care.
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 27 papers.
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.
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
27 citing papers in PubMed, 39 citations in OpenAlex.
- Trial
- Implementation of primary palliative care interventions across six sub-Saharan African countries: understanding contextual determinants and lessons learnt.Family medicine and community health · 2026Article
- Novel approaches to empowering health workforce: a scoping review.Human resources for health · 2026Article
- From face-to-face to e-learning: transitioning to new training models to strengthen the health system by supporting primary healthcare workers in low- and middle-income countries.BMJ global health · 2026Article
- Evaluation of a training intervention for primary healthcare workers to improve management of diabetes and hypertension in Kisumu County, Kenya: a mixed-methods study.BMC health services research · 2026Article
- The forgotten billion: bridging the global allergy care chasm through scalable, equity-driven strategies.Frontiers in allergy · 2026Review
- Addressing health information inequities: making evidence-based clinical content more accessible in low- and middle-income primary care.BMJ global health · 2025Article
- Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review.Curationis · 2024Review
- 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
- Ethiopian primary healthcare clinical guidelines 5 years on-processes and lessons learnt from scaling up a primary healthcare initiative.BMJ global health · 2024Article
- Barriers and enablers to improving integrated primary healthcare for non-communicable diseases and mental health conditions in Ethiopia: a mixed methods study.BMC primary care · 2024Article
- A model-based approach to estimating the prevalence of disease combinations in South Africa.BMJ global health · 2024Article
- A collaborative care package for depression comorbid with chronic physical conditions in South Africa.BMC health services research · 2022Article
- Asthma management in low and middle income countries: case for change.The European respiratory journal · 2022Review
- Association of off-the-job training with work performance and work-family conflict among physicians: a cross-sectional study in China.BMJ open · 2022Article
- Addressing the quality of paediatric primary care: health worker and caregiver perspectives from a process evaluation of PACK child, a health systems intervention in South Africa.BMC pediatrics · 2021Article
- Addressing the quality and scope of paediatric primary care in South Africa: evaluating contextual impacts of the introduction of the Practical Approach to Care Kit for children (PACK Child).BMC health services research · 2020Article
- 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
- e-PC101: an electronic clinical decision support tool developed in South Africa for primary care in low-income and middle-income countries.BMJ global health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is an urgent need to depart from in-service training that relies on distance and/or intensive off-site training leading to limited staff coverage at clinical sites. This traditional approach fails to meet the challenge of improving clinical practice, especially in low-income and middle-income countries where resources are limited and disease burden high. South Africa's University of Cape Town Lung Institute Knowledge Translation Unit has developed a facility-based training strategy for implementation of its Practical Approach to Care Kit (PACK) primary care programme. The training has been taken to scale in primary care facilities throughout South Africa and has shown improvements in quality of care indicators and health outcomes along with end-user satisfaction. PACK training uses a unique approach to address the needs of frontline health workers and the health system by embedding a health intervention into everyday clinical practice at facility level. This paper describes the features of the PACK training strategy: PACK training is scaled up using a cascade model of training using educational outreach to deliver PACK to clinical teams in their health facilities in short, regular sessions. Drawing on adult education principles, PACK training empowers clinicians by using experiential and interactive learning methodologies to draw on existing clinical knowledge and experience. Learning is alternated with practice to improve the likelihood of embedding the programme into everyday clinical care delivery.
Indexed as
Identifiers
What OpenQuestion holds
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.