Evidence map›Paper›PMID 31038348›Full record

ArticleAfrican journal of primary health care & family medicine2019

Calling non-governmental organisations to strengthen primary health care: Lessons following Alma-Ata.

Megan Landes, Colin Pfaff, Meseret Zerihun, Dawit Wondimagegn, Sumeet Sodhi, Katherine Rouleau, Michael R Kidd

Abstract readHistorical ArticleLetter
In one paragraph

Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
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

7 authors.

Megan LandesDignitas International, Zomba, Malawi; and, Department of Family and Community Medicine, University of Toronto, Toronto, Canada. mclandes@gmail.com.
Colin Pfaff
Meseret Zerihun
Dawit Wondimagegn
Sumeet Sodhi
Katherine Rouleau
Michael R Kidd

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Alma-Ata Declaration's commitment to primary health care (PHC) reaches its 40th anniversary in 2018. Over the last 40 years, the number of non-governmental organisations (NGOs) working in low-income countries (LICs) has rapidly multiplied, and over time, NGOs have both positively and negatively impacted equity, effectiveness, appropriateness and efficiency of PHC systems in LICs.

aimThe authors aim to demonstrate that at the 40th anniversary of the Alma-Ata Declaration's commitment to PHC, NGOs are particularly poised to strengthen PHC in LICs.

methodsIn this letter, the authors reflect on how NGOs have both positively and negatively impacted equity, effectiveness, appropriateness and efficiency of PHC systems based on their experience working with NGOs in LICs.

resultsNGOs are poised to strengthen PHC in LICs in four distinct ways: assisting with local human resources development, strengthening local information systems, enabling community-based health services and testing innovative service delivery projects.

conclusionsThe authors call for NGOs to commit their expertise and resources to long-term strengthening of PHC in LICs and to critically examine the factors that prevent or assist them in this goal. As the principles of Alma-Ata are renewed, NGOs should be responsibly engaged in strengthening the declaration's goal of 'health for all'.

Indexed as

Anniversaries and Special EventsDelivery of Health CareHistory, 20th CenturyHistory, 21st CenturyHumansKazakhstanOrganizationsPrimary Health CareAlma-Atafamily medicineglobal healthnon-governmental organisationsprimary careprimary health care

Identifiers

PMID31038348
PMCPMC6556919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.