SynthesisPloS one2019
Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes.
Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 268 papers, 12 of them syntheses that pooled 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.
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
268 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Oral Health Interventions to Improve Access in Rural Areas of High-Income Countries: A Mixed Methods Systematic Review.Community dentistry and oral epidemiology · 2026Pooled it
- Experiences and service-uptake factors of receiving and providing care for meningitis and its sequelae: a qualitative systematic review.BMC medicine · 2026Pooled it
- Enablers of successful dissemination of uncommon practices in positive deviance studies for nutrition: A scoping review.BMC nutrition · 2026Pooled it
- Advancing genetic counselling in Southern Africa: Unveiling opportunities for inclusive healthcare and genomic education for Angola.Saudi medical journal · 2025Pooled it
- Classifying strategies for building community health movements: a guide for implementers.BMC public health · 2025Pooled it
- Comparison of life expectancy determinants among gulf cooperation council members.BMC public health · 2025Pooled it
- Adolescents' involvement in mental health treatment and service design: a systematic review.BMC health services research · 2024Pooled it
- Pooled it
- Mobilizing community-driven health promotion through community granting programs: a rapid systematic review.BMC public health · 2024Pooled it
- Co-designing community-level integral interventions for active ageing: a systematic review from the lens of community-based participatory research.BMC public health · 2024Pooled it
- Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings.Journal of racial and ethnic health disparities · 2023Pooled it
- A Systematic Review of Black People Coping With Racism: Approaches, Analysis, and Empowerment.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023Pooled it
- Implementation of addiction consult services and bridge clinics in the HEALing communities study in Massachusetts.Drug and alcohol dependence · 2026Trial
- Piloting Multiple Micronutrient Supplementation Within the Routine Antenatal Care System in Ethiopia: Insights From Stakeholders.Maternal & child nutrition · 2025Trial
- Trust, Participation, and Power: Community Perspectives from the Equity in Public Health Initiative.Journal of community health · 2026Article
- Community participation and operational lessons from implementing a protective coating as a novel vector control tool in dengue-endemic neighborhoods of Cúcuta and Los Patios, Colombia.BMC public health · 2026Article
- 'Cost, man. Good quality stuff can get pricey', men's choices regarding HIV services in South Africa.African journal of primary health care & family medicine · 2026Article
- Participatory research in mental health care services in low-income and middle-income countries: a scoping review.BMJ open · 2026Article
- Article
- A global scoping review of interventions to increase participation in screening programmes for breast, cervical and colorectal cancer between 2016 and 2025.BMC public health · 2026Article
208 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity participation is widely believed to be beneficial to the development, implementation and evaluation of health services. However, many challenges to successful and sustainable community involvement remain. Importantly, there is little evidence on the effect of community participation in terms of outcomes at both the community and individual level. Our systematic review seeks to examine the evidence on outcomes of community participation in high and upper-middle income countries. METHODS AND
findingsThis review was developed according to PRISMA guidelines. Eligible studies included those that involved the community, service users, consumers, households, patients, public and their representatives in the development, implementation, and evaluation of health services, policy or interventions. We searched the following databases from January 2000 to September 2016: Medline, Embase, Global Health, Scopus, and LILACs. We independently screened articles for inclusion, conducted data extraction, and assessed studies for risk of bias. No language restrictions were made. 27,232 records were identified, with 23,468 after removal of duplicates. Following titles and abstracts screening, 49 met the inclusion criteria for this review. A narrative synthesis of the findings was conducted. Outcomes were categorised as process outcomes, community outcomes, health outcomes, empowerment and stakeholder perspectives. Our review reports a breadth of evidence that community involvement has a positive impact on health, particularly when substantiated by strong organisational and community processes. This is in line with the notion that participatory approaches and positive outcomes including community empowerment and health improvements do not occur in a linear progression, but instead consists of complex processes influenced by an array of social and cultural factors.
conclusionThis review adds to the evidence base supporting the effectiveness of community participation in yielding positive outcomes at the organizational, community and individual level.
trial registrationProspero record number: CRD42016048244.
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.