ArticleBMJ global health2019
Primary healthcare policy and governance in low-income and middle-income countries: an evidence gap map.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
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- Addressing priority gaps in access and quality of NCD services in primary care settings in Rural Kenya: a participatory approach to intervention development.BMC primary care · 2026Article
- Years of Life Lost due to the 2015 Gorkha earthquake in Nepal.BMC public health · 2026Article
- Institutional capacity for non-communicable disease care in Ghana's primary health care system: a multi-method study.BMC primary care · 2026Article
- Public administration and health system strengthening in low- and middle-income countries: exploring strategies to improve healthcare delivery and health governance.Frontiers in health services · 2026Review
- Understanding challenges of primary healthcare financial resource allocation in Iran.Health research policy and systems · 2025Article
- Assessment of Health System Readiness and Quality of Dementia Services in Peru: Protocol for a Qualitative Study With Stakeholder Interviews and Documentation Review.JMIR research protocols · 2025Article
- Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review.PloS one · 2025Article
- What are the methodological characteristics of evidence and gap maps? A systematic review and evidence and gap map.Cochrane evidence synthesis and methods · 2024Article
- Collaboration in a Partnership for Primary Health Care: A Case Study From Papua New Guinea.Global health, science and practice · 2024Article
- From understanding to action: a juncture-factor framework for advancing social responsiveness in health professions education.Frontiers in medicine · 2024Article
- Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review.BMJ open · 2023Article
- Cost and outcomes of routine HIV care and treatment: public and private service delivery models covering low-income earners in South Africa.BMC health services research · 2023Article
- Participatory approaches in primary health care related implementation research in low-and middle-income countries: A narrative review.Public health in practice (Oxford, England) · 2022Review
- Temporal trends in the burden of non-communicable diseases in countries with the highest malaria burden, 1990-2019: Evaluating the double burden of non-communicable and communicable diseases in epidemiological transition.Globalization and health · 2022Article
- Medical Students' Perception Regarding Health Policy Teaching and Their Participation in Health Policy Roles: A Survey at a Public University in Malaysia.Healthcare (Basel, Switzerland) · 2022Article
- Leveraging governance strategies adopted by health facility governing committees in response to COVID-19 outbreak at the local level in Tanzania: A qualitative study.PLOS global public health · 2022Article
- Universality of universal health coverage: A scoping review.PloS one · 2022Article
- Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania.PloS one · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGovernance is one of the most important aspects for strong primary healthcare (PHC) service delivery. To achieve the targets for the Sustainable Development Goals, good governance may play a prime role in low-income and middle-income countries (LMICs). This evidence gap map (EGM) explored the available evidence in LMICs to identify the knowledge gap concerning PHC policy and governance in these settings.
methodsWe followed the standard 3ie EGM protocol, finalising the scope of the EGM through a stakeholder workshop. We searched a total of 32 bibliographic databases, systematic review databases, impact evaluation databases, and donor and bilateral agency databases using a comprehensive search strategy. Two reviewers screened retrieved studies, extracted data and performed quality assessment. We plotted the interventions and outcomes derived from the included studies in a dynamic platform to build the interactive EGM and conducted a stakeholder consultation with nominal group technique methods to prioritise the identified gaps.
resultsThe EGM included 24 systematic reviews and 7 impact evaluations focusing on PHC policy and governance in LMICs. Most of the sources emphasised workforce management and supervision. There were noticeable evidence gaps regarding accountability and social responsibility. The most highly prioritised themes were the role of accountability, the role of public-private partnerships and the role of user-provider communication in PHC governance.
conclusionsThis EGM identified some important aspects of PHC policy and governance such as accountability, social responsibility, public-private partnership, user-provider communication through the methodological approaches of evidence synthesis and stakeholder consultation. Identified gaps will provide directions for an implementation research plan to improve the governance of PHC in LMICs.
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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.