ArticleBMJ global health2019
Community-orientated primary care: a scoping review of different models, and their effectiveness and feasibility in sub-Saharan Africa.
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 46 papers, 2 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation of the Community-based Health Planning and Services (CHPS) in rural and urban Ghana: a history and systematic review of what works, for whom and why.Frontiers in public health · 2023Pooled it
- Migrant women's experiences of pregnancy, childbirth and maternity care in European countries: A systematic review.PloS one · 2020Pooled it
- Building community climate resilience: A guide for primary care providers.African journal of primary health care & family medicine · 2026Article
- Community Perceptions of Integrating Community Health Workers and Telehealth Services for Chronic Disease Management in a Rural Island Community: A Qualitative Study.Journal of participatory medicine · 2026Article
- A complexity theory-informed COPC approach to evaluation of mining health programmes.African journal of primary health care & family medicine · 2025Article
- The effectiveness of a community-orientated model of primary care for type 2 diabetes compared to standard care.African journal of primary health care & family medicine · 2025Observational
- Continuing professional development on climate change and primary care in Africa: Qualitative study.African journal of primary health care & family medicine · 2025Article
- Implementing active surveillance for tuberculosis: A quality improvement project.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Family physicians as advocates for primary health care in Botswana.African journal of primary health care & family medicine · 2025Article
- Practical insights for enhancing primary care rehabilitation services in low-resource contexts.African journal of primary health care & family medicine · 2025Article
- Integrating community health into primary care: two case studies from Barcelona's Raval neighborhood.Frontiers in public health · 2025Article
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- Home visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis.African journal of primary health care & family medicine · 2024Article
- Global lessons on delivery of primary healthcare services for people with non-communicable diseases: convergent mixed methods.Family medicine and community health · 2024Article
- From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward.BMC primary care · 2024Article
- Migration and primary healthcare in sub-Saharan Africa: A scoping review.African journal of primary health care & family medicine · 2024Article
- The role of community health workers in non-communicable diseases in Cape Town, South Africa: descriptive exploratory qualitative study.BMC primary care · 2024Article
- Future proofing health in response to climate change and rapid urbanisation in Africa.BMJ (Clinical research ed.) · 2024Article
- Family practice research in the African region 2020-2022.African journal of primary health care & family medicine · 2024Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCommunity-orientated primary care (COPC) is an approach to primary healthcare (PHC) that originated in South Africa and contributed to the formulation of the Declaration of Alma-Ata 40 years ago. Despite this, PHC remains poorly developed in sub-Saharan African countries. There has been a resurgence of interest in strengthening PHC systems in the last few years and identifying key knowledge gaps. COPC has been an effective strategy elsewhere, most notably Brazil. This scoping review investigated COPC in the sub-Saharan African context and looked for evidence of different models, effectiveness and feasibility.
methodsDatabases were systematically searched using a comprehensive search strategy to identify studies from the last 10 years. A methodological guideline for conducting scoping reviews was followed. A standardised template was used to extract data and compare study characteristics and findings. Studies were grouped into five categories: historical analysis, models, implementation, educational studies and effectiveness.
resultsA total of 1997 publications were identified and 39 included in the review. Most publications were from the last 5 years (n = 32), research (n = 27), from South Africa (n = 27), focused on implementation (n = 25) and involving case studies (n = 9), programme evaluation (n = 6) or qualitative methods (n = 10). Nine principles of COPC were identified from different models. Factors related to the implementation of COPC were identified in terms of governance, finances, community health workers, primary care facilities, community participation, health information and training. There was very little evidence of effectiveness of COPC.
conclusionsThere is a need for further research to describe models of COPC in Africa, investigate the appropriate skills mix to integrate public health and primary care in these models, evaluate the effectiveness of COPC and whether it is included in training of healthcare workers and government policy.
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