Evidence map›Paper›PMID 31902960›Full record

ArticleBulletin of the World Health Organization2020

Development assistance for community health workers in 114 low- and middle-income countries, 2007-2017.

Chunling Lu, Daniel Palazuelos, Yiqun Luan, Sonia Ehrlich Sachs, Carole Diane Mitnick, Joseph Rhatigan, Henry B Perry

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Mind the Global Community Health Funding Gap.Global health, science and practice · 2021
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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.

Chunling LuBrigham & Women's Hospital, Harvard Medical School, 641 Huntington Ave, Boston, Massachusetts 02115, United States of America (USA).
Daniel PalazuelosBrigham & Women's Hospital, Harvard Medical School, 641 Huntington Ave, Boston, Massachusetts 02115, United States of America (USA).
Yiqun LuanThe Heller School for Social Policy and Management, Brandeis University, Waltham, USA.
Sonia Ehrlich SachsEarth Institute, Columbia University, New York, USA.
Carole Diane MitnickDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
Joseph RhatiganBrigham & Women's Hospital, Harvard Medical School, 641 Huntington Ave, Boston, Massachusetts 02115, United States of America (USA).
Henry B PerryDepartment of International Health, Johns Hopkins University, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the level and trend of development assistance for community health worker-related projects in low- and middle-income countries between 2007 and 2017.

methodsWe extracted data from the Organisation for Economic Co-operation and Development's creditor reporting system on aid funding for projects to support community health workers (CHWs) in 114 countries over 2007-2017. We produced estimates for projects specifically described by relevant keywords and for projects which could include components on CHWs. We analysed the pattern of development assistance by purpose, donors, recipient regions and countries, and trends over time.

findingsBetween 2007 and 2017, total development assistance targeting CHW projects was around United States dollars (US$) 5 298.02 million, accounting for 2.5% of the US$ 209 277.99 million total development assistance for health. The top three donors (Global Fund to Fight AIDS, Tuberculosis and Malaria, the government of Canada and the government of the United States of America) provided a total of US$ 4 350.08 million (82.1%) of development assistance for these projects. Sub-Saharan Africa received a total US$ 3 717.93 million, the largest per capita assistance over 11 years (US$ 0.39; total population: 9 426.25 million). Development assistance to projects that focused on infectious diseases and child and maternal health received most funds during the study period.

conclusionThe share of development assistance invested in the CHW projects was small, unstable and decreasing in recent years. More research is needed on tracking government investments in CHW-related projects and assessing the impact of investments on programme effectiveness.

Indexed as

Global HealthInternational CooperationCommunity Health WorkersDeveloping CountriesFinancing, OrganizedHumans

Identifiers

PMID31902960
PMCPMC6933433

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LicenceCC BY
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Registered trials

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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.