ArticleBulletin of the World Health Organization2020
Communities, universal health coverage and primary health care.
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 57 papers, 2 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
57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review.International journal of environmental research and public health · 2022Pooled it
- A realist synthesis of staff-based primary health care interventions addressing universal health coverage.Journal of global health · 2022Pooled it
- Scaling integrated cardiovascular-kidney-metabolic care through primary health care in the Americas: a health policy analysis of HEARTS 2.0 implementation levers and architecture.Lancet regional health. Americas · 2026Review
- A Comparative Analysis of National Health Strategies and Policy Documents in Selected Latin American and African Countries.International journal of environmental research and public health · 2026Review
- Chronic stroke rehabilitation interventions in primary healthcare settings: a scoping review.BMJ open · 2026Article
- Policy Levers for First-Contact Healthcare Provider Choice: A Discrete Choice Experiment in Shanghai's Hierarchical Medical System.Applied health economics and health policy · 2026Article
- Psychometric evaluation of acceptability, appropriateness, and feasibility measures for a students' online health appointment system in a university hospital in Ghana.Implementation science communications · 2026Article
- Reimagining community health nursing: a qualitative participatory action research study of nurse-led primary healthcare innovation in rural Saudi Arabia.BMC nursing · 2026Article
- Trends in Tuberculosis Incidence and Mortality in South Africa and Bulgaria (2000-2023): The Impact of Income, Poverty, Unemployment, and Universal Health Coverage.Epidemiologia (Basel, Switzerland) · 2026Article
- Reducing Primary Healthcare Bypass Behaviour: A Discrete Choice Experiment Study Exploring the Preferences for Primary Eye Care Services in Rural Xinjiang.The patient · 2026Article
- Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia.BMJ global health · 2026Article
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Co-designed interventions package for enhancing women's resilience in reproductive and child health through income-generating associations: a human-centered design study in Tanzania.Frontiers in health services · 2026Article
- Progress towards universal health coverage in South Asia, 2000-2030: an examination of the twin elements of primary healthcare provision and financial protection.BMJ global health · 2025Article
- Article
- Quality of maternal and child health services in Tanzanian primary healthcare: a 2021-2022 star rating review.Reproductive health · 2025Article
- Enhancing Competencies and Professional Upskilling of Mobile Healthcare Unit Personnel at the Hellenic National Public Health Organization.Healthcare (Basel, Switzerland) · 2025Article
- Nurturing Leaders in Community-Based, Primary Healthcare Services for People with Disabilities in Low- and Middle-Income Countries.International journal of environmental research and public health · 2025Article
- A political economy analysis of health policymaking in Nigeria: the genesis of the 2014 National Health Act.Health policy and planning · 2025Article
- Prevalence and associated factors of self-reported oral health problems among adults in the Fanteakwa districts in Ghana.BMC oral health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Universal health coverage (UHC) depends on a strong primary health-care system. To be successful, primary health care must be expanded at community and household levels as much of the world's population still lacks access to health facilities for basic services. Abundant evidence shows that community-based interventions are effective for improving health-care utilization and outcomes when integrated with facility-based services. Community involvement is the cornerstone of local, equitable and integrated primary health care. Policies and actions to improve primary health care must regard community members as more than passive recipients of health care. Instead, they should be leaders with a substantive role in planning, decision-making, implementation and evaluation. Advancing the science of primary health care requires improved conceptual and analytical frameworks and research questions. Metrics used for evaluating primary health care and UHC largely focus on clinical health outcomes and the inputs and activities for achieving them. Little attention is paid to indicators of equitable coverage or measures of overall well-being, ownership, control or priority-setting, or to the extent to which communities have agency. In the future, communities must become more involved in evaluating the success of efforts to expand primary health care. Much of primary health care has taken place, and will continue to take place, outside health facilities. Involving community members in decisions about health priorities and in community-based service delivery is key to improving systems that promote access to care. Neither UHC nor the Health for All movement will be achieved without the substantial contribution of communities.
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.