Evidence map›Paper›PMID 34207979›Full record

ArticleInternational journal of environmental research and public health2021

Family Physician Perceptions of Climate Change, Migration, Health, and Healthcare in Sub-Saharan Africa: An Exploratory Study.

Charlotte Scheerens, Els Bekaert, Sunanda Ray, Akye Essuman, Bob Mash, Peter Decat, An De Sutter, Patrick Van Damme, Wouter Vanhove, Samuel Lietaer and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 22% of its field
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Exploring barriers to healthcare among internal and international female migrants in The Gambia.African journal of primary health care & family medicine · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Migration and primary healthcare in sub-Saharan Africa: A scoping review.African journal of primary health care & family medicine · 2024
    Article
  12. Article
  13. Article
  14. Climate change, disaster management and primary health care in Zimbabwe.African journal of primary health care & family medicine · 2022
    Article
  15. The contribution of family physicians to African health systems.African journal of primary health care & family medicine · 2022
    Article
  16. Climate change, migration, and health(care) in primary care training.African journal of primary health care & family medicine · 2021
    Article
  17. Article
  18. Review
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

13 authors at 7 institutions in 5 countries.

Charlotte ScheerensDepartment of Public Health and Primary Care, Ghent University, B-9000 Ghent, Belgium.
Els BekaertDepartment of Economics-CESSMIR, Ghent University, UNU-CRIS, B-9000 Ghent, Belgium.
Sunanda RayDepartment of Medical Education, Faculty of Medicine, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-7214-1596
Akye EssumanDepartment of Community Health, University of Ghana, Accra, Ghana.ORCID 0000-0002-0784-1123
Bob MashDivision of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7505, South Africa.
Peter DecatDepartment of Public Health and Primary Care, Ghent University, B-9000 Ghent, Belgium.ORCID 0000-0001-8948-6040
An De SutterDepartment of Public Health and Primary Care, Ghent University, B-9000 Ghent, Belgium.
Patrick Van DammeDepartment of Plants and Crops, Ghent University, B-9000 Ghent, Belgium.
Wouter VanhoveDepartment of Plants and Crops, Ghent University, B-9000 Ghent, Belgium.
Samuel LietaerDepartment of Environmental management and Land-use Planning, IGEAT-Centre d'Etudes du Développement Durable (CEDD), Université Libre de Bruxelles, B-1050 Brussels, Belgium.
Jan De MaeseneerDepartment of Public Health and Primary Care, Ghent University, B-9000 Ghent, Belgium.
Farai MadzimbamutoDepartment of Anaesthetics and Critical Care, University of Botswana, Gaborone, Botswana.
Ilse RuyssenDepartment of Economics-CESSMIR, Ghent University, UNU-CRIS, B-9000 Ghent, Belgium.ORCID 0000-0002-8259-4492
Ghent University · BEUnited Nations University Institute on Comparative Regional Integration Studies · BEUniversity of Botswana · BWBeth Israel Deaconess Medical Center · USStellenbosch University · ZAUniversité Libre de Bruxelles · BEUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although family physicians (FPs) are community-oriented primary care generalists and should be the entry point for the population's interaction with the health system, they are underrepresented in research on the climate change, migration, and health(care) nexus (hereafter referred to as the nexus). Similarly, FPs can provide valuable insights into building capacity through integrating health-determining sectors for climate-resilient and migration-inclusive health systems, especially in Sub-Saharan Africa (SSA). Here, we explore FPs' perceptions on the nexus in SSA and on intersectoral capacity building. Three focus groups conducted during the 2019 WONCA-Africa conference in Uganda were transcribed verbatim and analyzed using an inductive thematic approach. Participants' perceived interactions related to (1) migration and climate change, (2) migration for better health and healthcare, (3) health impacts of climate change and the role of healthcare, and (4) health impacts of migration and the role of healthcare were studied. We coined these complex and reinforcing interactions as continuous feedback loops intertwined with socio-economic, institutional, and demographic context. Participants identified five intersectoral capacity-building opportunities on micro, meso, macro, and supra (international) levels: multi-dimensional and multi-layered governance structures; improving FP training and primary healthcare working conditions; health advocacy in primary healthcare; collaboration between the health sector and civil society; and more responsibilities for high-income countries. This exploratory study presents a unique and novel perspective on the nexus in SSA which contributes to interdisciplinary research agendas and FP policy responses on national, regional, and global levels.

Indexed as

Climate ChangePhysicians, FamilyAfrica South of the SaharaDelivery of Health CareHumansPerceptionUgandaclimate changefamily doctorshealthhealthcaremigrationprimary careSub-Saharan Africa

Identifiers

PMID34207979
PMCPMC8296126
OpenAlexW3172824914

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.