Evidence map›Paper›PMID 35010844›Full record

ArticleInternational journal of environmental research and public health2022

Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review.

Anelisa Jaca, Thobile Malinga, Chinwe Juliana Iwu-Jaja, Chukwudi Arnest Nnaji, Joseph Chukwudi Okeibunor, Dorcas Kamuya, Charles Shey Wiysonge

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

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

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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.

Anelisa JacaCochrane South Africa, South African Medical Research Council, Cape Town 8000, South Africa.
Thobile MalingaCochrane South Africa, South African Medical Research Council, Cape Town 8000, South Africa.
Chinwe Juliana Iwu-JajaDepartment of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0003-0765-7497
Chukwudi Arnest NnajiCochrane South Africa, South African Medical Research Council, Cape Town 8000, South Africa.
Joseph Chukwudi OkeibunorWorld Health Organization Regional Office for Africa, Brazzaville, Congo.ORCID 0000-0002-6696-8503
Dorcas KamuyaDepartment of Health Systems and Research Ethics, KEMRI-Wellcome Trust Research Programme, Nairobi 43640-00100, Kenya.
Charles Shey WiysongeCochrane South Africa, South African Medical Research Council, Cape Town 8000, South Africa.ORCID 0000-0002-1273-4779

Funding

World Health Organization 001
6 · The paper itself

Abstract

Universal health coverage (UHC) is defined as people having access to quality healthcare services (e.g., treatment, rehabilitation, and palliative care) they need, irrespective of their financial status. Access to quality healthcare services continues to be a challenge for many people in low- and middle-income countries (LMICs). The aim of this study was to conduct a scoping review to map out the health system strengthening strategies that can be used to attain universal health coverage in Africa. We conducted a scoping review and qualitatively synthesized existing evidence from studies carried out in Africa. We included studies that reported interventions to strengthen the health system, e.g., financial support, increasing work force, improving leadership capacity in health facilities, and developing and upgrading infrastructure of primary healthcare facilities. Outcome measures included health facility infrastructures, access to medicines, and sources of financial support. A total of 34 studies conducted met our inclusion criteria. Health financing and developing health infrastructure were the most reported interventions toward achieving UHC. Our results suggest that strengthening the health system, namely, through health financing, developing, and improving the health infrastructure, can play an important role in reaching UHC in the African context.

Indexed as

Healthcare FinancingUniversal Health InsuranceAfricaGovernment ProgramsHumansMedical AssistanceAfrican countrieshealth systemslow- and middle-income countriesuniversal health coverage

Identifiers

PMID35010844
PMCPMC8744844

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.