ReviewLancet (London, England)2022
Improving health and social systems for all children in LMICs: structural innovations to deliver high-quality services.
Review in Lancet (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 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
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Treatment-seeking practices of caregivers for children aged less than five years old with diarrhoea in low- and middle-income countries: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- Alarming findings of psycho-socio-spiritual interventions on physical, mental, and social health for children with cancer and their families in low- and middle-income countries: a meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Determinants and gaps influencing zero-dose immunization and maternal Health service utilization in Nigeria: a cross-sectional household survey across six Nigerian states.Global health action · 2026Article
- Facilitators of Blood Pressure Control Among Treated Patients in Public Clinics in Botswana.Public health challenges · 2026Article
- Territorial Socioeconomic Vulnerability and Clinical Outcomes in Pediatric Cancer at a Colombian Referral Center.Children (Basel, Switzerland) · 2026Article
- Global Pathways to Thriving Children: Implementing Large-Scale Multicomponent Nutrition and Child Development Programs.The Journal of nutrition · 2026Article
- A global scoping review of community-based mentoring interventions for adolescent girls during pregnancy and after birth.Journal of global health · 2026Article
- Pediatric Abdominal Tuberculosis: A Multicenter Experience from an Endemic Region.Pakistan journal of medical sciences · 2026Article
- Understanding the burden and distribution of health conditions in Zambia's school-aged population: evidence from the school health programme.BMC public health · 2026Article
- Implementation and evaluation of the Y-Check comprehensive adolescent health check-up intervention in Zimbabwe: a pre-post mixed-methods study.Nature medicine · 2026Article
- Social Support and Spousal Relationship Quality Improves Responsiveness among Anxious Mothers.Child psychiatry and human development · 2026Article
- Strengthening school health in Namibia: A framework for policy development, implementation and evaluation.Journal of public health in Africa · 2026Article
- PS-SAM: A Mixed Methods Study to Understand Current Practice and the Facilitators and Barriers to the Utilisation of Psycho-Social Stimulation Interventions in Severe Acute Malnutrition.Maternal & child nutrition · 2026Article
- Innovative hematological strategies to combat maternal and child mortality in Africa: focus on anemia and sickle cell disease.Annals of medicine and surgery (2012) · 2026Review
- Bringing legislation to life: Navigating intersectional barriers in implementing the Sindh Empowerment of Persons with Disabilities Act (2018) for the healthcare of children with disabilities.PLOS global public health · 2026Article
- Article
- Factors associated with unintended pregnancies among unmarried adolescents in Eastern Uganda: a cross-sectional study.Reproductive health · 2025Article
- Neurocognitive, behavioral, and treatment burden as key predictors of parental stress in pediatric epilepsy.Epilepsia · 2025Article
- Immunization attributable burden of stunting among under-five children in India, 2005-2021.BMC pediatrics · 2025Article
- School health and nutrition services for children and adolescents in Tanzania: A review of policies and programmes.Maternal & child nutrition · 2025Review
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite health gains over the past 30 years, children and adolescents are not reaching their health potential in many low-income and middle-income countries (LMICs). In addition to health systems, social systems, such as schools, communities, families, and digital platforms, can be used to promote health. We did a targeted literature review of how well health and social systems are meeting the needs of children in LMICs using the framework of The Lancet Global Health Commission on high-quality health systems and we reviewed evidence for structural reforms in health and social sectors. We found that quality of services for children is substandard across both health and social systems. Health systems have deficits in care competence (eg, diagnosis and management), system competence (eg, timeliness, continuity, and referral), user experience (eg, respect and usability), service provision for common and serious conditions (eg, cancer, trauma, and mental health), and service offerings for adolescents. Education and social services for child health are limited by low funding and poor coordination with other sectors. Structural reforms are more likely to improve service quality substantially and at scale than are micro-level efforts. Promising approaches include governing for quality (eg, leadership, expert management, and learning systems), redesigning service delivery to maximise outcomes, and empowering families to better care for children and to demand quality care from health and social systems. Additional research is needed on health needs across the life course, health system performance for children and families, and large-scale evaluation of promising health and social programmes.
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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.