Evidence map›Paper›PMID 35532547›Full record

ArticleGlobal health action2022

The role of non-governmental organizations in strengthening healthcare systems in low- and middle-income countries: Lessons from Santé Diabète in Mali.

Stéphane Besançon, Assa Sidibé, Djeneba Sylla Sow, Ousmane Sy, Julien Ambard, John S Yudkin, David Beran

Abstract read
In one paragraph

Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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.

Stéphane BesançonNGO Santé Diabète, Bamako, Mali.ORCID 0000-0002-3779-3441
Assa SidibéHôpital du Mali, Bamako, Mali.ORCID 0000-0003-3051-8954
Djeneba Sylla SowHôpital du Mali, Bamako, Mali.ORCID 0000-0003-0122-0681
Ousmane SyMinistry of Health, Bamako, Mali.ORCID 0000-0002-0827-7587
Julien AmbardIndependent Epidemiologist, Paris, France.ORCID 0000-0002-0684-8788
John S YudkinDivision of Medicine, University College London, London, UK.ORCID 0000-0002-5162-1873
David BeranDivision of Tropical and Humanitarian Medicine, University of Geneva and Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-7229-3920

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-governmental organizations play a vital part in the achievement of the Sustainable Development Goals as defined by the United Nations. These Goals also include targets related to noncommunicable diseases. However, non-governmental organizations have played a limited role in this area despite such diseases causing the bulk of morbidity and mortality worldwide. Through their activities, non-governmental organizations should aim to strengthen health systems, yet they often only support these for a single disease. Mali, like many other low- and middle-income countries, is facing an increasing burden of diabetes and a health system not adapted to address this challenge. Santé Diabète, a non-governmental organization based in Mali since 2003, has been working specifically on diabetes, and has developed a wide range of activities to improve the national health system. This paper describes changes in the diabetes environment in Mali between 2004 and 2018 based on two health system assessments carried out using a Rapid Assessment Protocol. Over this period, the health system was strengthened with regard to financing and access to medical products. Leadership and governance, service delivery and health workforce were all improved but still partially rely on sustained support from Santé Diabète. The key lesson from this study is that to be effective in changing the management of noncommunicable diseases in a low- and middle-income country, non-governmental organizations need to play a variety of roles, many of which may change over time.

Indexed as

Diabetes MellitusNoncommunicable DiseasesDelivery of Health CareDeveloping CountriesHumansMaliDiabeteshealth systemsNGOnongovernmental organisations

Identifiers

PMID35532547
PMCPMC9090383

What OpenQuestion holds

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LicenceCC BY
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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.