Evidence map›Paper›PMID 36833109›Full record

ArticleHealthcare (Basel, Switzerland)2023

Empanelment of the Population to the Primary Medical Care Institution of Sri Lanka: A Mixed-Methods Study on Outcomes and Challenges.

Pruthu Thekkur, Divya Nair, Manoj Fernando, Ajay M V Kumar, Srinath Satyanarayana, Nadeeka Chandraratne, Amila Chandrasiri, Deepika Eranjanie Attygalle, Hideki Higashi, Jayasundara Bandara and 2 more

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 13% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

12 authors at 6 institutions in 4 countries.

Pruthu ThekkurCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.ORCID 0000-0001-5257-5074
Divya NairCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.ORCID 0000-0001-5497-2858
Manoj FernandoDepartment of Health Promotion, Rajarata University of Sri Lanka, Mihintale, Anuradhapura 50300, Sri Lanka.ORCID 0000-0002-0494-8769
Ajay M V KumarCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.ORCID 0000-0003-1011-8531
Srinath SatyanarayanaCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.ORCID 0000-0002-5420-2551
Nadeeka ChandraratneThe Foundation for Health Promotion, 21/1 Kahawita Road, Dehiwala 10350, Sri Lanka.
Amila ChandrasiriThe Foundation for Health Promotion, 21/1 Kahawita Road, Dehiwala 10350, Sri Lanka.
Deepika Eranjanie AttygalleThe World Bank, Colombo 00300, Sri Lanka.
Hideki HigashiThe World Bank, Colombo 00300, Sri Lanka.
Jayasundara BandaraProject Management Unit, Primary Health Care System Strengthening Project (PSSP), Colombo 00300, Sri Lanka.
Selma Dar BergerCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.
Anthony D HarriesCentre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75001 Paris, France.ORCID 0000-0001-6113-9741
International Union Against Tuberculosis and Lung Disease · FRSri Lanka Foundation · LKRajarata University of Sri Lanka · LKUniversity of London · GBWorld Health Organization Regional Office for South-East Asia · INYenepoya University · IN

Funding

This study was funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria through the "Advance Universal Health Coverage: Multi-Donor Trust Fund for Integrating Externally Financed Health Programs" administered by the World Bank. Contract number- 7197811
6 · The paper itself

Abstract

The registration of individuals with designated primary medical care institutions (PMCIs) is a key step towards their empanelment with these PMCIs, supported by the Primary Health Care System Strengthening Project in Sri Lanka. We conducted an explanatory mixed-methods study to assess the extent of registration at nine selected PMCIs and understand the challenges therein. By June 2021, 36,999 (19.2%, 95% CI-19.0-19.4%) of the 192,358 catchment population allotted to these PMCIs were registered. At this rate, only 50% coverage would be achieved by the end of the project (December 2023). Proportions of those aged <35 years and males among those registered were lower compared to their general population distribution. Awareness activities regarding registration were conducted in most of the PMCIs, but awareness in the community was low. Poor registration coverage was due to a lack of dedicated staff for registration, misconceptions of health care workers about individuals needing to be registered, reliance on opportunistic or passive registration, and lack of monitoring mechanisms; these were further compounded by the COVID-19 pandemic. Moving forward, there is an urgent need to address these challenges to improve registration coverage and ensure that all individuals are empaneled before the close of the project for it to have a meaningful impact.

Indexed as

digital healthempanelmenthealth systemoperational researchperspectivesprimary health carerostering

Identifiers

PMID36833109
PMCPMC9957292
OpenAlexW4320918061

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.