Evidence map›Paper›PMID 36949746›Full record

ArticlePublic health action2023

Re-engineering primary healthcare in Kerala.

A Krishnan, R P Varma, R Kamala, R Anju, K Vijayakumar, R Sadanandan, P K Jameela, K S Shinu, B Soman, R M Ravindran

Open access · diamondAbstract read
In one paragraph

Article in Public health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Article
  6. Review
  7. 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

10 authors at 3 institutions in 1 country.

A KrishnanState Health Systems Resource Centre - Kerala, Thiruvananthapuram, India.
R P VarmaHealth Action by People, Thiruvananthapuram, India.
R KamalaHealth Action by People, Thiruvananthapuram, India.
R AnjuHealth Action by People, Thiruvananthapuram, India.
K VijayakumarHealth Action by People, Thiruvananthapuram, India.
R SadanandanHealth Systems Transformation Platform, New Delhi, India.
P K JameelaState Planning Board, Thiruvananthapuram, India.
K S ShinuDirectorate of Health Services, Thiruvananthapuram, India.
B SomanHealth Action by People, Thiruvananthapuram, India.
R M RavindranState Health Systems Resource Centre - Kerala, Thiruvananthapuram, India.
Health Action by People · INNational Health Systems Resource Centre · INSree Chitra Thirunal Institute for Medical Sciences and Technology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the backdrop of the Sustainable Development Goals (SDGs), the state of Kerala, India, revamped its existing primary health centres (PHCs) into people-friendly family health centres (FHCs) in order to provide comprehensive primary care as part of a mission-based (

methodsThe study adopted an exploratory approach using qualitative methods: key informant interviews (

resultsThe results could be summarised under five overarching themes. Strong political commitment, combined with bureaucratic competence, facilitated implementation and functioning of

conclusionDecentralised governance played a positive role in the re-engineering of PHCs, which was utilised as a platform to demonstrate best practices in health governance through a participatory approach. The importance of empowering LGs through capacity building to address challenges in achieving primary care SDGs is highlighted in this study.

Indexed as

Aardram missiondecentralisationfamily health centrehealth systemSustainable Developmental Goals

Identifiers

PMID36949746
PMCPMC9983803
OpenAlexW4323031363

What OpenQuestion holds

Textmetadata
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.