Evidence map›Paper›PMID 37134075›Full record

ArticlePloS one2023

Exploring factors influencing the selection of primary health care delivery models in conflict-affected settings of North West and South West regions of Cameroon and North-East Nigeria: A study protocol.

Lundi-Anne Omam, Kelli O'Laughlin, Nicholas Tendongfor, Zara Wudiri, Mohammed Ngubdo Hassan, Alain Metuge, Ooju Oluwafemi, Esther Omam, Rosalind Parkes-Ratanshi

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Observational
  4. 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

9 authors.

Lundi-Anne OmamDepartment of Public Health and Primary Care, University of Cambridge, Cambridgeshire, Cambridge, United Kingdom.ORCID 0000-0001-8240-8920
Kelli O'LaughlinDepartments of Emergency Medicine and Global Health, University of Washington, Seattle, WA, United States of America.
Nicholas TendongforDepartment of Community Medicine, University of Maiduguri, Maiduguri, Nigeria.
Zara WudiriHerwa Community Development Initiative, Maiduguri, Nigeria.
Mohammed Ngubdo HassanReach Out Cameroon, Buea, Cameroon.
Alain MetugeWorld Health Organisation, Abuja, Nigeria.
Ooju OluwafemiInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0003-4716-5200
Esther OmamWorld Health Organisation, Abuja, Nigeria.
Rosalind Parkes-RatanshiDepartment of Psychiatry, Clinical School, University of Cambridge, Cambridge, United Kingdom.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn conflict-affected settings, access to health care for displaced populations is constrained by barriers including geographical, cultural, communication, logistical, financial and insecurity. A six year humanitarian crises in the North West and South West regions of Cameroon has caused 27% of health facilities to be non-functional. The eleven year crisis in North-East Nigeria, has caused the closure of 26% of health facilities. These closure of health facilities and population displacement led to health care delivery using humanitarian funding by multiple different agencies. However, there is a paucity of evidence on the selection and design of the primary health care delivery models used in humanitarian settings. To ensure efficient use of resources and quality of services, model of care selection should be evidence based and informed by the specific humanitarian context. This research protocol aims to explore how primary health care models are selected by humanitarian organizations.

methodsWe will conduct a cross sectional quantitative survey to map the range of primary health care delivery models used by humanitarian organisations in Cameroon and Nigeria. Using in-depth interviews and focus group discussions with staff from humanitarian organizations and internally displaced persons, we will explore the factors influencing the selection of primary health care models in these settings and determine the coverage and gaps in services across the different primary health care models. Quantitative data will be analysed in a descriptive manner and qualitative data will be analysed thematically. DISCUSSION: Different models of care have been reported to be used by humanitarian organisations in conflict-affected settings, yet evidence on how different models are selected is lacking. A detailed understanding of the rationale for selection, the design and quality considerations of the strategies used to deliver health care will be obtained using a survey, in-depth interviews and focus group discussions.

Indexed as

Delivery of Health CareOrganizationsCameroonCross-Sectional StudiesHumansNigeria

Identifiers

PMID37134075
PMCPMC10155952

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.