ArticleBMC primary care2023
Barriers to community participation in primary health care of district health: a qualitative study.
Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
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- A qualitative study on the development of socially responsive nurses: a conceptual model based on faculty members and student perspectives.BMC medical education · 2026Article
- Population-focused community-based health literacy model for high-risk people: preventing type 2 diabetes mellitus through participatory action research in rural Thailand.BMC public health · 2026Article
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- Performance evaluation and ranking of health non-governmental organizations in iran: a nationwide assessment of governance and operational performance, and social health impact.BMC public health · 2025Article
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- Community participation through women's health collectives promoted by India's National Urban Health Mission: a realist evaluation in Chhattisgarh state.International journal for equity in health · 2025Article
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- Strengthening the effectiveness of community health system: Assessing the factors that enhance or constrain the delivery of health services within communities in Nigeria.Health research policy and systems · 2024Article
- Evaluation of Community Involvement and Development in an Orthopedic Hospital.Healthcare (Basel, Switzerland) · 2024Article
- Collaborations and Networks Within Communities for Improved Utilization of Primary Healthcare Centers: On the Road to Universal Health Coverage.International journal of public health · 2024Article
- A framework for elderly participation in Primary Health Care in Tabriz Health complexes.BMC geriatrics · 2023Article
- Involving Citizens in Integrated Care. Lessons Learned Through Participatory Action Research in Three Communities in the Netherlands.International journal of integrated careArticle
- Enhancing Nurse Performance in Iranian Hospitals: Expert and Stakeholder Insights on Key Influencing Factors.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCommunity participation is one of the principles of primary health care (PHC). However, it has not been adequately institutionalized due to numerous barriers. Therefore, the present study is conducted to identify barriers to community participation in primary health care in the district health network from the perspectives of stakeholders.
methodsThis qualitative case study was conducted in 2021 in Divandareh city, Iran. A total of 23 specialists and experts experienced in community participation, including nine health experts, six community health workers, four community members, and four health directors in primary health care programs, were selected using the purposive sampling method until complete saturation. Data was collected using semi-structured interviews and analyzed simultaneously using qualitative content analysis.
resultsAfter data analysis, 44 codes, 14 sub-themes, and five themes were identified as barriers to community participation in primary health care in the district health network. The themes included community trust in the healthcare system, the status of community participation programs, the community and system's perception of participation programs, health system management approaches, and cultural barriers and institutional obstacles.
conclusionBased on the results of this study most important barriers to community participation relate to community trust, the organizational structure, community and the health profession's perception regarding the participatory programs. It seems necessary to take measures to remove barriers in order to realize community participation in primary healthcare system.
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