Evidence map›Paper›PMID 37802618›Full record

ArticleBMJ open2023

Health service needs and perspectives of a rainforest conserving community in Papua New Guinea's Ramu lowlands: a combined clinical and rapid anthropological assessment with parallel treatment of urgent cases.

Jo Middleton, Gavin Colthart, Francesca Dem, Alice Elkins, James Fairhead, Richard J Hazell, Michael G Head, Joao Inacio, Mavis Jimbudo, Christopher Iain Jones and 13 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 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
0.6field-weighted citation impact, top 29% 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

23 authors at 9 institutions in 3 countries.

Jo MiddletonDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Watson Building, University of Brighton, Falmer, UK J.Middleton@bsms.ac.uk.ORCID 0000-0001-5951-6608
Gavin ColthartDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Watson Building, University of Brighton, Falmer, UK.
Francesca DemNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
Alice ElkinsDepartment of Ecology and Evolution, University of Sussex, Falmer, UK.
James FairheadDepartment of Anthropology, University of Sussex, Falmer, UK.
Richard J HazellDepartment of Ecology and Evolution, University of Sussex, Falmer, UK.
Michael G HeadClinical Informatics Research Unit, Faculty of Medicine, University of Southampton, Southampton, UK.
Joao InacioSchool of Applied Sciences, Cockcroft Building, University of Brighton, Brighton, UK.
Mavis JimbudoNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
Christopher Iain JonesMedical Statistics, Brighton and Sussex Medical School, Watson Building, University of Brighton, Falmer, UK.ORCID 0000-0001-7065-1157
Moses LamanPapua New Guinea Institute of Medical Research, Port Moresby, Papua New Guinea.
Hayley MacGregorHealth and Nutrition Research Cluster, Institute of Development Studies, Falmer, UK.
Vojtech NovotnyDepartment of Zoology, Faculty of Science, University of South Bohemia in Ceske Budejovice, Ceske Budejovice, Czech Republic.
Mika PeckDepartment of Ecology and Evolution, University of Sussex, Falmer, UK.
Jonah PhilipNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
Jason PaliauNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
William PomatPNG Institute of Medical Research, Goroka, Papua New Guinea.
Jessica A StockdaleDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Watson Building, University of Brighton, Falmer, UK.
Shen SuiNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
Alan J StewartDepartment of Ecology and Evolution, University of Sussex, Falmer, UK.
Ruma UmariNew Guinea Binatang Research Centre, Madang, Papua New Guinea.
Stephen L WalkerFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-2034-8376
Jackie A CassellDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Watson Building, University of Brighton, Falmer, UK.ORCID 0000-0003-0777-0385
New Guinea Binatang Research Center · PGBrighton and Sussex Medical School · GBUniversity of Sussex · GBPapua New Guinea Institute of Medical Research · PGCzech Academy of Sciences · CZInstitute of Development Studies · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Brighton · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDetermine community needs and perspectives as part of planning health service incorporation into Wanang Conservation Area, in support of locally driven sustainable development.

designClinical and rapid anthropological assessment (individual primary care assessments, key informant (KI) interviews, focus groups (FGs), ethnography) with treatment of urgent cases.

settingWanang (pop. c189), a rainforest community in Madang province, Papua New Guinea.

participants129 villagers provided medical histories (54 females (f), 75 males (m); median 19 years, range 1 month to 73 years), 113 had clinical assessments (51f, 62m; median 18 years, range 1 month to 73 years). 26 ≥18 years participated in sex-stratified and age-stratified FGs (f<40 years; m<40 years; f

resultsOf 113 examined, 11 were 'well' (a clinical impression based on declarations of no current illness, medical histories, conversation, no observed disease signs), 62 (30f, 32m) were treated urgently, 31 referred (15f, 16m), indicating considerable unmet need. FGs top-4 ranked health issues concorded with KI views, medical histories and clinical examinations. For example, ethnoclassifications of three ((A) '

conclusionsThis study enabled service planning and demonstrated a need sufficient to acquire funding to establish primary care. In doing so, it aided Wanang's community to develop sustainably, without sacrificing their forest home.

Indexed as

Health ServicesRainforestAdultFemaleHumansMalePapua New Guineaanthropologyepidemiologyhealth services administration & managementneglected diseasesprimary carequalitative research

Identifiers

PMID37802618
PMCPMC10565268
OpenAlexW4387440458

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.