ArticleBMC health services research2024
Prospects for the development of community-based care in remote rural areas: a stakeholder analysis in Laos.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 14 citations in OpenAlex.
- Determinants of health literacy in early childhood care among marginalized ethnic communities: a cross-sectional study in three border provinces of Thailand.International journal for equity in health · 2026Article
- Exploring community awareness and perspectives on zoonotic disease in Nepal: a qualitative study.BMC public health · 2026Article
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- Acute febrile illness in remote and rural communities: Perspectives of health providers and managers in Chattogram, Bangladesh.SSM - health systems · 2025Article
- Early and sustained community engagement to reach unreached populations for malaria elimination in Lao People's Democratic Republic.Infectious diseases of poverty · 2025Article
- Aging in Southeast Asia and Japan: Challenges and opportunities.Geriatrics & gerontology international · 2025Review
- Association between quality performance scorecard scores and health indicators: an ecological study in the Northern provinces of the Lao People's Democratic Republic.Tropical medicine and health · 2025Article
- 'Community people are the most powerful resources': qualitative critical realist analysis and framework to support co-produced responses to zoonotic disease threats with(in) Nepali communities.BMC public health · 2025Article
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- Assessing maternal and newborn health readiness: Insights from a service availability assessment in five provinces in Laos.PloS one · 2025Article
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- Expanding the roles of malaria post workers in Thailand: A qualitative study of stakeholder perspectives.PLOS global public health · 2024Article
- Rethinking village malaria workers in Cambodia: Perspectives from the communities, programme managers, and international stakeholders.PLOS global public health · 2024Article
- Expanded roles of community health workers beyond malaria in the Asia-Pacific: A systematic review.PLOS global public health · 2024Article
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Authors and funding
10 authors at 7 institutions in 8 countries.
Funding
Abstract
backgroundCommunity-based health programmes have been a cornerstone of primary care in Laos for decades. The study presented here aimed to document prospects for the development of current programmes, considering perceptions about health and health care priorities in the communities, implementation challenges, the policy landscape and opportunities associated with the availability of new technologies.
methodsThe research design primarily involved qualitative in-depth interviews with stakeholders (n = 35) responsible for the planning, management, or implementation of community-based care in Laos at different levels of the health system. These included health managers at central departments or institutes of the Ministry of Health, provincial health departments, district health offices, heads of health centres, village health volunteers, community representatives, and international stakeholders.
resultsThere was consensus that service delivery is still a challenge in many areas, due to geographic inaccessibility of health facilities, communication barriers, health-seeking behaviour, trust, and gender discrimination, particularly among ethnic minorities. In these settings, community health workers have the potential to extend the reach of the formal health system, acting as cultural brokers across sectors of society, ethnicities, and worldviews. To maximise impact, planners need to carefully consider the implementation model, financing arrangements, health system integration, and changing health priorities in the communities.
conclusionsThis study examined challenges to, and opportunities for, the expansion and health system integration of community-based care in Laos. Further development and horizontal integration of community-based care remains a complex financing and governance challenge, although the renewed emphasis on primary care and the ongoing process of decentralisation provide a favourable policy environment in the country to sustain and potentially expand existing programmes.
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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.