ReviewThe Lancet. Global health2024
Delivering non-communicable disease services through primary health care in selected south Asian countries: are health systems prepared?
Review in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Community-integrated noncommunicable disease service models: lessons from China.Journal of global health · 2025Pooled it
- Integration of Cardiovascular Disease Services within Primary Health Care Systems: Insights from South Asia.Current atherosclerosis reports · 2026Review
- Hridayamrit Foundation: A youth-driven public health implementation model for cardiovascular health literacy and prevention in India.American journal of preventive cardiology · 2026Article
- Article
- Article
- What happens when public primary care is ill-prepared to respond to non-communicable diseases: a mixed-method study of diabetes and hypertension care in urban Nepal.Journal of global health · 2026Article
- Non-communicable diseases in South Africa: The role of primary care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Systematic review of cardiovascular care delivery across health systems in the Asia-Pacific: a regional roadmap for strengthening cardiovascular care.The Lancet regional health. Western Pacific · 2026Article
- Capacity and service readiness of facilities for non-communicable diseases in Bangladesh: a health system perspective from two selected districts.BMC health services research · 2026Article
- Pre-Hospital Delay in STEMI: A Narrative Review of Symptom Onset-to-First Medical Contact Across High-Income and Low- and Middle-Income Countries.Clinical cardiology · 2026Review
- Understanding the role of 'software' in health system capacity for non-communicable disease response: hypertension care in rural Coastal Kenya.Health policy and planning · 2026Article
- Addressing priority gaps in access and quality of NCD services in primary care settings in Rural Kenya: a participatory approach to intervention development.BMC primary care · 2026Article
- Association Between the WHO Package of Essential Non-Communicable Disease Interventions and Clinical Outcomes Among Patients With Hypertension and Diabetes in Palestine: A Comparative Cross-Sectional Study.Health science reports · 2026Article
- Assessing the drivers of non-communicable diseases prevention activities in primary health care facilities in Ghana: a case study of some selected districts.BMC health services research · 2026Article
- Challenges in non-communicable disease management at primary healthcare facilities in rural Bangladesh: a cross-sectional mixed-methods study of patient non-retention and system readiness.BMC health services research · 2026Article
- Screening of non-communicable diseases through health camps: A sustainable way to intercept the modern epidemic.Journal of education and health promotion · 2026Article
- Global, regional, and national burden of kidney cancer, 1990 to 2021, and projections to 2050: A Global Burden of Disease Study 2021.Medicine · 2025Article
- Health system barriers to cardiovascular disease prevention and control in Iran: a qualitative study.BMC health services research · 2025Article
- Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review.BMC primary care · 2025Article
- Bridging Hypertension Care Shortfalls Between Provider Capacity and Patient Needs: A Pooled Analysis of Data From 199 Countries and Territories.Hypertension (Dallas, Tex. : 1979) · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the south Asian region, delivering non-communicable disease (NCD) prevention and control services through existing primary health-care (PHC) facilities is urgently required yet currently challenging. As the first point of contact with the health-care system, PHC offers an ideal window for prevention and continuity of care over the life course, yet the implementation of PHC to address NCDs is insufficient. This review considers evidence from five south Asian countries to derive policy-relevant recommendations for designing integrated PHC systems that include NCD care. Findings reveal high political commitment but poor multisectoral engagement and health systems preparedness for tackling chronic diseases at the PHC level. There is a shortage of skilled human resources, requisite infrastructure, essential NCD medicines and technologies, and dedicated financing. Although innovations supporting integrated interventions exist, such as innovations focusing on community-centric approaches, scaling up remains problematic. To deliver NCD services sustainably, governments must aim for increased financing and a redesign of PHC service.
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Registered trials
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.