Evidence map›Paper›PMID 39301269›Full record

ReviewThe Lancet regional health. Southeast Asia2024

Reorienting health systems towards Primary Health Care in South Asia.

Susie Perera, Sudha Ramani, Taufique Joarder, Rajendra S Shukla, Shehla Zaidi, Nalinda Wellappuli, Syed Masud Ahmed, Dinesh Neupane, Shankar Prinja, Archana Amatya and 1 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

11 authors.

Susie PereraMinistry of Health, Sri Lanka.
Sudha RamaniIndia Primary Health Care Support Initiative, Johns Hopkins India Pvt Ltd, India.
Taufique JoarderSingHealth Duke-NUS Global Health Institute, Singapore.
Rajendra S ShuklaJohns Hopkins University Bloomberg School of Public Health, USA.
Shehla ZaidiGlobal Business School for Health, University College London, London.
Nalinda WellappuliCentre for Health Economics and Policy Innovation, Imperial College Business School, London, United Kingdom.
Syed Masud AhmedBRAC James P Grant School of Public Health, BRAC University, Bangladesh.
Dinesh NeupaneGlobal Business School for Health, University College London, London.
Shankar PrinjaPostgraduate Institute of Medical Education and Research Chandigarh, India.
Archana AmatyaNick Simons Institute, Nepal.
Krishna D RaoGlobal Business School for Health, University College London, London.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This series, "Primary health care in South Asia", is an effort to provide region-specific, evidence-based insights for reorienting health systems towards PHC. Led by regional thinkers, this series draws lessons from five countries in South Asia: Bangladesh, India, Nepal, Pakistan, and Sri Lanka. This is the last paper in the series that outlines points for future action. We call for action in three areas. First, the changing context in the region, with respect to epidemiological shifts, urbanisation, and privatisation, presents an important opportunity to appraise existing policies on PHC and reformulate them to meet the evolving needs of communities. Second, reorienting health systems towards PHC requires concrete efforts on three pillars-integrated services, multi-sectoral collaboration, and community empowerment. This paper collates nine action points that cut across these three pillars. These action points encompass contextualising policies on PHC, scaling up innovations, allocating adequate financial resources, strengthening the governance function of health ministries, establishing meaningful public-private engagements, using digital health tools, reorganising service delivery, enabling effective change-management processes, and encouraging practice-oriented research. Finally, we call for more research-policy-practice networks on PHC in South Asia that can generate evidence, bolster advocacy, and provide spaces for cross-learning. Funding: WHO SEARO funded this paper. This source did not play any role in the design, analysis or preparation of the manuscript.

Indexed as

Alma AtaAstanaBangladeshCall to actionChronic diseasesCommunity health workersComprehensive primary health careHealth policyHealth systemsIndiaNepalPakistanPrimary Health CarePrivate sectorSouth AsiaSri LankaUrbanWay forward

Identifiers

PMID39301269
PMCPMC11410733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.