Evidence map›Paper›PMID 40588291›Full record

ArticleBMJ global health2025

Primary health care in the context of the COVID-19 pandemic in 10 South-East Asian countries: a cross-case synthesis with lessons for future health systems strengthening.

Alexandra Edelman, Robert Marten, Ibadat Dhillon, Adithyan Geetha Suresh, Thaksaphon Thamarangsi, John Grundy, Manoj Jhalani, Kumanan Rasanathan

Abstract read
In one paragraph

Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Alexandra EdelmanMenzies School of Health Research, Charles Darwin University, Alice Springs/ Darwin, Northern Territory, Australia Alexandra.edelman@menzies.edu.au.ORCID http://orcid.org/0000-0002-2021-5266
Robert MartenAlliance for Health Policy and Systems Research, World Health Organization, Geneva, GE, Switzerland.ORCID http://orcid.org/0000-0002-2416-2309
Ibadat DhillonWorld Health Organization Regional Office for South-East Asia, New Delhi, India.
Adithyan Geetha SureshWorld Health Organization Regional Office for South-East Asia, New Delhi, India.
Thaksaphon ThamarangsiWorld Health Organization Regional Office for South-East Asia, New Delhi, India.
John GrundyMenzies School of Health Research, Charles Darwin University, Alice Springs/ Darwin, Northern Territory, Australia.ORCID http://orcid.org/0000-0002-4713-9443
Manoj JhalaniWorld Health Organization Regional Office for South-East Asia, New Delhi, India.
Kumanan RasanathanAlliance for Health Policy and Systems Research, World Health Organization, Geneva, GE, Switzerland.ORCID http://orcid.org/0000-0001-9347-1765

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionStrengthening primary health care (PHC) in the WHO South-East Asia Region is key to addressing evolving health needs, including the high burden of non-communicable diseases and emerging public health threats within rapidly changing demographic, climatic and geopolitical contexts. Between 2021 and 2023, 10 case studies were conducted to examine PHC in the context of the COVID-19 pandemic. A cross-case regional synthesis aimed to identify key lessons for PHC strengthening from the pandemic experience.

methodsThe synthesis involved comparative analysis using an analytic framework comprising three PHC components framed by the Astana PHC vision: integrated primary care and essential public health functions; multisectoral policy and action; and community empowerment. The case studies used document review and consultations with national PHC experts and policymakers.

results

conclusionFindings demonstrate how PHC principles remain relevant not only for responding to public health emergencies, but also for improving and promoting health system resilience. Findings highlight opportunities to further examine and implement health workforce, community engagement, digital technology and governance strategies to meet evolving epidemiological and climate-related health challenges facing the Region.

Indexed as

COVID-19Primary Health CareAsian PeopleAsia, SoutheasternAsia, SouthernHealth PolicyHumansPandemicsSARS-CoV-2Health policies and all other topicsHealth systems

Identifiers

PMID40588291
PMCPMC12211839

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.