ReviewPublic health challenges2025
Factors Influencing Primary Healthcare System in the Achievement of Universal Health Coverage in the WHO-AFRO Region: An Integrative Review.
Review in Public health challenges, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The primary health centres are designed to be the first line of contact with the public and the main target for achieving universal health coverage (UHC). However, despite global advancements in healthcare, Africa continues to face unacceptably high health outcome indices, underscoring the significant challenges in achieving UHC. This review synthesises evidence on the factors influencing the primary healthcare system, focusing on its role in achieving UHC within the WHO-Afro region. Methods: This is an integrative literature review. An extensive and systematic search for eligible literature was performed in eight databases between 2000 and 2024, including APA PsycINFO, CINAHL, Medline, Scopus, EmCare, Embase, Ovid Nursing and Gale Academic One File. The articles identified were critically appraised. A narrative synthesis of evidence was done to fully explore the review question. The findings were presented using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) in-line with EQUATOR guidelines. Result: Overall, 26 studies were included in the review. Six themes captured the factors influencing the PHC system in the achievement of UHC: (1) physical access to critical services, (2) availability of resources, (3) sociodemographic and cultural factors, (4) access to data and health information, (5) legislation and policy and (6) quality of care. Conclusion: This review highlights interconnected factors necessitating a holistic approach to optimising PHC effectiveness and driving progress towards achieving UHC. Integrating human, financial and infrastructural resources alongside community-driven strategies, equitable digital technologies and robust policy frameworks is essential to improving health outcomes and achieving UHC.
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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.