Evidence map›Paper›PMID 40772827›Full record

ArticleGlobal health action2025

Implementation outcomes of a community dialogue intervention to improve primary care performance in a Ugandan rural health sub-district.

Innocent Besigye, Robert Mash

Abstract read
In one paragraph

Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Integrated knowledge translation: A guide for primary care researchers.African journal of primary health care & family medicine · 2025
    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

2 authors.

Innocent BesigyeDivision of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID 0000-0002-7903-3985
Robert MashDepartment of Family Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the declaration of Alma Ata, community participation in health services has been promoted in making services responsive to the needs of the people. This requires effective community engagement approaches. Community dialogues have been used to engage communities in design, implementation and evaluation of health activities and interventions.

objectivesThis study evaluated the implementation outcomes of a community dialogue intervention that was intended to improve primary care performance in a health sub-district in rural Uganda.

methodsThis was a mixed methods study using purposively selected key informants and a data collection form. The key informant interviews were conducted in English using a semi-structured interview guide, audio-taped and transcribed verbatim. Qualitative data was analysed using Atlas ti using a framework approach. Quantitative data was entered into an Excel spreadsheet and analysed into frequencies and percentages.

resultsOverall, 196 community dialogues were conducted by all 16 primary care facilities, and the average attendance was 32 (range 16-46). They were found to be appropriate, acceptable and affordable and, therefore, adopted. They were feasible and implemented with fidelity, encountered minimal contextual barriers and were thought to be sustainable. Thirteen context factors enabled implementation (e.g. prior existence of regular outreach activities at each health facility), while two were barriers (e.g. community members' expectations of incentives). The intervention reached all the health facilities within the health sub-district at no direct incremental cost.

conclusionCommunity dialogues can be implemented through integration at no direct incremental cost and with significant reach to the population served with favourable outcomes.

Indexed as

Community ParticipationPrimary Health CareQuality ImprovementRural Health ServicesFemaleHumansInterviews as TopicMaleQualitative ResearchRural PopulationUgandacommunity dialoguesCommunity engagementimplementation scienceimplementation strategiesintervention evaluationoutcomesprocesses

Identifiers

PMID40772827
PMCPMC12333024

What OpenQuestion holds

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LicenceCC BY
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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.