Evidence map›Paper›PMID 41162323›Full record

ArticleHealth policy and planning2026

State-church partnerships as an innovative strategy in healthcare delivery for universal health coverage in sub-Saharan Africa: a scoping review.

Joseph Atta Amankwah, Emmanuel Kwasi Afriyie, Munawar Harun Koray, Kofi Mensah Akohene, Peter Agyei-Baffour

Abstract readScoping Review
In one paragraph

Article in Health policy and planning, 2026. 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

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

1 citing paper in PubMed.

  1. 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

5 authors.

Joseph Atta AmankwahSchool of Health Management and Planning, School of Public Health, College of Health Sciences, Post Office Box LG 112, KNUST, Kumasi, Ashanti Region, Ghana.
Emmanuel Kwasi AfriyieKomfo Anokye Teaching Hospital, Post Office Box 1934, Kumasi, Ashanti Region, Ghana.ORCID 0009-0008-7876-412X
Munawar Harun KoraySouthern Medical University, No. 1023-1063 South Shatai Road, Baiyun District, Guangzhou City, Guangdong Province 51051, China.
Kofi Mensah AkoheneSchool of Health Management and Planning, School of Public Health, College of Health Sciences, Post Office Box LG 112, KNUST, Kumasi, Ashanti Region, Ghana.
Peter Agyei-BaffourSchool of Health Management and Planning, School of Public Health, College of Health Sciences, Post Office Box LG 112, KNUST, Kumasi, Ashanti Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Universal Health Coverage (UHC) remains a critical goal in sub-Saharan Africa (SSA), where healthcare systems face significant challenges. State-Church Partnership have emerged as an innovative strategy to address gaps in healthcare delivery, leveraging the extensive networks of Faith-Based Organizations to provide essential services, particularly in remote areas.This scoping review aimed to examine the existing models of State-Church Partnerships in healthcare delivery within SSA, their impact on UHC advancement, the challenges these partnerships face, and the emerging best practices. This review followed Arksey and O'Malley's framework and the PRISMA-ScR guidelines. We systematically searched peer-reviewed databases, including PubMed, Web of Science, Scopus, and CINAHL, for relevant studies published from inception until December 2024. Data were extracted and analyzed thematically using NVivo 12 to identify key themes related to state-church partnership models, their impact on UHC, implementation challenges, and emerging best practices. The review included eight studies which revealed that FBOs contribute between 30% and 70% of healthcare services in some regions, improving access, affordability, and equity. They play a critical role in maternal and child health, HIV/AIDS prevention, and health workforce training. However, challenges such as funding constraints, service quality variability, and limited policy integration hinder their effectiveness. Emerging best practices include enhanced government collaboration, community engagement, and capacity-building initiatives. In conclusion, State-Church Partnerships are vital in strengthening healthcare systems and achieving UHC in SSA. To maximize their impact, formalized policy frameworks, sustainable financing mechanisms, and quality assurance measures are essential. Strengthening state-FBO collaboration can bridge healthcare gaps and ensure equitable healthcare access.

Indexed as

Delivery of Health CareUniversal Health InsuranceAfrica South of the SaharaHealth Services AccessibilityHumansfaith-based organizationshealthcare deliverystate-church partnershipssub-Saharan Africauniversal health coverage

Identifiers

PMID41162323
PMCPMC12906754

What OpenQuestion holds

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Registered trials

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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.