SynthesisBMC primary care2026
Analysis of the institutionalisation of Integrated Community Case Management and its implications for access to community healthcare since 2019 in Sub-Saharan Africa: a systematic review.
Synthesis in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextThe Integrated Community Case Management (iCCM) is a priority in Sub-Saharan Africa though its implementation has been hampered by several obstacles. Following the 2019 Addis Ababa technical consultations, strengthening its institutionalisation was recommended. We conducted a systematic review to assess the institutionalisation of Integrated Community Case Management in Sub-Saharan Africa and the results obtained.
methodsWe conducted a systematic review by searching electronic databases for original scientific articles from studies conducted in Sub-Saharan Africa (2020–2025). Quality was assessed using the Mixed Methods Assessment Tool (MMAT). The selection of studies was carried out in two stages by HSO, PN and AK. Data were extracted and synthesised narratively, focusing on the health system governance and the essential components of Universal Health Coverage (resources used, services offered, geographical and financial access, and impact on morbidity and mortality).
resultsTwelve studies were selected and analysed. All identified political commitment to adopting iCCM, and four showed full integration into the national health system. Two studies showed that these countries were able to ensure the effective expansion and availability of services nationwide while respecting the initial spirit of community-based curative care. Challenges such as shortages in the supply of medicines, equipment and materials, as well as insufficient funding, were reported. Three articles show that the utilisation of community-based healthcare services has remained low. Although two articles provided results suggesting reductions in morbidity and mortality related to diseases targeted by the strategy (malaria, diarrhoea and pneumonia), the Sustainable Development Goals targets have not been met. Proactive visit initiatives and improved integration with other primary health care services improve utilisation and reduce costs.
conclusionOur findings indicate the need to accelerate the institutionalisation of iCCM so that it becomes a service that effectively meets the needs of communities and is actively used by them.
Indexed as
Identifiers
What OpenQuestion holds
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.