Evidence map›Paper›PMID 42426672›Full record

SynthesisBMC public health2026

Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.

Pascal Mathew Okorobe, John Onama, Omosola Lydia Bolarin, Saheed Adekunle Akinola, Shadrach Tetteh Boyetey, Josephine Ampong, Yesiru Adeyemi Kareem, Pascal D Sedor, Sarah Marion Nakachwa, Javirah Ahomugisha and 1 more

Abstract readScoping ReviewSystematic Review
PubMed Publisher
In one paragraph

Synthesis in BMC public health, 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

11 authors.

Pascal Mathew OkorobeCollege of Health Sciences, Makerere University, P. O Box 7072, Mulago Hill, Kampala, Uganda. pascalmathew701@gmail.com.ORCID http://orcid.org/0009-0008-8820-3801
John OnamaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Omosola Lydia BolarinDepartment of Biochemistry, Faculty of Basic Medical Sciences, Olabisi Onabanjo University, Ago-Iwoye, Ogun State, Nigeria.
Saheed Adekunle AkinolaDepartment of Microbiology and Parasitology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Shadrach Tetteh BoyeteySt. Vincent de Paul Clinic, Ashanti Catholic Health Service Trust, Christian Health Association of Ghana, Drobonso, Ghana.
Josephine AmpongDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Yesiru Adeyemi KareemDepartment of Clinical Services, Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria.
Pascal D SedorBacteriology Laboratory Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Sarah Marion NakachwaCollege of Health Sciences, Makerere University, P. O Box 7072, Mulago Hill, Kampala, Uganda.
Javirah AhomugishaCollege of Health Sciences, Makerere University, P. O Box 7072, Mulago Hill, Kampala, Uganda.
Prince Owusu AdomaDepartment of Health Administration and Education, University of Education, Winneba, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increase of non-communicable diseases (NCDs) across Africa has become a major public health concern, contributing to significant morbidity and mortality which exerts significant strain on the already burdened health systems. Community-based interventions (CBIs) offer a strategy to address these diseases but evidence remains scattered on their effectiveness, contextual factors that enable or hinder their implementation. This review aimed to map existing community-based interventions, assess their outcomes, identify key facilitators and barriers, and highlight gaps in the literature across diseases, populations, and regions.

methodsThe review followed Arksey and O'Malley's scoping review framework and the reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). We searched PubMed, Scopus Web of Science, Google Scholar, and additional grey literature sources to identify studies. Results were synthesized thematically and reported using a narrative approach.

resultsThis review included 100 studies from across 16 African countries, with most conducted in South Africa, Kenya, Uganda, and Nigeria, focusing on community-based interventions for NCDs. The interventions addressed screening, health promotion, integrated care, and Health, targeting mainly hypertension, diabetes, cancers, and mental and neurological disorders. Overall, CBIs enhanced screening, health literacy, and selected clinical outcomes, especially blood pressure control, although continuity and linkage to formal care were inconsistent. Key facilitators included trusted community health workers (CHWs) and culturally tailored approaches, task-shifting, proximity to people, and use of digital technologies. Barriers included equipment/medication shortages, inadequate CHW supervision and incentives, poverty, transport costs, stigma, cultural beliefs, low health literacy, and weak referral and health systems.

conclusionCommunity-based interventions for NCDs in Africa demonstrate huge potential to counter the rising NCD burden but encounter significant challenges; successful implementation requires resource sensitive and cultural tailored strategies.

Indexed as

Community Health ServicesHealth PromotionNoncommunicable DiseasesAfricaHumansBarriersCommunity-based interventionsCommunity engagementCommunity health workersEffectivenessFacilitatorsNon-communicable diseases

Identifiers

What OpenQuestion holds

Textmetadata
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.