Evidence map›Paper›PMID 39301268›Full record

ReviewThe Lancet regional health. Southeast Asia2024

Strengthening primary health care through community health workers in South Asia.

Prakriti Shrestha, Kaosar Afsana, Manuj C Weerasinghe, Henry B Perry, Harsha Joshi, Nisha Rana, Zahid Ali Memon, Nazrana Khaled, Sumit Malhotra, Surbhi Bhardwaj and 6 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

16 authors.

Prakriti ShresthaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Kaosar AfsanaBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Manuj C WeerasingheFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Henry B PerryDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Harsha JoshiIndia Primary Healthcare Support Initiative, Johns Hopkins India Private Ltd., Delhi, India.
Nisha RanaNepal Development Society, Kathmandu, Nepal.
Zahid Ali MemonDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Nazrana KhaledBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Sumit MalhotraAll India Institute of Medical Sciences, New Delhi, India.
Surbhi BhardwajAll India Institute of Medical Sciences, New Delhi, India.
Simrin KafleDepartment of Public Health, Aarhus University, Denmark.
Yoko InagakiDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Austin SchimdtDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Stephen HodginsCollege of Health Sciences, School of Public Health, University of Alberta, Edmonton, Canada.
Dinesh NeupaneDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Krishna D RaoDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growing health challenges in South Asia require further adaptations of community health worker (CHW) programs as a key element of primary health care (PHC). This paper provides a comparative analysis of CHW programs in five countries (Bangladesh, India, Nepal, Pakistan, and Sri Lanka), examines successes and challenges, and suggests reforms to better ensure highly performing CHW programs. To examine CHW programs in the region, we conducted a narrative review of the peer-reviewed and grey literatures, as well as eliciting opinions from experts. Common roles of CHWs include health education, community mobilization, and community-based services, particularly related to reproductive, maternal, neonatal, and child health. Some countries utilize CHWs for non-communicable diseases and other emerging health issues. To maximize the potential contribution of CHWs to achieving Universal Health Coverage, we recommend future research and policy focus on strengthening existing health systems to support the expansion of CHWs roles and better integrating of CHWs into national PHC systems. This is Paper 4 in the Series on Primary Health Care in South Asia, addressing areas that have the potential to revitalize health systems in South Asian countries. Funding: The authors received financial support from the Department of Health Systems Development, WHO South-East Asia Regional Office (WHO SEAR).

Indexed as

Community health workerHealth systemsPrimary health careSouth Asia

Identifiers

PMID39301268
PMCPMC11410731

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.