Readable research linked to original sources
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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
Loading articles data…
Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
16 articles
Newest firstTo characterise the potential learning effects from a GenAI-based clinical decision support tool (CDST), we examined clinician behaviour within a cluster-randomised trial. The tool, AI Consult, parsed clinician notes written (in real-time) to document patient encounters and would raise green, yellow, or red flags to indicate no, potential, or critical risks of harm (respectively) in decisions the clinician made. O…
Open article record in new tab ↗BackgroundSouth Africas public healthcare system serves most of the population through approximately 3,900 primary healthcare clinics characterised by long waiting times and high volumes of repeat-prescription visits. No published pre-arrival digital triage system operates across all 11 official South African languages while aligning with the South African Triage Scale (SATS). This paper reports the design and pre…
Open article record in new tab ↗BackgroundAdolescent sexual and reproductive health (ASRH) remains a critical public health priority in Ethiopia, where adolescents face persistent barriers to accessing responsive and high-quality sexual and reproductive health (SRH) services. Conventional top-down interventions often fail to address adolescents lived experiences and local contexts. Human-centered design (HCD) offers a participatory and context-s…
BackgroundThe ability of primary health workers (PHWs) to practice in accordance with evidence-based guidelines and norms is a critical component of improving the quality of primary healthcare. Implementation science seeks to promote the routine use of evidence-based practices in healthcare by identifying barriers and facilitators to their implementation, and by developing strategies such as audit and feedback (An…
Open article record in new tab ↗BackgroundLarge language models (LLMs) show promise on healthcare tasks, yet most evaluations emphasize multiple-choice accuracy rather than open-ended reasoning. Evidence from low-resource settings remains limited. MethodsWe benchmarked five LLMs (GPT-4.1, Gemini-2.5-Flash, DeepSeek-R1, MedGemma, and o3) against Kenyan clinicians, using a randomly subsampled dataset of 507 vignettes (from a larger pool of 5,107 c…
BackgroundNeglected Tropical Diseases (NTDs) pose a substantial global public health challenge, particularly in vulnerable refugee populations. In Uganda, millions are at risk, yet primary healthcare (PHC) facility capacity within refugee settlements to effectively manage these diseases remains underexplored. This study assessed infrastructure, diagnostic capabilities, and resource availability for NTD management…
Countries with emerging and developing economies, particularly during crises like the ongoing full-scale war in Ukraine, face significant challenges in achieving universal health coverage. This secondary data analysis focused on informal payments (IPs) in Ukraines public primary healthcare (PHC) system, using a dataset from a study that examined IPs across four priority healthcare services: childbirth, neonatal ca…
Open article record in new tab ↗BackgroundVaccine-preventable diseases (VPDs) remain a major public health challenge among children under five in Nigeria, despite sustained government efforts to provide access to essential vaccines. This study assessed the knowledge, attitudes, and perceptions of mothers with under-five children regarding routine childhood immunization at primary healthcare centers in Abuja Municipal Area Council (AMAC), Federal…
Open article record in new tab ↗The COVID-19 pandemic exposed vulnerabilities in health systems abilities to detect, report, and respond to threats. Inadequate preparedness led to healthcare worker infections (HCW), essential service disruptions, and impacts on communities. Primary health care (PHC) is often overlooked in health security initiatives. Epidemic Ready Primary Health Care (ERPHC) is an initiative that strengthens PHC facilities to p…
Open article record in new tab ↗Primary healthcare (PHC) is the first point of contact with communities and essential for epidemic preparedness. The COVID-19 pandemic exposed gaps in PHC resilience. Epidemic Ready Primary Health Care (ERPHC) was designed to bridge these gaps by strengthening PHC to prevent, detect, and respond to outbreaks while maintaining essential services. An ERPHC pilot was initiated in December 2023 in 654 PHC facilities a…
As South Africa strives to meet the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95, targets require adequate patient data to track people living with HIV (PLHIV) and link them to care. The National District Health Management Information System (DHMIS) Facility Report Standard Operating Procedures (SOP) aims to standardise data collection and use across health facilities. However, data quality issues…
BackgroundThe health sector is a key stakeholder in GBV national response network however, delivery of quality healthcare services for GBV survivors is highly neglected. MethodsThis study will use a mixed-research approach by employing an explanatory sequential study design. Phase one will involve a cross-sectional survey of 61 primary healthcare facilities to examine availability and readiness of GBV survivors se…
Open article record in new tab ↗IntroductionHealth systems in fragile settings face multiple challenges in the implementation of responsive Non-Communicable Disease (NCD) care models. Models based on comprehensive person-centred primary care approaches can improve health system responsiveness and trust in healthcare. In Lebanon, NCDs dominate the health profile, but the health system is fragmented with evidence suggesting varied experiences with…
Open article record in new tab ↗In this work, we examined healthcare seeking behavior (HSB) of patients visiting public healthcare facilities in an urban context. We conducted a cross-sectional survey across twenty-two primary and secondary public healthcare facilities in the South-west Delhi district in India. The survey was designed to ascertain from patients at these facilities their HSB - i.e., on what basis patients decide the type of healt…
Open article record in new tab ↗BACKGROUND: About 13.3% of the South African population use some kind of substance during their lifetime. The incidence of substance use disorders is twice the global average. The use of various substances amongst people living with human immunodeficiency virus (PLWH) has increased tremendously in recent years. The growing culture of substance use amongst PLWH is a serious threat adding to the human immunodeficien…
Open article record in new tab ↗PurposeOveruse and misuse of antibiotics are the primary risk factors for antibiotics resistance. Inadequate professional competence of primary care physicians might exacerbate these problems in China. This retrospective study aims to document the clinical pattern of antibiotics use and its overuse and misuse rates in rural primary care institutions, and to evaluate the association between antibiotics use and char…
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