Relevant publications on FM in LIC

The most recent publication is a qualitative study on FM in Eldoret Kenya,  an evaluation of their actual performance in the health care system. It is a comprehensive report on all the roles of the FP. It is the best peek inside the work, the thoughts and life of the present FPs. It is great stuff for teaching and also for advocacy. http://www.biomedcentral.com/content/pdf/1471-2296-13-32.pdf

A comprehensive list of relevant papers about Medical education in Subsaharan Africa (SAMSS) is http://www.samss.org/literature/default.aspx?literature

On the evidence of primary care

  1. The contribution of primary care to health and health systems in low- and middle-income countries: a critical review of major primary care initiatives. Soc Sci Med. 2010 Mar;70(6):904-11. http://www.ncbi.nlm.nih.gov/pubmed/20089341
  2. Strategies for integrating primary health services in middle- and low-income countries at the point of delivery. Briggs CJGarner Phttp://www.ncbi.nlm.nih.gov/pubmed/16625576  This overview shows the few studies done and gives recommendations for research.
  3. Is the declaration of Alma Ata still relevant to primary health care? BMJ 2008 Stephen Gillam. http://www.bmj.com/cgi/content/extract/336/7643/536
  4. When do vertical (stand alone) programmes have a place in health systems? On the evidence of Vertical vs integrated health care. Rifat A. Atun.
  5. Contribution of primary care to health systems and health. B Starfield, Shil. http://www.ncbi.nlm.nih.gov/pubmed/16202000
  6. Strengthening primary care: addressing the disparity between vertical and horizontal investment. J. de Maeseneer et al.

On why FM should be promoted

  1. Funding for primary health care in developing countries. BMJ  2008;336:518-519. http://www.bmj.com/cgi/content/extract/336/7643/518
  2. Exploring the key principles of Family Medicine in sub-Saharan Africa: international Delphi consensus process – Bob Mash et all.
  3. Eldoret: Towards a sustainable Family Medicine training in Kenya?  P van den Hombergh, R. Downing,  P. Chege, G. van Kasteren

On access to health workers in rural areas

  1. Projections on work force needed in primary care
  2. Recommendations for Increasing access to health workers in remote and rural areas through improved retention Report WHO
  3. Compulsary service programs for recruiting health workers in remote and rural areas: Do they work? WHO Bulletin
  4. Providing proper generalist care during compulsory service as Medical Officer. Medicus Tropicus sept 2010 (48/3) pag. 7-8
  5. WHO Bulletin (Editorial) – Maximizing the impact of community-based practitioners in the quest for universal health coverage
    J Campbell et al; http://www.who.int/bulletin/volumes/93/9/15-162198/en/ From the new (September) Bulletin issue.  The editorial refers, among others, to the new analysis by Barbara McPake et al in the same issue – they report that investment in Community-based practitioners can be a cost-effective approach, in certain contexts and under certain circumstances. The editorial then goes on and gives the broader picture, including the relation with the draft of WHO’s Global strategy on human resources for health: workforce 2030.