Realist Review of Primary Health Care Pathways to Universal Health Coverage

A realist review synthesizes evidence from 42 studies to explain how Primary Health Care reforms influence Universal Health Coverage outcomes. The evidence base is limited, concentrated mainly in India and China, and largely published after 2020. The document was authored by Neymat Chadha and released under a CC-BY-4.0 license in May 2026.

Use Cases

• Identify key PHC reform configurations based on the two emergent themes of RMNCH and overall PHC design.
• Analyze the roles of frontline workers and community organizations based on their described critical functions.
• Study barriers to UHC progress based on described geographic, transport, and equity factors.
• Examine the relationship between service expansion and financial protection outcomes based on the review's findings.

Strengths

• Synthesizes findings from 42 quality-appraised studies.
• Focuses on countries with the greatest gains in the UHC Service Coverage Index between 2000 and 2021.
• Applies a realist review methodology to develop explanatory configurations linking mechanisms, contexts, and outcomes.

Limitations

• The evidence base is described as limited and geographically concentrated.
• The document is 37.9 KB, indicating a limited scope of primary data.
• Column-level documentation is absent; field semantics must be inferred after download.

Provenance

Source

figshare, authored by Neymat Chadha.

Collection Method

Realist review of published studies, following a systematic process registered with PROSPERO.

Time Range

Studies primarily from after 2000, with many published after 2020.

Freshness

Last updated 2026-05-28 05:58:16; freshness should be verified.

Geography

Concentrated mainly in India and China, with a focus on countries showing UHC gains.