Cited by 115Meta-analysis and systematic reviewsPublic Health Policies and EducationHealth Policy Implementation Science

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Evidence-based public health: what does it offer developing countries?

McMichael, C., Waters, E., Volmink, J.·2005·Journal of Public Health

DOI 10.1093/pubmed/fdi024

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Abstract

The global burden of disease and illness is primarily situated in developing countries. As developing countries have limited resources, it is particularly important to invest in public health and health promotion strategies that are effective. Systematic reviews are central to evidence-based public health and health promotion practice and policy. This paper discusses issues surrounding the relevance of evidence-based public health and systematic reviews to the health of developing countries. It argues that there is a lack of systematic reviews relevant to the health priorities of developing countries; many interventions reviewed can not be implemented in resource-poor situations; and, a limited amount of primary research is conducted in developing countries. The paper further argues that improvements in public health are determined not only by effective health services and interventions, but through an approach that includes other sectors and influences broader structural and systematic barriers to health. Given the social complexity of human development, and the inter-sections amongst different development goals, there is no question that gains in developing country public health are unlikely to emerge from systematic reviews alone, but will require decisions about inter-sectoral collaboration and social policy initiatives. Nonetheless, evidence around intervention effectiveness has an important role to play in addressing health priorities in developing countries and resource-poor areas. The public health evidence base urgently needs strengthening, with dedicated effort towards increasing the relevance of primary evidence and systematic reviews.

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Authors: McMichael, C., Waters, E., & Volmink, J.
Affiliations: La Trobe University (AU)
The University of Melbourne (AU)
University of Cape Town (ZA)
Corresponding author: McMichael, C.
ORCID: McMichael, C.
Volmink, J.
Venue: Journal of Public Health
Publisher: Oxford University Press (OUP)
Published: 2005-06-01
Volume: 27
Issue: 2
Pages: 215-221
ISSN: 0943-1853 (ISSN-L)
1741-3842
1741-3850
DOI: 10.1093/pubmed/fdi024
OpenAlex: W2141190206
Cited by: 115
References: 28
Citations by year: 2026: 1 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 1 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 6 · 2016: 3 · 2015: 10 · 2014: 3 · 2013: 6 · 2012: 5
FWCI: 4.98
Type: journal article
Language: en
Open access: closed
Locations: Journal of Public Health (publishedVersion)
PubMed (publishedVersion)
Own your potential (DEAKIN) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: European Commission
La Trobe University
Topics: Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: evidence-based public health, systematic reviews, developing countries, health promotion, resource-limited settings, intersectoral collaboration, social determinants of health, health policy, global burden of disease
MeSH terms: Cooperative Behavior, Decision Making, Organizational, Developing Countries, Humans, Malaria, Policy Making, Public Health, Research Support as Topic, Review Literature as Topic, Global Health, Meta-Analysis as Topic, Publication Bias, Evidence-Based Medicine, Organizational Case Studies

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Evidence-based public health: what does it offer developing countries?

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