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Primary Health Care Coverage and Child Mortality in Sub-Saharan Africa

JAMA Network Open 10.1001/jamanetworkopen.2026.27655

August 07, 2026 at 11:00 AM EDT

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This cohort study found evidence indicating that PHC was associated with substantially reduced mortality rates among children younger than 5 years in sub-Saharan Africa over the past 2 decades. These findings suggest that PHC should be expanded rather than dismantled, particularly amid the ongoing defunding of development assistance for health.

Corresponding Author: Davide Rasella, PhD, ISGlobal, carrer Rosselló 132, Barcelona 08036, Spain (davide.rasella@isglobal.org).

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