BMJ in UK BMJ India BMJ Brazil BMJ in North America BMJ China

Strengthening health systems

Our evidence-based tools and resources help frontline healthcare professionals improve the management of both communicable and non-communicable diseases.

Our Clinical Decision Support Training Initiative enables healthcare professionals in the Caucasus, Central and South East Asia with the knowledge, skills and resources to improve detection, diagnosis and management of infectious diseases.

This programme is underpinned by our decision support tool BMJ Best Practice and online learning resource, BMJ Learning.

The Practical Approach to Care Kit (PACK) is a set of primary care guidelines, supports frontline teams treating patients in remote regions.

PACK answers the questions of clinicians and nurses who are treating patients in remote regions.  Covering 40 common symptoms and 20 chronic conditions, the printed handbook provides evidence-based content and localised guidelines sourced primarily from BMJ Best Practice and WHO.

Its practical and easy to use design is proving to be an invaluable tool for over 6,000 clinics across South Africa, Nigeria and Brazil.  

Watch this short video to see how PACK is helping nurses make a difference to patients in South Africa (Aljazeera news).

“PACK gives you so much confidence because you know you are within the prescribed guidelines of the Western Cape health department so you are covered.” Sister Gloria Gordon, Ceres Hospital


Randomised controlled trials show that the introduction of PACK in South Africa has:

  • Increased Tuberculosis case detection. 
  • Improved health outcomes for patients, including CD4 and weight gain for HIV positive patients. 
  • Reduced hospital admissions and increased primary care utilisation.  

We also offer expertise for establishing accreditation frameworks and guidelines development.

Discover the other ways we focus on global health and health security priorities:

Convening people

The actors involved in global health are changing, and a multi-sectoral, cross-cutting approach is essential for tackling the priority issues.

We have extensive experience in bringing together thought leaders, policy makers, healthcare professionals and senior stakeholders from all sectors with an interest and mission for improving global health and global health security.
Our programme of events collectively attracts more than 10,000 delegates annually from over 85 countries, including: Contact Lalitha Bhagavatheeswaran to talk to us today. 

Work with us to address global health and global health security priorities.


The Practical Approach to Care Kit (PACK) is a clinical decision support programme guides primary healthcare clinicians through the diagnosis and management process of more than 500 common symptoms and conditions, including:

  • Cardiovascular and respiratory disease
  • Tuberculosis
  • HIV and AIDS and other infectious diseases
  • Skin disorders
  • Women’s health
  • Mental health
  • End-of-life care. 

This four pillar training programme improves primary health care in low and middle income countries. It works most effectively by partnering with governments, universities and NGOs to partner with us. Provide PACK to your clinicians working in remote areas today by contacting Dr. Tracy Eastman.

Dr Tracy Eastman, KTU Director of PACK Global Development and Delivery
Tel: +44 (0) 208 872 6323


Mitali Wroczynski works closely with ministries of health, agriculture, and defence to influence policy decision-making, and develop new global health partnerships.

She pioneered BMJ’s clinical decision support training initiative that supports healthcare professionals working in low and middle-income countries to improve the detection, diagnosis, and management of infectious diseases and contributes to building health system resilience. Mitali has also played a key role in making risk communication a central issue for managing major infectious disease outbreaks, epidemics or pandemics, as part of the EU-funded programme, TELL ME.  

Contact Mitali to find out how together we can address global health and global health securities priorities: 

Mitali Wroczynski
Head of Strategic Partnerships, Global Health & Global Health Security
Tel: +44 (0) 20 7383 6517


Talk to us today about how Research to Publication can raise your institution's research capabilities to improve recognition and increase funding.  Please contact Richard Purdy.

You can also follow Research to Publication on Twitter: @BMJRtoP


Richard Purdy. Head of International Development
Tel: +44 (0) 207 383 6192