This article discusses the challenges and lessons learned from conducting an inclusive randomized controlled trial (AFRI-c) in 91 care homes across England.�

RELX SDG Inspiration Day 2025
The Future of Philanthropy: Stepping up for the United Nations Sustainable Development Goals
This study demonstrates that a community-based primary care approach, involving local stakeholders in diagnosis, planning, and implementation, can effectively identify health needs and foster community ownership, especially in vulnerable populations during health crises like COVID-19. Such participatory strategies, aligned with Bolivia’s SAFCI health model, can improve health outcomes, address social determinants, and enhance system resilience for future emergencies.
