scholarly journals Effectiveness of health systems strengthening interventions in Africa: a systematic review

2019 ◽  
Vol 1 (1) ◽  
pp. 52
Author(s):  
Olaiya O. Fatodu ◽  
Olusola O. Oyenuga
Keyword(s):  
Systematic Review ◽  
Health Systems ◽  
Health Systems Strengthening

Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review

2012 ◽  
Vol 20 (39) ◽  
pp. 50-61 ◽  
Author(s):  
Maurice Bucagu ◽  
Jean M. Kagubare ◽  
Paulin Basinga ◽  
Fidèle Ngabo ◽  
Barbara K Timmons ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Maternal Health Services ◽  
Health Systems Strengthening

scholarly journals Health systems constraints and facilitators of human papillomavirus immunization programmes in sub-Saharan Africa: a systematic review

2020 ◽  
Vol 35 (6) ◽  
pp. 701-717 ◽  
Author(s):  
Edina Amponsah-Dacosta ◽  
Benjamin M Kagina ◽  
Jill Olivier
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Human Papillomavirus ◽  
Health Systems ◽  
Data Extraction ◽  
Health Systems Strengthening ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
Significant Health ◽  
Immunization Programmes

Abstract Given the vast investments made in national immunization programmes (NIPs) and the significance of NIPs to public health, it is important to understand what influences the optimal performance of NIPs. It has been established that well-performing NIPs require enabling health systems. However, systematic evidence on how the performance of health systems impacts on NIPs is lacking, especially from sub-Saharan Africa. We conducted a qualitative systematic review to synthesize the available evidence on health systems constraints and facilitators of NIPs in sub-Saharan Africa, using human papillomavirus immunization programmes as a proxy. Fifty-four articles published between 2008 and 2018 were found to be eligible. Data extraction was guided by an analytical model on the interface between NIPs and health systems. A cross-cutting thematic analysis of the extracted data was performed. This systematic review provides evidence necessary for informing ongoing health systems strengthening initiatives in sub-Saharan Africa. There is evidence to suggest that NIPs in sub-Saharan Africa have surmounted significant health systems constraints and have achieved notable public health success. This success can be attributed to strong political endorsement for vaccines, clear governance structures and effective collaboration with global partners. Despite this, significant health systems constraints persist in service delivery, vaccine communication, community engagement, the capacity of the health workforce and sustainable financing. These constraints could derail further progress if not addressed through health systems strengthening efforts. There is a need to expand the research agenda to include the comprehensive evaluation of health systems constraints and facilitators of NIPs within sub-Saharan Africa.

scholarly journals A framework for nursing participation in health policy making: a systematic review

2020 ◽  
Author(s):  
Alireza Hajizadeh ◽  
Vahid Zamanzadeh ◽  
Edris Kakemam ◽  
Rona Bahreini ◽  
rahim Khodayari-Zarnaq
Keyword(s):  
Systematic Review ◽  
Health Policy ◽  
Quality Assessment ◽  
Health Systems ◽  
Policy Making ◽  
Methodological Quality ◽  
Organizational Factors ◽  
Health Systems Strengthening ◽  
Inclusion Criteria ◽  
Present Systematic Review

Abstract Background : Nurses as the majority of the health care workforce help in the health systems strengthening. Nurses' involvement in health policy making is clear; however, still few are involved in policy-making processes, even in the clinical context. The aim of the present systematic review was to designing a framework for nursing participation in health policy making. Methods: The present systematic review was designed on studies conducted between 2000 and 2019. Four online databases including PubMed, EMBASE, SCOPUS and Science Direct were searched using comprehensive terms. Study selection, quality assessment, data extraction, and data analysis were independently done by two reviewers. Inclusion criteria included published studies in English language and between 2000 to 2019, participants such as nurses and the healthcare managers, mentioned influential factors, types of participants were included nurses and the healthcare managers, study designs and methods clearly defined. The methodological quality of included article was appraised using the checklists of CASP and MMAT. Finally, the data were analyzed using content analysis. Results: After quality assessment, 11 studies, according to inclusion criteria, were retrieved. Nine studies had a good, two a medium, and non-articles was poor methodological quality. Three main identified themes were: nursing-related factors (4 sub- themes), management and organizational factors (8 sub-themes) and creating a positive work environment (3 sub-themes). Conclusion: The designed framework in the present review can act as a facilitator of developing more participation on behalf of nursing staff in the processes of policy making about health systems. Nurses can utilize this finding to develop empowering programs to play efficient roles and increase their participation in health policy making. Further studies are required to survey the relation between these factors and nursing participation in health policy making.

scholarly journals Approaches to integrating palliative care into African health systems: a qualitative systematic review

2020 ◽  
Vol 35 (8) ◽  
pp. 1053-1069
Author(s):  
Lara Court ◽  
Jill Olivier
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Health Services ◽  
Health System ◽  
Health Systems ◽  
Population Level ◽  
Health Systems Strengthening ◽  
Health System Strengthening ◽  
African Health ◽  
Qualitative Systematic Review

Abstract Africa is characterized by a high burden of disease and health system deficits, with an overwhelming and increasing demand for palliative care (PC). Yet only one African country is currently considered to have advanced integration of palliative care into medical services and generalized PC is said to be available in only a handful of others. The integration of PC into all levels of a health system has been called for to increase access to PC and to strengthen health systems. Contextually appropriate evidence to guide integration is vital yet limited. This qualitative systematic review analyses interventions to integrate PC into African health systems to provide insight into the ‘how’ of PC integration. Forty articles were identified, describing 51 different interventions. This study found that a variety of integration models are being applied, with limited best practices being evaluated and repeated in other contexts. Interventions typically focused on integrating specialized PC services into individual or multiple health facilities, with only a few examples of PC integrated at a population level. Four identified issues could either promote integration (by being present) or block integration (by their absence). These include the provision of PC at all levels of the health system alongside curative care; the development and presence of sustainable partnerships; health systems and workers that can support integration; and lastly, placing the client, their family and community at the centre of integration. These echo the broader literature on integration of health services generally. There is currently a strong suggestion that the integration of PC contributes to health system strengthening; however, this is not well evidenced in the literature and future interventions would benefit from placing health systems strengthening at the forefront, as well as situating their work within the context of integration of health services more generally.

scholarly journals Exploring the role of gender and women in the political economy of health in armed conflict: a narrative review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kristen Meagher ◽  
Bothaina Attal ◽  
Preeti Patel
Keyword(s):  
Political Economy ◽  
Health Systems ◽  
Armed Conflict ◽  
Narrative Review ◽  
Health Systems Strengthening ◽  
The Political ◽  
Systems Research ◽  
Political Economy Of Health ◽  
And Gender

Abstract Background The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challenges such as increased poverty rates, higher debt burdens, and deteriorating employment prospects. These factors influence the wider social and political determinants of health for women and a gendered analysis of the political economy of health in conflict may support strengthening health systems during conflict. This will in turn lead to equality and equity across not only health, but broader sectors and systems, that contribute to sustainable peace building. Methods The methodology employed is a multidisciplinary narrative review of the published and grey literature on women and gender in the political economy of health in conflict. Results The existing literature that contributes to the emerging area on the political economy of health in conflict has overlooked gender and specifically the role of women as a critical component. Gender analysis is incorporated into existing post-conflict health systems research, but this does not extend to countries actively affected by armed conflict and humanitarian crises. The analysis also tends to ignore the socially constructed patriarchal systems, power relations and gender norms that often lead to vastly different health system needs, experiences and health outcomes. Conclusions Detailed case studies on the gendered political economy of health in countries impacted by complex protracted conflict will support efforts to improve health equity and understanding of gender relations that support health systems strengthening.

scholarly journals Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Keely Jordan ◽  
Todd P. Lewis ◽  
Bayard Roberts
Keyword(s):  
Systematic Review ◽  
Health System ◽  
Health Systems ◽  
Point Of Care ◽  
System Level ◽  
System Quality ◽  
High Quality ◽  
Humanitarian Settings ◽  
Quality Health

Abstract Background There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention. To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings. Methods This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs). We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system. Our outcome of interest was the quality of the health system. We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods. We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain. Results We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review. Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care. There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems. The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety. Conclusion The review highlights a large gap in the measurement of quality both at the point of care and at the health system level. There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings.

scholarly journals COVID‐19 calls for health systems strengthening in Africa: A case of Nigeria

2021 ◽  
Author(s):  
Emmanuel Ebuka Elebesunu ◽  
Gabriel Ilerioluwa Oke ◽  
Yusuff Adebayo Adebisi ◽  
Ifeanyi McWilliams Nsofor
Keyword(s):  
Health Systems ◽  
Health Systems Strengthening
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