Background
Methods
(1) Countries' Priorities for Health Systems Strenghtneing
(2) Describe the Existing Research Summaries and Syntheses for Priority Topics
Methodological quality
Relevance
Mapping to theme
(3) Use of Nation-Wide Surveys
Results
(1) Countries' Priorities for Health Systems Strengthening
Africa | Asia |
---|---|
Burkina Faso | Afghanistan |
Burundi | Azerbaijan |
Cameroon | Bangladesh |
Central African Republic | Bhutan |
Chad | Cambodia |
Congo | Indonesia |
Côte d'Ivoire | Korea |
Eritrea | Kyrgyzstan |
Ethiopia | Myanmar |
Ghana | Nepal |
Guinea | Pakistan |
Kenya | Sri Lanka |
Liberia | Tajikistan |
Madagascar | Vietnam |
Malawi | Yemen |
Mali |
Eastern Europe
|
Nigeria | Armenia |
Rwanda | Georgia |
Senegal |
Latin America and Caribbean
|
Sierra Leone | Bolivia |
Sudan | Cuba |
Uganda | Honduras |
Zambia | Nicaragua |
Themes | Managers priorities in proposals | Number of high quality reviews | |
---|---|---|---|
N | % | (total) | |
1. Health workforce
| |||
Developing staff skills to deliver PHC services (not necessarily specific to immunisation) | 31 | 70% | 4(16) |
Strengthening supervision, for example, by developing checklists or providing transport | 26 | 59% | 2(8) |
Fill vacant posts for specific cadres by training, or incentives for recruitment or retention | 18 | 41% | 0(2) |
Performance incentives for individuals and teams, creating or implementing rewarding | 18 | 41% | 3(7) |
Develop hands on skills in delivering immunization | 12 | 27% | 1(3) |
Strategies to retain staff and ensure equitable geographical distribution | 10 | 23% | 1(8) |
Developing and introducing staff performance management systems | 6 | 14% | 0(1) |
Redistributing and delegating tasks across staff (through training, supervision, guidance) | 4 | 9% | 5(12) |
Measures to increase the number of female staff | 3 | 7% | 0(1) |
Creating new cadres such as District Health Officers, not specific to immunisation | 1 | 2% | 3(6) |
2. Organisation and management
| |||
Health management information systems, Monitoring and Evaluation, to inform decisions | 39 | 89% | 0(3) |
Training managers in planning and budgeting | 30 | 68% | 0(1) |
Increase knowledge, awareness and community empowerment to promote demand | 28 | 64% | 8(19) |
Outreach delivery of services, mass campaigns; providing transport/logistics, allowances | 22 | 50% | 1(2) |
Systems for quality control; training; develop QA programmes; assure drug quality | 21 | 48% | 0(3) |
Skills in financial management; training managers, administrative staff | 14 | 32% | 0(0) |
Community participation in management, information systems and oversight | 14 | 32% | 0(2) |
Integrating (vertical) programmes or activities into PHC | 10 | 23% | 3(8) |
Improving referral (e.g. providing transport), strengthening secondary care services | 10 | 23% | 2(3) |
Financing, introducing health insurance; economic studies to inform decisions | 8 | 18% | 1(7) |
Outsourcing PHC services, contracting out service delivery to non-government providers | 8 | 18% | 1(10) |
Performance contracts within the public sector (e.g. between central and district levels) | 6 | 14% | 0(0) |
Improving aid effectiveness through sector-wide approaches and creating basket funds | 3 | 7% | 0(0) |
Oversight within public sector, strengthening District Health Management Teams | 2 | 5% | 0(0) |
3. Procurement and supply management
| |||
Improving storage, transport, procuring vehicles | 32 | 73% | 0(1) |
Adequacy of health equipment, procuring and distributing equipment for health facilities | 24 | 55% | 0(0) |
Adequacy of non-health equipment, procuring other equipment (e.g. computers) | 22 | 50% | 0(0) |
Condition/amenities of health facilities, upgrading health facilities | 20 | 45% | 0(0) |
Procuring and distribution essential drugs and other key commodities | 16 | 36% | 0(1) |
Build new facilities in underserved areas | 14 | 32% | 0(0) |
(2) Existing Research Summaries and Syntheses for Priority Topics
Quality | ||||
---|---|---|---|---|
High | Moderate/Low | Total | ||
Policy relevance
| ||||
High | 5 | 2 |
7
|
14%
|
Moderate/Low | 9 | 35 |
44
|
86%
|
Geographic relevance
| ||||
High | 4 | 21 |
25
|
49%
|
Moderate/Low | 10 | 16 |
26
|
51%
|
Thematic relevance
| ||||
High | 7 | 26 |
33
|
65%
|
Moderate/Low | 7 | 11 |
18
|
35%
|
Total
|
14
|
37
|
51
|
100%
|
27%
|
73%
|
100%
|
(4) Use of local evidence
Number of HSS proposals: | |||
---|---|---|---|
Survey availability: | not citing a survey | citing a survey | Total |
Not available or too recent | 5 | NA |
5 (100%)
|
In the previous 3 years | 16 (59%) | 11 (41%) |
27 (100%)
|
Older than 3 years | 11 (92%) | 1 (8%) |
12 (100%)
|
32
|
12
|
44
|