Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review.

Autor:	Karamagi HC; Data Analytics and Knowledge Management, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo., Ben Charif A; CubecXpert, Quebec, QC, Canada., Ngusbrhan Kidane S; Data Analytics and Knowledge Management, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo., Yohanes T; Division of Policy and Planning, Ministry of Health, Asmara, Eritrea., Kariuki D; Ministry of Health, Nairobi, Kenya., Titus M; Independent Advisor, Windhoek, Namibia., Batungwanayo C; Independent Advisor, Gitega, Burundi., Seydi AB; Data Analytics and Knowledge Management, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo., Berhane A; Conmmunicable Diseases Control Division, Ministry of Health, Asmara, Eritrea., Nzinga J; Health Services Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya., Njuguna D; Health Economist, Ministry of Health, Nairobi, Kenya., Kipruto HK; Essential Drugs and Medicines, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo., Andrews Annan E; Essential Drugs and Medicines, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Republic of Congo., Droti B; Health Information Systems, World Health Organization (WHO) Regional Office for Africa, Brazzaville, Congo.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2022 Sep 23; Vol. 2 (9), pp. e0001076. Date of Electronic Publication: 2022 Sep 23 (Print Publication: 2022).
DOI:	10.1371/journal.pgph.0001076
Abstrakt:	The health challenges in Africa underscore the importance of effectively investing in health systems. Unfortunately, there is no information on systems investments adequate for an effective functional health system. We aimed to address this by conducting a scoping review of existing evidence following the Joanna Briggs Institute Manual for Evidence Synthesis and preregistered with the Open Science Framework (https://osf.io/bvg4z). We included any empirical research describing interventions that contributed to the functionality of health systems in Africa or any low-income or lower-middle-income regions. We searched Web of Science, MEDLINE, Embase, PsycINFO, Cochrane Library, CINAHL, and ERIC from their inception, and hand-searched other relevant sources. We summarized data using a narrative approach involving thematic syntheses and descriptive statistics. We identified 554 unique reports describing 575 interventions, of which 495 reported evidence of effectiveness. Most interventions were undertaken in Africa (80.9%), covered multiple elements of health systems (median: 3), and focused on service delivery (77.4%) and health workforce (65.6%). Effective interventions contributed to improving single (35.6%) or multiple (64.4%) capacities of health systems: access to essential services (75.6%), quality of care (70.5%), demand for essential services (38.6%), or health systems resilience (13.5%). For example, telemedicine models which covered software (technologies) and hardware (health workers) elements were used as a strategy to address issues of access to essential services. We inventoried these effective interventions for improving health systems functionality in Africa. Further analyses could deepen understanding of how such interventions differ in their incorporation of evidence for potential scale across African countries. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2022 Karamagi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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