Experiences of managerial accountability in Ethiopia's primary healthcare system: a qualitative study
| Autor: | Leslie A. Curry, Assefa Ayde, Netsanet Fetene, Akshar Patel, Tibebu Benyam, Mayur M. Desai, Erika Linnander |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Primary health care Context (language use) Grounded theory 03 medical and health sciences 0302 clinical medicine Global health Medicine Humans 030212 general & internal medicine Accountability Qualitative Research lcsh:R5-920 Social Responsibility Health management system Primary Health Care business.industry 030503 health policy & services Public health Public relations Primary care Health management Ethiopia 0305 other medical science Family Practice business lcsh:Medicine (General) Delivery of Health Care Qualitative research Research Article |
| Zdroj: | BMC Family Practice BMC Family Practice, Vol 21, Iss 1, Pp 1-9 (2020) |
| ISSN: | 1471-2296 |
| Popis: | BackgroundDespite calls for improved accountability in global health systems, and a set of clear and consistent theoretical accountability frameworks, empirical descriptions of how accountability is experienced and enacted in low- and middle- income country (LMIC) settings is limited. Therefore, we sought to characterize how managers at all levels of Ethiopia’s primary healthcare system experience accountability in their daily practice.MethodsWe conducted in-depth key informant interviews with 41 key stakeholders across 4 regions (Amhara, Oromia, Southern Nations Nationalities and Peoples, and Tigray) in the context of the Primary Healthcare Transformation Initiative (PTI). Consistent with the principles of grounded theory, our team used the constant comparative method to identify emergent themes related to concrete areas that could be targeted to allow an overall culture of accountability to flourish.ResultsEmergent themes were: development of a shared understanding of system-wide accountability, streamlining of managerial reporting lines, strengthening of medico-legal knowledge and systems, and development of mechanisms for bottom-up accountability.ConclusionsFindings may be valuable to policymakers seeking to create more effective national accountability frameworks; practitioners and development partners seeking to strengthen implementation of evidence-based accountability systems and practices; and researchers aiming to develop meaningful, practical measures of accountability in public health. |
| Databáze: | OpenAIRE |
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