Implementing health system strengthening projects at USAID: Findings from five cases using an integrated framework.
Evidence on the implementation of health systems strengthening (HSS) interventions is scarce. Donors need this information to prioritise investments and lobby for continued financial support. To develop a deeper understanding of the implementation dynamics of robust HSS interventions, we retrospecti...
| Publicado en: | Global Public Health Vol. 14; no. 12; pp. 1829 - 1847 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2019
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138988776&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138988776 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17441692 15UG jtl: Global Public Health issn: 17441692 maglogo: N pubinfo: dt: Dec2019 vid: 14 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 138988776 138988776 138988776 10.1080/17441692.2019.1622758 138988776 ppf: 1829 ppct: 18 formats: tig: atl: Implementing health system strengthening projects at USAID: Findings from five cases using an integrated framework. aug: au: Koon, Adam D. Conrad, Abigail Naimoli, Joseph F. Saxena, Sweta Connor, Catherine Rodriguez, Daniela C. affil: Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA sug: subj: Government Agencies Administration Health Care Delivery Government Programs Financing, Government Conceptual Framework Implementation Science World Health Human United States Program Implementation Retrospective Design Dominican Republic Ethiopia Kazakhstan Rwanda Zambia Interviews Financial Support Accountability Health Services Accessibility Low and Middle Income Countries Funding Source Case Studies Data Analysis Software Interview Guides Quality Improvement Audiorecording Triangulation Planning Techniques Leadership Collaboration Multidisciplinary Care Team Health Policy Medically Underserved ab: Evidence on the implementation of health systems strengthening (HSS) interventions is scarce. Donors need this information to prioritise investments and lobby for continued financial support. To develop a deeper understanding of the implementation dynamics of robust HSS interventions, we retrospectively compared five USAID-supported projects in the Dominican Republic, Ethiopia, Kazakhstan, Rwanda, and Zambia. A document review and key informant interviews (n = 44) were conducted, coded, and analysed in each of the five cases using an integrated implementation framework. The framework was organised by four phases of implementation. For the pre-condition phase, data-driven HSS interventions were nested in a range of political contexts and with differing levels of financial support. In pre-implementation, cases relied on diverse teams that created a data-informed, inclusive, and transparent project ethos for implementation. Implementation was located at multiple tiers of the health system, used interventions as catalysts for government initiatives, supported governance/accountability initiatives, and responded nimbly to contextual changes in the implementation climate. There was less evidence of maintenance and evolution but all cases were designed with an eye towards sustainability. This research yields important insights about the dynamics of HSS, identifying ways donors can better support countries to achieve universal health coverage. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|