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

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 followi...

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Autores principales: Karamagi, Humphrey Cyprian, Ben Charif, Ali, Ngusbrhan Kidane, Solyana, Yohanes, Tewelde, Kariuki, David, Titus, Maritza, Batungwanayo, Charles, Seydi, Aminata Binetou-Wahebine, Berhane, Araia, Nzinga, Jacinta, Njuguna, David, Kipruto, Hillary Kipchumba, Andrews Annan, Edith, Droti, Benson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021830/
https://www.ncbi.nlm.nih.gov/pubmed/36962623
http://dx.doi.org/10.1371/journal.pgph.0001076
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author Karamagi, Humphrey Cyprian
Ben Charif, Ali
Ngusbrhan Kidane, Solyana
Yohanes, Tewelde
Kariuki, David
Titus, Maritza
Batungwanayo, Charles
Seydi, Aminata Binetou-Wahebine
Berhane, Araia
Nzinga, Jacinta
Njuguna, David
Kipruto, Hillary Kipchumba
Andrews Annan, Edith
Droti, Benson
author_facet Karamagi, Humphrey Cyprian
Ben Charif, Ali
Ngusbrhan Kidane, Solyana
Yohanes, Tewelde
Kariuki, David
Titus, Maritza
Batungwanayo, Charles
Seydi, Aminata Binetou-Wahebine
Berhane, Araia
Nzinga, Jacinta
Njuguna, David
Kipruto, Hillary Kipchumba
Andrews Annan, Edith
Droti, Benson
author_sort Karamagi, Humphrey Cyprian
collection PubMed
description 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.
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spelling pubmed-100218302023-03-17 Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review Karamagi, Humphrey Cyprian Ben Charif, Ali Ngusbrhan Kidane, Solyana Yohanes, Tewelde Kariuki, David Titus, Maritza Batungwanayo, Charles Seydi, Aminata Binetou-Wahebine Berhane, Araia Nzinga, Jacinta Njuguna, David Kipruto, Hillary Kipchumba Andrews Annan, Edith Droti, Benson PLOS Glob Public Health Research Article 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. Public Library of Science 2022-09-23 /pmc/articles/PMC10021830/ /pubmed/36962623 http://dx.doi.org/10.1371/journal.pgph.0001076 Text en © 2022 Karamagi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Karamagi, Humphrey Cyprian
Ben Charif, Ali
Ngusbrhan Kidane, Solyana
Yohanes, Tewelde
Kariuki, David
Titus, Maritza
Batungwanayo, Charles
Seydi, Aminata Binetou-Wahebine
Berhane, Araia
Nzinga, Jacinta
Njuguna, David
Kipruto, Hillary Kipchumba
Andrews Annan, Edith
Droti, Benson
Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title_full Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title_fullStr Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title_full_unstemmed Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title_short Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping review
title_sort investments for effective functionality of health systems towards universal health coverage in africa: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021830/
https://www.ncbi.nlm.nih.gov/pubmed/36962623
http://dx.doi.org/10.1371/journal.pgph.0001076
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