Health systems performance assessment in low-income countries: learning from international experiences

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dc.contributor.authorKirunga Tashobya, Christine
dc.contributor.authorda Silveira, Valéria C.
dc.contributor.authorSsengooba, Freddie
dc.contributor.authorNabyonga-Orem, Juliet
dc.contributor.authorMacq, Jean
dc.contributor.authorCriel, Bart
dc.date.accessioned2022-03-11T13:09:20Z
dc.date.available2022-03-11T13:09:20Z
dc.date.issued2014
dc.description.abstractThe study aimed at developing a set of attributes for a ‘good’ health system performance assessment (HSPA) framework from literature and experiences in different contexts and using the attributes for a structured approach to lesson learning for low-income countries (LICs). Methods: Literature review to identify relevant attributes for a HSPA framework; attribute validation for LICs in general, and for Uganda in particular, via a high-level Ugandan expert group; and, finally, review of a selection of existing HSPA frameworks using these attributes. Results: Literature review yielded six key attributes for a HSPA framework: an inclusive development process; its embedding in the health system’s conceptual model; its relation to the prevailing policy and organizational set-up and societal context; the presence of a concrete purpose, constitutive dimensions and indicators; an adequate institutional set-up; and, its capacity to provide mechanisms for eliciting change in the health system. The expert group contextualized these attributes and added one on the adaptability of the framework. Lessons learnt from the review of a selection of HSPA frameworks using the attributes include: it is possible and beneficial to involve a range of stakeholders during the process of development of a framework; it is important to make HSPA frameworks explicit; policy context can be effectively reflected in the framework; there are marked differences between the structure and content of frameworks in high-income countries, and low- and middleincome countries; champions can contribute to put HSPA high on the agenda; and mechanisms for eliciting change in the health system should be developed alongside the framework.en_US
dc.identifier.citationTashobya, C. K., da Silveira, V. C., Ssengooba, F., Nabyonga-Orem, J., Macq, J., & Criel, B. (2014). Health systems performance assessment in low-income countries: learning from international experiences. Globalization and Health, 10(1), 1-19.en_US
dc.identifier.urihttps://link.springer.com/article/10.1186/1744-8603-10-5
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2740
dc.language.isoenen_US
dc.publisherGlobalization and Healthen_US
dc.subjectHealth systemsen_US
dc.subjectPerformance assessment frameworken_US
dc.subjectLow-income countriesen_US
dc.subjectUgandaen_US
dc.titleHealth systems performance assessment in low-income countries: learning from international experiencesen_US
dc.typeArticleen_US
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