Evidence map›Paper›PMID 28637228›Full record

ArticleHealth policy and planning2017

Application of social network analysis in the assessment of organization infrastructure for service delivery: a three district case study from post-conflict northern Uganda.

Freddie Ssengooba, Vincent Kawooya, Justine Namakula, Suzanne Fustukian

Open access · bronzeAbstract read
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Article in Health policy and planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Freddie SsengoobaSchool of Public Health, Makerere University, Uganda Mulago Hospital Complex, Mulago Hill Road, P.O. Box 7072, Kampala, Uganda.
Vincent KawooyaSchool of Public Health, Makerere University, Uganda Mulago Hospital Complex, Mulago Hill Road, P.O. Box 7072, Kampala, Uganda.
Justine NamakulaSchool of Public Health, Makerere University, Uganda Mulago Hospital Complex, Mulago Hill Road, P.O. Box 7072, Kampala, Uganda.
Suzanne FustukianInstitute for International Health and Development, Queen Margaret University, Edinburgh, UK.
Mulago Hospital · UGQueen Margaret University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In post-conflict settings, service coverage indices are unlikely to be sustained if health systems are built on weak and unstable inter-organization networks-here referred to as infrastructure. The objective of this study was to assess the inter-organization infrastructure that supports the provision of selected health services in the reconstruction phase after conflict in northern Uganda. Applied social network analysis was used to establish the structure, size and function among organizations supporting the provision of (1) HIV treatment, (2) maternal delivery services and (3) workforce strengthening. Overall, 87 organizations were identified from 48 respondent organizations in the three post-conflict districts in northern Uganda. A two-stage snowball approach was used starting with service provider organizations in each district. Data included a list of organizations and their key attributes related to the provision of each service for the year 2012-13. The findings show that inter-organization networks are mostly focused on HIV treatment and least for workforce strengthening. The networks for HIV treatment and maternal services were about 3-4 times denser relative to the network for workforce strengthening. The network for HIV treatment accounted for 69-81% of the aggregated network in Gulu and Kitgum districts. In contrast, the network for workforce strengthening contributed the least (6% and 10%) in these two districts. Likewise, the networks supporting a young district (Amuru) was under invested with few organizations and sparse connections. Overall, organizations exhibited a broad range of functional roles in supporting HIV treatment compared to other services in the study. Basic information about the inter-organization setup (infrastructure)-can contribute to knowledge for building organization networks in more equitable ways. More connected organizations can be leveraged for faster communication and resource flow to boost the delivery of health services.

Indexed as

Health Services AdministrationArmed ConflictsCapacity BuildingDelivery, ObstetricFemaleHealth ServicesHealth WorkforceHIV InfectionsHumansMaternal Health ServicesOrganizational Case StudiesPregnancyUgandahealth systems developmentOrganization infrastructurepost-conflictsocial network analysis

Identifiers

PMID28637228
PMCPMC5886158
OpenAlexW2624977522

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.