Evidence map›Paper›PMID 31297255›Full record

ReviewBMJ global health2019

Lenses and levels: the why, what and how of measuring health system drivers of women's, children's and adolescents' health with a governance focus.

Asha George, Amnesty Elizabeth LeFevre, Tanya Jacobs, Mary Kinney, Kent Buse, Mickey Chopra, Bernadette Daelmans, Annie Haakenstad, Luis Huicho, Rajat Khosla and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. [Digital transformation in healthcare to strengthen patient autonomy].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
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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

17 authors at 11 institutions in 7 countries.

Asha GeorgeSchool of Public Health, University of the Western Cape, Cape Town, South Africa.ORCID 0000-0002-5968-1424
Amnesty Elizabeth LeFevreSchool of Public Health and Family Medicine, University of CapeTown, Cape Town, Maryland.ORCID 0000-0001-8437-7240
Tanya JacobsSchool of Public Health, University of the Western Cape, Cape Town, South Africa.
Mary KinneySchool of Public Health, University of the Western Cape, Cape Town, South Africa.
Kent BusePolitical Affairs and Strategy, UNAIDS, Geneva, Switzerland.
Mickey ChopraWorld Bank, Washington, District of Columbia, USA.
Bernadette DaelmansWorld Health Organisation, Geneva, Switzerland.
Annie HaakenstadSchool of Public Health, Harvard University, Boston, Massachusetts, USA.
Luis HuichoUniversidad Peruana Cayetano Heredia, Lima, Peru.
Rajat KhoslaUnited Nations High Commission for Human Rights, Geneva, Switzerland.
Kumanan RasanathanWorld Health Organisation, Phnom Penh, Cambodia.
David SandersSchool of Public Health, University of the Western Cape, Cape Town, South Africa.
Neha S SinghDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-0057-121X
Nicki TiffinCentre for Infectious Disease Research in Africa, University of Cape Town, Cape Town, South Africa.
Rajani VedNational Health Systems Resource Centre, New Delhi, India.
Shehla Abbas ZaidiCommunity Health Sciences, Aga Khan University Faculty of Health Sciences, Karachi, Pakistan.ORCID 0000-0001-7620-9247
Helen SchneiderSchool of Public Health, University of the Western Cape, Cape Town, South Africa.ORCID 0000-0002-0418-1828
University of the Western Cape · ZAAga Khan University · PKHarvard University · USJoint United Nations Programme on HIV/AIDS · CHLondon School of Hygiene & Tropical Medicine · GBNational Health Systems Resource Centre · INOffice of the United Nations High Commissioner for Refugees · CHUniversidad Peruana Cayetano Heredia · PEUniversity of Cape Town · ZAWorld Bank · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Health systems are critical for health outcomes as they underpin intervention coverage and quality, promote users' rights and intervene on the social determinants of health. Governance is essential for health system endeavours as it mobilises and coordinates a multiplicity of actors and interests to realise common goals. The inherently social, political and contextualised nature of governance, and health systems more broadly, has implications for measurement, including how the health of women, children and adolescents health is viewed and assessed, and for whom. Three common lenses, each with their own views of power dynamics in policy and programme implementation, include a service delivery lens aimed at scaling effective interventions, a societal lens oriented to empowering people with rights to effect change and a systems lens concerned with creating enabling environments for adaptive learning. We illustrate the implications of each lens for the

Indexed as

epistemologygovernancehealth systemsmeasurementpowerrights

Identifiers

PMID31297255
PMCPMC6590975
OpenAlexW2954943686

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.