Evidence map›Paper›PMID 31418540›Full record

SynthesisAnnals of global health2019

Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening.

Martin Amogre Ayanore, Norbert Amuna, Mark Aviisah, Adam Awolu, Daniel Dramani Kipo-Sunyehzi, Victor Mogre, Richard Ofori-Asenso, Jonathan Mawutor Gmanyami, Nuworza Kugbey, Margaret Gyapong

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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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

10 authors.

Martin Amogre AyanoreSchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Norbert AmunaSchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Mark AviisahSchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Adam AwoluSchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Daniel Dramani Kipo-SunyehziLegon Centre for International Affairs and Diplomacy, University of Ghana, Accra, GH.
Victor MogreDepartment of Health Professions Education and Innovative Learning, School of Medicine and Health Sciences, University for Development Studies, Tamale, GH.
Richard Ofori-AsensoMonash University, Department of Epidemiology and Preventive Medicine, Melbourne, AU.
Jonathan Mawutor GmanyamiSchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Nuworza KugbeySchool of Public Health, University of Health and Allied Sciences, Ho, GH.
Margaret GyapongInstitute of Health Research and Professor, University of Health and Allied Sciences, Ho, GH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeeting health security capacity in sub-Saharan Africa will require strengthening existing health systems to prevent, detect, and respond to any threats to health. The purpose of this review was to examine the literature on health workforce, surveillance, and health governance issues for health systemsstrengthening.

methodsWe searched PubMed, Science Direct, Cochrane library, CINAHL, Web of Science, EMBASE, EBSCO, Google scholar, and the WHO depository library databases for English-language publications between January 2007 and February 2017. Electronic searches for selected articles were supplemented by manual reference screening. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.

resultsOut of 1,548 citations retrieved from the electronic searches, 31 articles were included in the review. Any country health system that trains a cadre of health professionals on the job, reduces health workforce attrition levels, and builds local capacity for health care workers to apply innovative mHealth technologies improves health sector performance. Building novel surveillance systems can improve clinical care and improve health system preparedness for health threats. Effective governance processes build strong partnerships for health and create accountability mechanisms for responding to health emergencies.

conclusionsOverall, policy shifts in African countries' health systems that prioritize training a cadre of willing and able workforce, invest in robust and cost-effective surveillance capacity, and create financial accountability and good governance are vital in health strengthening efforts.

Indexed as

Capacity BuildingHealth PolicyPopulation SurveillanceAfrica South of the SaharaDelivery of Health CareHealth Information SystemsHealth OccupationsHealth Systems PlansHealth WorkforceHumans

Identifiers

PMID31418540
PMCPMC6696789

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.