Evidence map›Paper›PMID 32958061›Full record

Observational studyBMC health services research2020

Accelerating the performance of district health systems towards achieving UHC via twinning partnerships.

Mesele Damte Argaw, Binyam Fekadu Desta, Mengistu Asnake Kibret, Melkamu Getu Abebe, Wubishet Kebede Heyi, Elias Mamo, Tesfaye Gebru, Chala Gelan, Bekele Belayhun Tefera, Temesgen Ayehu Bele

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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.

Mesele Damte ArgawUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia. mdamte5@gmail.com.ORCID http://orcid.org/0000-0002-9558-6619
Binyam Fekadu DestaUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Mengistu Asnake KibretUSAID Transform: Primary Health Care project, Pathfinder International, Addis Ababa, Ethiopia.
Melkamu Getu AbebeUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Wubishet Kebede HeyiUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Elias MamoUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Tesfaye GebruUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Chala GelanUSAID Transform: Primary Health Care project, JSI Training & Research Institute, Inc. in Ethiopia, P.O. Box 1392 code, 1110, Addis Ababa, Ethiopia.
Bekele Belayhun TeferaUSAID Transform: Primary Health Care project, Pathfinder International, Addis Ababa, Ethiopia.
Temesgen Ayehu BeleFederal Ministry of Health, Health Extension and Primary Health Services Directorate, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA twinning partnership is a formal and substantive collaboration between two districts to improve their performance in providing primary healthcare services. The 'win-win' twinning partnership pairs are categorized under relatively high and low-performing districts. The purpose of this formative evaluation is to use the empirically derived systems model as an analytical framework to systematically document the inputs, throughputs and outputs of the twinning partnership strategy.

methodsThis explanatory sequential mixed method study design was conducted from October 2018 to September 2019, in Amhara, Oromia, Southern, Nations, Nationalities and Peoples' (SNNP) and Tigray regions. The quantitative research approach used an observational design which consists of three measurements: at baseline (October 2018), midterm (March 2019) and end-line (September 2019), and the qualitative approach employed a case study. Qualitative data was collected using interviewer-guided semi-structured interview tools. The data were transcribed verbatim, translated from Amharic and Afan Oromo into English and analyzed through a theoretical framework named the Bergen Model of Collaborative Functioning (BMCF). Quantitative data were extracted from routine health management information system. The results are presented as averages, percentages and graphs. To claim statistical significance, non-parametric tests: Friedman test at (p < 0.05) and Wilcoxon signed ranks test (p < 0.017) were analyzed.

resultsThe District Health System Performance (DHSP) was determined using data collected from eight districts. At baseline, the mean DHSP score was 50.97, at midterm, it was 60.3 and at end-line, it was 72.07. There was a strong degree and statistically significant relationship between baseline, midterm and end-line DHSP scores (r > 0.978**), using the Friedman test χ

conclusionsTwinning partnerships help to accelerate the health system's performance in achieving the district transformation criteria. Therefore, scaling up the implementation of the twinning partnership strategy is recommended.

Indexed as

Intersectoral CollaborationAdultEthiopiaFemaleGovernment ProgramsHealth Facility AdministrationHealth ResourcesHumansLeadershipMaleMedical AssistanceMiddle AgedUniversal Health InsuranceEthiopiaTransformationTwinning partnershipUniversal health coverage

Identifiers

PMID32958061
PMCPMC7507737

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.