ArticleBMC family practice2020
Experiences of managerial accountability in Ethiopia's primary healthcare system: a qualitative study.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed.
- Practice, enablers and barriers of health information system accountability framework in Northwest Ethiopia 2023.BMC medical informatics and decision making · 2025Article
- Primary Health Care Challenges in Managing Emerging and Re-emerging Infectious Diseases: A Comprehensive Literature Review.Medical journal of the Islamic Republic of Iran · 2025Review
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Sustaining women's empowerment for development in resource-limited settings: an exploratory qualitative approach.Frontiers in health services · 2024Article
- Health service quality in 2929 facilities in six low-income and middle-income countries: a positive deviance analysis.The Lancet. Global health · 2023Article
- Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal.Social science & medicine (1982) · 2022Article
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite calls for improved accountability in global health systems, and a set of clear and consistent theoretical accountability frameworks, empirical descriptions of how accountability is experienced and enacted in low- and middle- income country (LMIC) settings is limited. Therefore, we sought to characterize how managers at all levels of Ethiopia's primary healthcare system experience accountability in their daily practice.
methodsWe conducted in-depth key informant interviews with 41 key stakeholders across 4 regions (Amhara, Oromia, Southern Nations Nationalities and Peoples, and Tigray) in the context of the Primary Healthcare Transformation Initiative (PTI). Consistent with the principles of grounded theory, our team used the constant comparative method to identify emergent themes related to concrete areas that could be targeted to allow an overall culture of accountability to flourish.
resultsEmergent themes were: development of a shared understanding of system-wide accountability, streamlining of managerial reporting lines, strengthening of medico-legal knowledge and systems, and development of mechanisms for bottom-up accountability.
conclusionsFindings may be valuable to policymakers seeking to create more effective national accountability frameworks; practitioners and development partners seeking to strengthen implementation of evidence-based accountability systems and practices; and researchers aiming to develop meaningful, practical measures of accountability in public health.
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