ArticleHealth systems (Basingstoke, England)2021
Priority setting for health system strengthening in low income countries. A qualitative case study illustrating the complexities.
Article in Health systems (Basingstoke, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed, 28 citations in OpenAlex.
- What should be publicly funded in the Colombian health system? A mixed methods study of citizens' perceptions.BMJ open · 2025Article
- Article
- Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Was priority setting considered in COVID-19 response planning? A global comparative analysis.Health policy OPEN · 2024Article
- Holy grail or convenient excuse? Stakeholder perspectives on the role of health system strengthening evaluation in global health resource allocation.Globalization and health · 2024Article
- From political priority to service delivery: complexities to real-life priority of abortion services in Ethiopia.Health policy and planning · 2024Article
- Topic identification, selection, and prioritization for health technology assessment in selected countries: a mixed study design.Cost effectiveness and resource allocation : C/E · 2024Article
- "Sickness has no time": Awareness and perceptions of health care workers on universal health coverage in Uganda.PloS one · 2024Article
- Criteria for the procedural fairness of health financing decisions: a scoping review.Health policy and planning · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health systems are critical to the realisation of Universal Health Coverage. There has been insufficient attention to the evaluation of priority setting for health system strengthening within low income countries, including evaluation of the local capacity to implement priorities. This study evaluated the extent to which health system strengthening was prioritized in Uganda. The Kapiriri & Martin framework was used to evaluate health system priority setting from 2005-2015. A document analysis was triangulated with interview data (n = 67) from global, national and subnational stakeholders and analysed using content analysis. Health system strengthening was perceived to be circumvented by a lack of resources as well as influential actors with disease focused, rather than system-oriented, interests. There were defined processes with explicit criteria for identifying priorities and evidence was highly valued. But sub-optimal transparency and weak accountability often compromised the integrity of priority setting and contributed to stalling progress on health system strengthening and achieving health system outcomes. The strengths in the current planning processes should be harnessed. In addition, a systematic approach to priority setting, potentially through the establishment of an independent body, and stronger oversight mechanisms, would strengthen health system planning in this setting.
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Registered trials
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.