Evidence map›Paper›PMID 39099481›Full record

ArticleInternational journal of health policy and management2024

Generating Political Priority for the Health Needs of the 21st Century: A Qualitative Policy Analysis on the Prioritization of Rehabilitation Services in Uganda.

Rachel Neill, Elizeus Rutebemberwa, Raymond Tweheyo, Sam Tukei Ojulo, Gerald Okello, Abdulgafoor M Bachani, Yusra Ribhi Shawar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of health policy and management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Rachel NeillJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-1110-5479
Elizeus RutebemberwaCollege of Health Sciences, School of Public Health, Makerere University, Kampala, Uganda.ORCID 0000-0001-8363-7928
Raymond TweheyoCollege of Health Sciences, School of Public Health, Makerere University, Kampala, Uganda.ORCID 0000-0002-8347-9699
Sam Tukei OjuloCollege of Health Sciences, School of Public Health, Makerere University, Kampala, Uganda.ORCID 0009-0003-1080-8994
Gerald OkelloCollege of Health Sciences, School of Public Health, Makerere University, Kampala, Uganda.ORCID 0000-0002-9263-9279
Abdulgafoor M BachaniJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-4455-9044
Yusra Ribhi ShawarDepartment of International Health, Johns Hopkins University Blomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-9539-0341

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew low- or middle-income countries (LMICs) have prioritized the expansion of rehabilitation services. Existing scholarship has identified that problem definition, governance, and structural factors are influential in the prioritization of rehabilitation. The objective of this study was to identify the factors influencing the prioritization and implementation of rehabilitation services in Uganda.

methodsA case study design was utilized. The Prioritization of Rehabilitation in National Health Systems framework guided the study. Data sources included 33 key informant interviews (KIIs) with governmental and non-governmental stakeholders and peer-reviewed and grey literature on rehabilitation in Uganda. A thematic content analysis and concept map were conducted to analyze the data.

resultsRehabilitation is an unfunded priority in Uganda, garnering political attention but failing to receive adequate financial or human resource allocation. The national legacy of rehabilitation as a social program, instead of a health program, has influenced its present-day prioritization trajectory. These include a fragmented governance system, a weak advocacy coalition without a unified objective or champion, and a lack of integration into existing health systems structures that makes it challenging to scale-up service provision. Our findings highlight the interactive influences of structural, governance, and framing factors on prioritization and the importance of historical context in understanding both prioritization and implementation.

conclusionOur findings demonstrate challenges in prioritizing emerging, multi-sectoral health areas like rehabilitation. Strategic considerations for elevating rehabilitation on Uganda's policy agenda include generating credible indicators to quantify the nature and extent of the population's need and uniting governmental and non-governmental actors around a common vision for rehabilitation's expansion. We present opportunities for strengthening rehabilitation, both in Uganda and in similar contexts grappling with many health sector priorities and limited resources.

Indexed as

Health PolicyHealth PrioritiesPoliticsDeveloping CountriesHealth Services Needs and DemandHumansPolicy MakingQualitative ResearchRehabilitationUgandaAfricaDisabilityHealth PolicyHealth SystemsRehabilitationUganda

Identifiers

PMID39099481
PMCPMC11365069

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.