Assessing the scalability of health system interventions in Africa: protocol for a Delphi study

Background There is widespread enthusiasm for scaling interventions to strengthen health systems. However, little is known about the scalability of such interventions in Africa. In this study, we seek to assess the scalability of interventions for improving the functionality of health systems in Afr...

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Vydané v:	Health research policy and systems Ročník 22; číslo 1; s. 176 - 6
Hlavní autori:	Karamagi, Humphrey Cyprian, Charif, Ali Ben, Kidane, Solyana Ngusbrhan, Berhane, Araia, Nzinga, Jacinta, Yohannes, Tewelde, Moyo, Thandekile Ntombikayise, Sy, Sokona, Kipruto, Hillary Kipchumba
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	London BioMed Central 24.12.2024 BioMed Central Ltd Springer Nature B.V BMC
Predmet:	Ability Africa Analysis Attributes Cluster analysis Consensus Delivery of Health Care Delphi Technique Emergency preparedness Evaluation Female Frame analysis Health Health Administration Health care Health care reform Health Policy Health services Health Services Research Health system HIV Human immunodeficiency virus Humans Implementation science Information sharing Interdisciplinary aspects International organizations Intervention Knowledge Knowledge translation Male Measures Medicine Medicine & Public Health Policy making Public Health R & D/Technology Policy Research Design Scalability Stakeholder Participation Stakeholders Statistical analysis Statistics Study Protocol Surveillance Systematic review Systematic Reviews as Topic Translational Research, Biomedical Africa Health system Intervention Scalability AFROSAF Implementation science Africa Knowledge translation
ISSN:	1478-4505, 1478-4505
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Popis
Shrnutí:	Background There is widespread enthusiasm for scaling interventions to strengthen health systems. However, little is known about the scalability of such interventions in Africa. In this study, we seek to assess the scalability of interventions for improving the functionality of health systems in Africa, as a key to large-scale implementation strategy of interventions with potential for impact. Methods The study will deploy a multi-pronged approach, grounded in an integrated knowledge translation (iKT) approach. First, a multidisciplinary steering committee will be established, involving key female and male stakeholders in all stages of our study from its inception and as equal members of the research team for overseeing the project. Second, as part of the RAND/University of California, Los Angeles (UCLA) Appropriateness Method, evidence from a published systematic review will be used to develop the African Scalability Assessment Framework (AFROSAF), a series of multiple attributes for assessing the ability to scale a health system intervention in Africa. Third, the content of the AFROSAF will be validated using Delphi survey (within a deliberative dialogue) following the Lavis’ framework for knowledge transfer and a conceptual framework developed by Boyko et al. a multi-stakeholder consensus exercise with experts from Africa will be convened. The Likert scaled scalability attributes developed will be rated and descriptive statistics and hierarchical cluster analysis will be used to synthesize the data. Finally, document analyses will be conducted to rate to which extent each intervention has data that meet criteria responding to the essential components of scalability using the AFROSAF. We will conduct an analysis to score and rank each intervention for scalability. Discussion This project proposes an approach aiming to catalyse the scale of interventions for effective functionality of health systems in Africa. The process will yield a scalability assessment tool for Africa and inventory scalable interventions. The findings will help African countries and policymakers understand the parameters to use and assess health system interventions for scaling.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1478-4505 1478-4505
DOI:	10.1186/s12961-024-01268-7