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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Bibliographic Details
Published in:Health research policy and systems Vol. 22; no. 1; pp. 176 - 6
Main Authors: Karamagi, Humphrey Cyprian, Charif, Ali Ben, Kidane, Solyana Ngusbrhan, Berhane, Araia, Nzinga, Jacinta, Yohannes, Tewelde, Moyo, Thandekile Ntombikayise, Sy, Sokona, Kipruto, Hillary Kipchumba
Format: Journal Article
Language:English
Published: London BioMed Central 24.12.2024
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:1478-4505
1478-4505
DOI:10.1186/s12961-024-01268-7