2023-09-28 14:46:10 +00:00
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abstract: 'Background: District health managers play a key role in the
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effectiveness of decentralized health systems in low- and middle-income
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countries. Inadequate management and leadership skills often hamper
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their ability to improve quality of care and effectiveness of health
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service delivery. Nevertheless, significant investments have been made
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in capacity-building programmes based on site-based training, mentoring,
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and operational research. This systematic review aims to review the
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effectiveness of site-based training, mentoring, and operational
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research (or action research) on the improvement of district health
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system management and leadership. Our secondary objectives are to assess
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whether variations in composition or intensity of the intervention
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influence its effectiveness and to identify enabling and constraining
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contexts and underlying mechanisms.
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Methods: We will search the following databases: MEDLINE, PsycInfo,
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Cochrane Library, CRD database (DARE), Cochrane Effective Practice and
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Organisation of Care (EPOC) group, ISI Web of Science, Health Evidence.
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org, PDQ-Evidence, ERIC, EMBASE, and TRIP. Complementary search will be
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performed (hand-searching journals and citation and reference tracking).
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Studies that meet the following PICO (Population, Intervention,
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Comparison, Outcome) criteria will be included: P: professionals working
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at district health management level; I: site-based training with or
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without mentoring, or operational research; C: normal institutional
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arrangements; and O: district health management functions. We will
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include cluster randomized controlled trials, controlled
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before-and-after studies, interrupted time series analysis,
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quasi-experimental designs, and cohort and longitudinal studies.
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Qualitative research will be included to contextualize findings and
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identify barriers and facilitators.
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Primary outcomes that will be reported are district health management
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and leadership functions. We will assess risk of bias with the Cochrane
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Collaboration''s tools for randomized controlled trials (RCT) and non RCT
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studies and Critical Appraisal Skills Programme checklists for
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qualitative studies. We will assess strength of recommendations with the
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GRADE tool for quantitative studies, and the CERQual approach for
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qualitative studies. Synthesis of quantitative studies will be performed
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through meta-analysis when appropriate. Best fit framework synthesis
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will be used to synthesize qualitative studies.
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Discussion: This protocol paper describes a systematic review assessing
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the effectiveness of site-based training (with or without mentoring
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programmes or operational research) on the improvement of district
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health system management and leadership.'
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affiliation: 'Belrhiti, Z (Corresponding Author), Natl Sch Publ Hlth, Dept Management
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\& Econ, Rabat, Morocco.
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Belrhiti, Zakaria, Natl Sch Publ Hlth, Dept Management \& Econ, Rabat, Morocco.
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Booth, Andrew, Univ Sheffield, Sch Hlth \& Related Res ScHARR, Sheffield, S Yorkshire,
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England.
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Marchal, Bruno, Inst Trop Med, Hlth Serv Org Unit, Antwerp, Belgium.
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Verstraeten, Roosmarijn, Inst Trop Med, Nutr \& Child Hlth Unit, Antwerp, Belgium.'
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article-number: '70'
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author: Belrhiti, Zakaria and Booth, Andrew and Marchal, Bruno and Verstraeten, Roosmarijn
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author-email: drbelrhiti@gmail.com
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author_list:
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- family: Belrhiti
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given: Zakaria
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- family: Booth
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given: Andrew
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- family: Marchal
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given: Bruno
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- family: Verstraeten
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given: Roosmarijn
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da: '2023-09-28'
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doi: 10.1186/s13643-016-0239-z
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eissn: 2046-4053
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files: []
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journal: SYSTEMATIC REVIEWS
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keywords: 'Site-based training; Mentoring; Operational research; Best fit framework
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synthesis; District health; Management; Leadership; Low- and
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middle-income countries'
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keywords-plus: QUALITY; DECENTRALIZATION; CAPACITY
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language: English
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number-of-cited-references: '38'
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orcid-numbers: 'Booth, Andrew/0000-0003-4808-3880
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Belrhiti, Zakaria/0000-0002-0115-682X
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'
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papis_id: e31ea1c596a3e446fcb38cc5770950dd
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ref: Belrhiti2016whatextent
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researcherid-numbers: 'Booth, Andrew/A-7872-2008
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Belrhiti, Zakaria/G-4532-2016
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Marchal, Bruno/ACO-6522-2022'
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tags:
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- review
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times-cited: '10'
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title: 'To what extent do site-based training, mentoring, and operational research
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improve district health system management and leadership in low- and middle-income
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countries: a systematic review protocol'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000453148200069
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '5'
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web-of-science-categories: Medicine, General \& Internal
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year: '2016'
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