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National Rural Health Mission reforms in light of decentralised planning in Kerala, India: a realist analysis of data from three witness seminars
BackgroundThe People’s Planning Campaign (PPC) in the southern Indian state of Kerala started in 1996, following which the state devolved functions,...
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No man is an island: management of the emergency response to the SARS-CoV-2 (COVID-19) outbreak in a large public decentralised service delivery organisation
BackgroundWe wanted to better understand whether and how agility can be achieved in a decentralised service delivery organisation in Sweden. The...
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The role of governance in sha** health system reform: a case study of the design and implementation of new health regions in Ireland, 2018–2023
BackgroundEffective governance arrangements are central to the successful functioning of health systems. While the significance of governance as a...
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Governance of the wildlife trade and the prevention of emerging zoonoses: a mixed methods network analysis of transnational organisations, silos, and power dynamics
IntroductionThe wildlife trade is an important arena for intervention in the prevention of emerging zoonoses, and leading organisations have...
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Improving health workforce governance: the role of multi-stakeholder coordination mechanisms and human resources for health units in ministries of health
BackgroundA cohesive and strategic governance approach is needed to improve the health workforce (HW). To achieve this, the WHO Global Strategy on...
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Nurturing transformative local structures of multisectoral collaboration for primary health care: qualitative insights from select states in India
BackgroundMultisectoral collaboration is essential for advancing primary health care (PHC). In low- and middle-income countries (LMICs), limited...
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The impact of decentralisation on health systems in fragile and post-conflict countries: a narrative synthesis of six case studies in the Indo-Pacific
A health system has three key stakeholders, the State—at national and subnational levels—the health service providers and the citizens. In most...
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Health systems resilience in fragile and conflict-affected settings: a systematic sco** review
BackgroundHealth systems resilience (HSR) research is a rapidly expanding field, in which key concepts are discussed and theoretical frameworks are...
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Challenges to effective governance in a low income healthcare system: a qualitative study of stakeholder perceptions in Malawi
BackgroundAll countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by...
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The views of public service managers on the implementation of National Health Insurance in primary care: a case of Johannesburg Health District, Gauteng Province, Republic of South Africa
BackgroundThe South African government is implementing National Health Insurance (NHI) as a monopsony health care financing mechanism to drive the...
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The impact of decentralisation on the performance of health care systems: a non-linear relationship
This paper examines the role of institutions—notably the degree of administrative decentralisation across levels of government—in health care...
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“Hospitals respond to demand. Public health needs to respond to risk”: health system lessons from a case study of northern Queensland’s COVID-19 surveillance and response
BackgroundThe vast region of northern Queensland (NQ) in Australia experiences poorer health outcomes and a disproportionate burden of communicable...
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Overcoming the challenges facing Nepal’s health system during federalisation: an analysis of health system building blocks
IntroductionNepal’s move to a federal system was a major constitutional and political change, with significant devolution of power and resources from...
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Development and validation of the shared governance feasibility instrument in nursing schools in Iran
AbstractTo develop and validate a shared governance feasibility instrument in schools of nursing in Iran with respect to the nature of the profession...
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Understanding health system resilience in responding to COVID-19 pandemic: experiences and lessons from an evolving context of federalization in Nepal
IntroductionThe COVID-19 pandemic has tested the resilience capacities of health systems worldwide and highlighted the need to understand the...
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Multidomain and multilevel strategies to improve equity in maternal and newborn health services in Nepal: perspectives of health managers and policymakers
BackgroundNepal has committed to achieving universal coverage of quality maternal and newborn health (MNH) services by 2030. Achieving this, however,...
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Trust-building in temporary public health partnerships: a qualitative study of the partnership formation process of a Covid-19 test, trace and protect service
BackgroundPublic health initiatives require coordinated efforts from healthcare, social services and other service providers. Organisational theory...
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Governance function analysis of the Patriotic Health Movement in China
BackgroundHealth system governance is critical to the operation of a country’s health system and its overall performance. This study analyzes the...
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Public involvement in the Swedish health system: citizen dialogues with unclear outcomes
BackgroundIn systems with representative democracy, there is a growing consensus that citizens should have the possibility to participate in...
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Factors that influence evidence-informed meso-level regional primary health care planning: a qualitative examination and conceptual framework
BackgroundEvidence-informed primary health care (PHC) planning in decentralised, meso-level regional organisations has received little research...
