Abstract:
BACKGROUND:Health systems, particularly in low- and middle-income countries, are commonly plagued by poor access, poor performance, inefficient use and inequitable distribution of resources. To improve health system efficiency, equity and effectiveness, the World Development Report of 1993 proposed a first wave of health sector reforms, which has been followed by further waves. Various authors, however, suggest that the early reforms did not lead to the anticipated improvements. They offer, as one plausible explanation for this gap, the limited consideration given to the influence over implementation of the software aspects of the health system, such as organisational culture - which has not previously been fully investigated. OBJECTIVE:To identify, interpret and synthesise existing literature for evidence on organisational culture and how it influences implementation of health sector reforms in low- and middle-income countries. METHODS:We conducted a systematic search of eight databases: PubMed; Africa-Wide Information, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Econlit, PsycINFO, SocINDEX with full text, Emerald and Scopus. Eight papers were identified. We analysed and synthesised these papers using thematic synthesis. RESULTS:This review indicates the potential influence of dimensions of organisational culture such as power distance, uncertainty avoidance, and in-group and institutional collectivism over the implementation of health sector reforms. This influence is mediated through organisational practices such as communication and feedback, management styles, commitment and participation in decision-making. CONCLUSION:This interpretive review highlights the dearth of empirical literature around organisational culture and therefore its findings can only be tentative. There is a need for health policymakers and health system researchers to conduct further analysis of organisational culture and change within the health system.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Mbau R,Gilson Ldoi
10.1080/16549716.2018.1462579subject
Has Abstractpub_date
2018-01-01 00:00:00pages
1462579issue
1eissn
1654-9716issn
1654-9880journal_volume
11pub_type
杂志文章,评审abstract:BACKGROUND:Global mental health (GMH) advocates for access to and the equitable provision of mental health care. Although the treatment gap is a useful construct to measure access and equitability of care, it fails to communicate the real-life consequences of the treatment gap and the urgent need to address care dispar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25447
更新日期:2014-09-30 00:00:00
abstract:BACKGROUND:Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveilla...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28413
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Climate change is producing major impacts including increasing temperatures in tropical countries, like Costa Rica, where the sugarcane industry employs thousands of workers who are exposed to extreme heat. OBJECTIVES:This article outlines a pilot qualitative evaluation of working conditions and heat in the...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2062
更新日期:2009-11-11 00:00:00
abstract::This thesis is part of the studies of gender bias in health which together with the paradigm of evidence-based medicine shares the empirical assumption that there are inaccuracies in medical practice, in addition to a lack of rigour and transparency. It worked with the distinction between the concepts of sex and gende...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25484
更新日期:2014-12-09 00:00:00
abstract:BACKGROUND:While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.18892
更新日期:2012-12-20 00:00:00
abstract:BACKGROUND:Clinical schistosomiasis in endemic countries is treated with a single dose of praziquantel per 40 mg/kg body weight. Treating according to weight, in resource-poor settings when thousands of doses are to be administered in mass treatment campaigns, is considered problematic. A calibrated dose-pole based on ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25351
更新日期:2014-12-03 00:00:00
abstract:BACKGROUND:Despite the implementation of Directly Observed Treatment Short-course (DOTS) strategy in all public health centers in Papua Province, Indonesia, since 1998, the rate of loss to follow-up (LTFU) during tuberculosis (TB) treatment remains high (above 16%). OBJECTIVES:We aimed to identify factors associated w...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1510592
更新日期:2018-01-01 00:00:00
abstract::Background: Evidence-based antenatal care is one cornerstone in Safe Motherhood and educated and confident midwives remain to be optimal caregivers in Africa. Confidence in antenatal midwifery skills is important and could differ depending on the provision of education among the training institutions across Africa.Obj...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1689721
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The global architecture for providing development assistance for health (DAH) has become increasing complex in the last decade, with many new funding agencies entering the health sector. This study presents a detailed picture of European Union (EU) and EU member state originating DAH between 2...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23510
更新日期:2014-02-13 00:00:00
abstract:BACKGROUND:In India, 50-65% of the population face difficulties in accessing medicines. The Health Impact Fund (HIF) is a novel proposal whereby pharmaceutical companies would be paid based on the measured global health impact of their drugs. We conducted a key stakeholder analysis to explore access to medicines in Ind...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1434935
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The term HbA1c (glycated haemoglobin) is commonly used in relation to diabetes mellitus. The measure gives an indication of the average blood sugar levels over a period of weeks or months prior to testing. For most low- and middle-income countries HbA1c measurement in community surveillance is prohibitively ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31691
更新日期:2016-08-09 00:00:00
abstract:BACKGROUND:The collaborative quality improvement approach proposed by the Institute for Healthcare Improvement has the potential to improve coverage of evidence-based maternal and newborn health practices. The Safe Care, Saving Lives initiative supported the implementation of 20 evidence-based maternal and newborn care...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1581466
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Mortality in a population may be clustered in space and time for a variety of reasons, including geography, socio-economics, environment and demographics. Analysing mortality clusters can therefore reveal important insights into patterns and risks of mortality in a particular setting. OBJECTIVE AND DESIGN:T...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5244
更新日期:2010-08-30 00:00:00
abstract:BACKGROUND:Amidst diverging discourses describing chronic non-communicable disease (NCD) and healthcare access, the hermeneutical tradition within sociology, particularly as exemplified in the work of Jurgen Habermas, provides a starting point for exploring and interpreting the experiences of chronic illness and health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25317
更新日期:2014-09-24 00:00:00
abstract:BACKGROUND:Job satisfaction is an important determinant of health worker motivation, retention, and performance, all of which are critical to improving the functioning of health systems in low- and middle-income countries. A number of small-scale surveys have measured the job satisfaction and intention to leave of indi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19287
更新日期:2013-01-24 00:00:00
abstract:BACKGROUND:Support supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1345496
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. OBJECT...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1477249
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:Dengue is currently a major public health burden in Asia Pacific Region. This study aims to establish an association between dengue incidence, mean temperature and precipitation, and further discuss how weather predictors influence the increase in intensity and magnitude of dengue in Singapore during the p...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2036
更新日期:2009-11-11 00:00:00
abstract:BACKGROUND:The major chronic non-communicable diseases (NCDs) operate through a cluster of common risk factors, whose presence or absence determines not only the occurrence and severity of the disease, but also informs treatment approaches. Primary prevention based on mitigation of these common risk factors through pop...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.1986
更新日期:2009-09-28 00:00:00
abstract:BACKGROUND:The 4-year (2007-2011) Revitalizing Health for All international research program (http://www.globalhealthequity.ca/projects/proj_revitalizing/index.shtml) supported 20 research teams located in 15 low- and middle-income countries to explore the strengths and weaknesses of comprehensive primary health care (...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24997
更新日期:2014-08-21 00:00:00
abstract:BACKGROUND:There have been various consultations on the Millennium Development Goals (MDGs) by different groups. However, even if it is clear that the health sector has led the development success of the MDGs, only a few MDG reports consider public health experts' points of view and these are mainly government driven. ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24352
更新日期:2014-09-22 00:00:00
abstract:BACKGROUND:Migration of African-trained health workers to countries with higher health care worker densities adds to the severe shortage of health personnel in many African countries. Policy initiatives to reduce migration levels are informed by many studies exploring the reasons for the original decision to migrate. I...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26125
更新日期:2015-03-17 00:00:00
abstract::Environmental and social changes associated with climate change are likely to have impacts on the well-being, health, and productivity of many working populations across the globe. The ramifications of climate change for working populations are not restricted to increases in heat exposure. Other significant risks to w...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5640
更新日期:2010-12-17 00:00:00
abstract:BACKGROUND:Indonesia still faces challenges in maternal health. Specifically, the lack of information on community-level maternal morbidity. The relatively high maternal healthcare non-utilization in Indonesia intensifies this problem. OBJECTIVE:To describe the burden of community-level maternal morbidity in Indonesia...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1339534
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28041
更新日期:2015-09-10 00:00:00
abstract:BACKGROUND:Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the adoption and implementation of these types of applications is a further obstacle. OBJECTIVES:This ar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340254
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Legal empowerment of the poor is highly relevant to public health as it aims to relieve income poverty, a main determinant of health. The Commission on Legal Empowerment of the Poor (CLEP) has proposed legal empowerment measures in the following four domains: access to justice and the rule of law, property, ...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v6i0.22854
更新日期:2013-11-15 00:00:00
abstract::One of the most pressing global health problems is that there is a mismatch between the health research and development (R&D) that is needed and that which is undertaken. The dependence of health R&D on market incentives in the for-profit private sector and the lack of coordination by public and philanthropic funders ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.22450
更新日期:2013-10-10 00:00:00
abstract:BACKGROUND:Individuals in conflict-affected areas rarely get appropriate care for chronic or non-infectious diseases. The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide, and new evidence shows conclusively that the negative effects of hyperglycemia occur even at mild glucose elevations and th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23887
更新日期:2014-05-12 00:00:00
abstract:BACKGROUND:Prompt laboratory diagnosis and initiation of treatment are effective components of leishmaniasis control. Detection of Leishmania parasites by ex-vivo culture of lesion scrapings is considered a definitive diagnostic method preceding initiation of treatment. OBJECTIVE:A pilot study to find alternative medi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2046
更新日期:2009-10-22 00:00:00