Broad syntheses related to this topic

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Broad synthesis

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Improving access to skilled attendance at delivery: an Evidence-Based Policy Brief

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Journal SURE Policy brief
Year 2012
Links Full report Executive Summary

This article includes 9 Systematic reviews Systematic reviews (9 references) 31 Primary studies Primary studies (31 references)

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Broad synthesis / Scoping review

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Social franchising evaluations: A scoping review

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Report London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London.
Year 2011
Links 3ie Systematic Reviews EppiCentre Fulltext link

This article includes 7 Primary studies Primary studies (7 references) 3 Systematic reviews Systematic reviews (3 references)

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BACKGROUND: Social franchising developed as a possible means of improving the provision of non-state sector health services in low- and middle-income countries. The objective of this systematic review was to examine the scope and nature of existing research literature on social franchising interventions, including reach, implementation, sustainability and goals, in health service delivery. METHODS: A rigorous search strategy was run in nine major databases, including Medline, Embase and CINAHL. Grey literature was also searched. All types of evaluative study designs were eligible for inclusion. Existing data abstraction and analysis tools were used. The AMSTAR measurement tool was applied to assess the quality of included systematic reviews. Framework analysis was chosen for synthesising qualitative and quantitative research. RESULTS: Twelve studies were included in this review: three systematic reviews and nine primary studies. Social franchising has been evaluated in Asia and Africa, particularly from lowincome countries. Most studies focused on reproductive health and family planning. We found a paucity of rigorous study designs, so the evidence supporting social franchising is weak. Across settings, the government continues to have the highest volume of clients for family planning and other services; however, franchises do better than non-franchised private providers in terms of client volume. The clients of social franchises are satisfied with the quality of care and consistently report an intent to return. CONCLUSIONS: Given that social franchising remains an area of great interest and investment, we recommend evaluations of implementation processes and sustainability, and more rigorous evaluations of the effects of different models.

Broad synthesis / Policy brief

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Policy brief on improving access to artemisinin-based combination therapies for malaria in Mozambique.

Journal International journal of technology assessment in health care
Year 2010
Links Pubmed DOI

This article includes 6 Primary studies Primary studies (6 references) 1 Broad synthesis Broad syntheses (1 reference) 5 Systematic reviews Systematic reviews (5 references)

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Broad synthesis / Policy brief

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Policy brief on improving access to artemisinin-based combination therapies for malaria in Burkina Faso.

Journal International journal of technology assessment in health care
Year 2010
Links Pubmed DOI

This article includes 2 Systematic reviews Systematic reviews (2 references)

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Broad synthesis / Policy brief

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Policy brief on improving access to artemisinin-based combination therapies for malaria in Central African Republic.

Journal International journal of technology assessment in health care
Year 2010
Links Pubmed DOI

This article includes 2 Systematic reviews Systematic reviews (2 references)

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Broad synthesis / Overview of systematic reviews

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Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews.

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Journal Lancet
Year 2008
Links Pubmed DOI

This article includes 15 Systematic reviews Systematic reviews (15 references)

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Strengthening health systems is a key challenge to improving the delivery of cost-effective interventions in primary health care and achieving the vision of the Alma-Ata Declaration. Effective governance, financial and delivery arrangements within health systems, and effective implementation strategies are needed urgently in low-income and middle-income countries. This overview summarises the evidence from systematic reviews of health systems arrangements and implementation strategies, with a particular focus on evidence relevant to primary health care in such settings. Although evidence is sparse, there are several promising health systems arrangements and implementation strategies for strengthening primary health care. However, their introduction must be accompanied by rigorous evaluations. The evidence base needs urgently to be strengthened, synthesised, and taken into account in policy and practice, particularly for the benefit of those who have been excluded from the health care advances of recent decades.