To what extent do site-based training, mentoring, and operational research improve district health system management and leadership in low- and middle-income countries: a systematic review protocol
Identifieur interne : 000324 ( Main/Exploration ); précédent : 000323; suivant : 000325To what extent do site-based training, mentoring, and operational research improve district health system management and leadership in low- and middle-income countries: a systematic review protocol
Auteurs : Zakaria Belrhiti [Maroc] ; Andrew Booth [Royaume-Uni] ; Bruno Marchal [Belgique] ; Roosmarijn Verstraeten [Belgique]Source :
- Systematic Reviews [ 2046-4053 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Prestations des soins de santé.
- Formation en interne, Leadership, Mentorat, Pays en voie de développement, Plan de recherche, Revenu, Revues systématiques comme sujet.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Delivery of Health Care.
- Developing Countries, Income, Inservice Training, Leadership, Mentoring, Research Design, Systematic Reviews as Topic.
Abstract
District health managers play a key role in the effectiveness of decentralized health systems in low- and middle-income countries. Inadequate management and leadership skills often hamper their ability to improve quality of care and effectiveness of health service delivery. Nevertheless, significant investments have been made in capacity-building programmes based on site-based training, mentoring, and operational research. This systematic review aims to review the effectiveness of site-based training, mentoring, and operational research (or action research) on the improvement of district health system management and leadership. Our secondary objectives are to assess whether variations in composition or intensity of the intervention influence its effectiveness and to identify enabling and constraining contexts and underlying mechanisms.
We will search the following databases: MEDLINE, PsycInfo, Cochrane Library, CRD database (DARE), Cochrane Effective Practice and Organisation of Care (EPOC) group, ISI Web of Science, Health Evidence.org, PDQ-Evidence, ERIC, EMBASE, and TRIP. Complementary search will be performed (hand-searching journals and citation and reference tracking).
Studies that meet the following PICO (Population, Intervention, Comparison, Outcome) criteria will be included: P: professionals working at district health management level; I: site-based training with or without mentoring, or operational research; C: normal institutional arrangements; and O: district health management functions. We will include cluster randomized controlled trials, controlled before-and-after studies, interrupted time series analysis, quasi-experimental designs, and cohort and longitudinal studies. Qualitative research will be included to contextualize findings and identify barriers and facilitators.
Primary outcomes that will be reported are district health management and leadership functions. We will assess risk of bias with the Cochrane Collaboration’s tools for randomized controlled trials (RCT) and non RCT studies and Critical Appraisal Skills Programme checklists for qualitative studies. We will assess strength of recommendations with the GRADE tool for quantitative studies, and the CERQual approach for qualitative studies. Synthesis of quantitative studies will be performed through meta-analysis when appropriate. Best fit framework synthesis will be used to synthesize qualitative studies.
This protocol paper describes a systematic review assessing the effectiveness of site-based training (with or without mentoring programmes or operational research) on the improvement of district health system management and leadership.
PROSPERO
The online version of this article (doi:10.1186/s13643-016-0239-z) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13643-016-0239-z
PubMed: 27116915
PubMed Central: 4847191
Affiliations:
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Le document en format XML
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last="Belrhiti">Zakaria Belrhiti</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Management and Economy, National School of Public Health, Rabat, Morocco</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Management and Economy, National School of Public Health, Rabat</wicri:regionArea></affiliation></author><author><name sortKey="Booth, Andrew" sort="Booth, Andrew" uniqKey="Booth A" first="Andrew" last="Booth">Andrew Booth</name><affiliation wicri:level="1"><nlm:aff id="Aff2">School of Health & Related Research (ScHARR), University of Sheffield, Sheffield, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Health & Related Research (ScHARR), University of Sheffield, Sheffield</wicri:regionArea></affiliation></author><author><name sortKey="Marchal, Bruno" sort="Marchal, Bruno" uniqKey="Marchal B" first="Bruno" last="Marchal">Bruno Marchal</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Health Services Organisation Unit, Institute of Tropical Medicine, Antwerp, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Health Services Organisation Unit, Institute of Tropical Medicine, Antwerp</wicri:regionArea></affiliation></author><author><name sortKey="Verstraeten, Roosmarijn" sort="Verstraeten, Roosmarijn" uniqKey="Verstraeten R" first="Roosmarijn" last="Verstraeten">Roosmarijn Verstraeten</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Nutrition and Child Health Unit, Institute of Tropical Medicine, Antwerp, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Nutrition and Child Health Unit, Institute of Tropical Medicine, Antwerp</wicri:regionArea></affiliation></author></analytic><series><title level="j">Systematic Reviews</title><idno type="eISSN">2046-4053</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Delivery of Health Care (organization & administration)</term><term>Developing Countries (MeSH)</term><term>Income (MeSH)</term><term>Inservice Training (MeSH)</term><term>Leadership (MeSH)</term><term>Mentoring (MeSH)</term><term>Research Design (MeSH)</term><term>Systematic Reviews as Topic (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Formation en interne (MeSH)</term><term>Leadership (MeSH)</term><term>Mentorat (MeSH)</term><term>Pays en voie de développement (MeSH)</term><term>Plan de recherche (MeSH)</term><term>Prestations des soins de santé (organisation et administration)</term><term>Revenu (MeSH)</term><term>Revues systématiques comme sujet (MeSH)</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prestations des soins de santé</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Developing Countries</term><term>Income</term><term>Inservice Training</term><term>Leadership</term><term>Mentoring</term><term>Research Design</term><term>Systematic Reviews as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Formation en interne</term><term>Leadership</term><term>Mentorat</term><term>Pays en voie de développement</term><term>Plan de recherche</term><term>Revenu</term><term>Revues systématiques comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>District health managers play a key role in the effectiveness of decentralized health systems in low- and middle-income countries. Inadequate management and leadership skills often hamper their ability to improve quality of care and effectiveness of health service delivery. Nevertheless, significant investments have been made in capacity-building programmes based on site-based training, mentoring, and operational research. This systematic review aims to review the effectiveness of site-based training, mentoring, and operational research (or action research) on the improvement of district health system management and leadership. Our secondary objectives are to assess whether variations in composition or intensity of the intervention influence its effectiveness and to identify enabling and constraining contexts and underlying mechanisms.</p></sec><sec><title>Methods</title><p>We will search the following databases: MEDLINE, PsycInfo, Cochrane Library, CRD database (DARE), Cochrane Effective Practice and Organisation of Care (EPOC) group, ISI Web of Science, Health Evidence.org, PDQ-Evidence, ERIC, EMBASE, and TRIP. Complementary search will be performed (hand-searching journals and citation and reference tracking).</p><p>Studies that meet the following PICO (Population, Intervention, Comparison, Outcome) criteria will be included: P: professionals working at district health management level; I: site-based training with or without mentoring, or operational research; C: normal institutional arrangements; and O: district health management functions. We will include cluster randomized controlled trials, controlled before-and-after studies, interrupted time series analysis, quasi-experimental designs, and cohort and longitudinal studies. Qualitative research will be included to contextualize findings and identify barriers and facilitators.</p><p>Primary outcomes that will be reported are district health management and leadership functions. We will assess risk of bias with the Cochrane Collaboration’s tools for randomized controlled trials (RCT) and non RCT studies and Critical Appraisal Skills Programme checklists for qualitative studies. We will assess strength of recommendations with the GRADE tool for quantitative studies, and the CERQual approach for qualitative studies. Synthesis of quantitative studies will be performed through meta-analysis when appropriate. Best fit framework synthesis will be used to synthesize qualitative studies.</p></sec><sec><title>Discussion</title><p>This protocol paper describes a systematic review assessing the effectiveness of site-based training (with or without mentoring programmes or operational research) on the improvement of district health system management and leadership.</p></sec><sec><title>Systematic review registration</title><p>PROSPERO <ext-link ext-link-type="uri" xlink:href="http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015032351.">CRD42015032351</ext-link></p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s13643-016-0239-z) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bossert, T" uniqKey="Bossert T">T 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sortKey="Vist, G" uniqKey="Vist G">G Vist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guyatt, Gh" uniqKey="Guyatt G">GH Guyatt</name></author><author><name sortKey="Oxman, Ad" uniqKey="Oxman A">AD Oxman</name></author><author><name sortKey="Kunz, R" uniqKey="Kunz R">R Kunz</name></author><author><name sortKey="Woodcock, J" uniqKey="Woodcock J">J Woodcock</name></author><author><name sortKey="Brozek, J" uniqKey="Brozek J">J Brozek</name></author><author><name sortKey="Helfand, M" uniqKey="Helfand M">M Helfand</name></author><author><name sortKey="Alonso Coello, P" uniqKey="Alonso Coello P">P Alonso-Coello</name></author><author><name sortKey="Glasziou, P" uniqKey="Glasziou P">P Glasziou</name></author><author><name sortKey="Jaeschke, R" uniqKey="Jaeschke R">R Jaeschke</name></author><author><name sortKey="Akl, Ea" uniqKey="Akl E">EA Akl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewin, S" uniqKey="Lewin S">S Lewin</name></author><author><name sortKey="Glenton, C" uniqKey="Glenton C">C Glenton</name></author><author><name sortKey="Munthe Kaas, H" uniqKey="Munthe Kaas H">H Munthe-Kaas</name></author><author><name sortKey="Carlsen, B" uniqKey="Carlsen B">B Carlsen</name></author><author><name sortKey="Colvin, Cj" uniqKey="Colvin C">CJ Colvin</name></author><author><name sortKey="Gulmezoglu, M" uniqKey="Gulmezoglu M">M Gulmezoglu</name></author><author><name sortKey="Noyes, J" uniqKey="Noyes J">J Noyes</name></author><author><name sortKey="Booth, A" uniqKey="Booth A">A Booth</name></author><author><name sortKey="Garside, R" uniqKey="Garside R">R Garside</name></author><author><name sortKey="Rashidian, A" uniqKey="Rashidian A">A Rashidian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moher, D" uniqKey="Moher D">D Moher</name></author><author><name sortKey="Shamseer, L" uniqKey="Shamseer L">L Shamseer</name></author><author><name sortKey="Clarke, M" uniqKey="Clarke M">M Clarke</name></author><author><name sortKey="Ghersi, D" uniqKey="Ghersi D">D Ghersi</name></author><author><name sortKey="Liberati, A" uniqKey="Liberati A">A Liberati</name></author><author><name sortKey="Petticrew, M" uniqKey="Petticrew M">M Petticrew</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Maroc</li><li>Royaume-Uni</li></country></list><tree><country name="Maroc"><noRegion><name sortKey="Belrhiti, Zakaria" sort="Belrhiti, Zakaria" uniqKey="Belrhiti Z" first="Zakaria" last="Belrhiti">Zakaria Belrhiti</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Booth, Andrew" sort="Booth, Andrew" uniqKey="Booth A" first="Andrew" last="Booth">Andrew Booth</name></noRegion></country><country name="Belgique"><noRegion><name sortKey="Marchal, Bruno" sort="Marchal, Bruno" uniqKey="Marchal B" first="Bruno" last="Marchal">Bruno Marchal</name></noRegion><name sortKey="Verstraeten, Roosmarijn" sort="Verstraeten, Roosmarijn" uniqKey="Verstraeten R" first="Roosmarijn" last="Verstraeten">Roosmarijn Verstraeten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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