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 : 000491 ( PubMed/Corpus ); précédent : 000490; suivant : 000492To 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 ; Andrew Booth ; Bruno Marchal ; Roosmarijn VerstraetenSource :
- Systematic reviews [ 2046-4053 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Delivery of Health Care.
- Developing Countries, Income, Inservice Training, Leadership, Mentoring, Research Design, Systematic Reviews as Topic.
Abstract
BACKGROUND
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.
METHODS
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.
DISCUSSION
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.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42015032351.
DOI: 10.1186/s13643-016-0239-z
PubMed: 27116915
PubMed Central: PMC4847191
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pubmed:27116915Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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.</title><author><name sortKey="Belrhiti, Zakaria" sort="Belrhiti, Zakaria" uniqKey="Belrhiti Z" first="Zakaria" last="Belrhiti">Zakaria Belrhiti</name><affiliation><nlm:affiliation>Department of Management and Economy, National School of Public Health, Rabat, Morocco. drbelrhiti@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Booth, Andrew" sort="Booth, Andrew" uniqKey="Booth A" first="Andrew" last="Booth">Andrew Booth</name><affiliation><nlm:affiliation>School of Health & Related Research (ScHARR), University of Sheffield, Sheffield, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Marchal, Bruno" sort="Marchal, Bruno" uniqKey="Marchal B" first="Bruno" last="Marchal">Bruno Marchal</name><affiliation><nlm:affiliation>Health Services Organisation Unit, Institute of Tropical Medicine, Antwerp, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Verstraeten, Roosmarijn" sort="Verstraeten, Roosmarijn" uniqKey="Verstraeten R" first="Roosmarijn" last="Verstraeten">Roosmarijn Verstraeten</name><affiliation><nlm:affiliation>Nutrition and Child Health Unit, Institute of Tropical Medicine, Antwerp, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27116915</idno><idno type="pmid">27116915</idno><idno type="doi">10.1186/s13643-016-0239-z</idno><idno type="pmc">PMC4847191</idno><idno type="wicri:Area/PubMed/Corpus">000491</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000491</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">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.</title><author><name sortKey="Belrhiti, Zakaria" sort="Belrhiti, Zakaria" uniqKey="Belrhiti Z" first="Zakaria" last="Belrhiti">Zakaria Belrhiti</name><affiliation><nlm:affiliation>Department of Management and Economy, National School of Public Health, Rabat, Morocco. drbelrhiti@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Booth, Andrew" sort="Booth, Andrew" uniqKey="Booth A" first="Andrew" last="Booth">Andrew Booth</name><affiliation><nlm:affiliation>School of Health & Related Research (ScHARR), University of Sheffield, Sheffield, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Marchal, Bruno" sort="Marchal, Bruno" uniqKey="Marchal B" first="Bruno" last="Marchal">Bruno Marchal</name><affiliation><nlm:affiliation>Health Services Organisation Unit, Institute of Tropical Medicine, Antwerp, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Verstraeten, Roosmarijn" sort="Verstraeten, Roosmarijn" uniqKey="Verstraeten R" first="Roosmarijn" last="Verstraeten">Roosmarijn Verstraeten</name><affiliation><nlm:affiliation>Nutrition and Child Health Unit, Institute of Tropical Medicine, Antwerp, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Systematic reviews</title><idno type="eISSN">2046-4053</idno><imprint><date when="2016" type="published">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="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></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><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></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><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). 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.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><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></div><div type="abstract" xml:lang="en"><p><b>SYSTEMATIC REVIEW REGISTRATION</b></p><p>PROSPERO CRD42015032351.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27116915</PMID><DateCompleted><Year>2017</Year><Month>01</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2046-4053</ISSN><JournalIssue CitedMedium="Internet"><Volume>5</Volume><PubDate><Year>2016</Year><Month>Apr</Month><Day>27</Day></PubDate></JournalIssue><Title>Systematic reviews</Title><ISOAbbreviation>Syst Rev</ISOAbbreviation></Journal><ArticleTitle>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.</ArticleTitle><Pagination><MedlinePgn>70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13643-016-0239-z</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">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.</AbstractText><AbstractText Label="SYSTEMATIC REVIEW REGISTRATION" NlmCategory="BACKGROUND">PROSPERO CRD42015032351.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Belrhiti</LastName><ForeName>Zakaria</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of Management and Economy, National School of Public Health, Rabat, Morocco. drbelrhiti@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Booth</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Health & Related Research 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