Does paying for performance (P4P) improve delivery of health interventions in low- and middle-income countries?

2021 ◽  
Author(s):  
Jane Burch ◽  
Smitha Bhat
Keyword(s):  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Designing the next generation of implementation research training for learners in low- and middle-income countries

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Michael J. Penkunas ◽  
Shiau Yun Chong ◽  
Emma L. M. Rhule ◽  
Evangelia Berdou ◽  
Pascale Allotey
Keyword(s):  
Implementation Research ◽  
Research Training ◽  
Training Model ◽  
Learning By Doing ◽  
Health Interventions ◽  
System Level ◽  
High Quality Research ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

AbstractEfficacious health interventions tested through controlled trials often fail to show desired impacts when implemented at scale. These challenges can be particularly pervasive in low- and middle-income settings where health systems often lack the capacity and mechanisms required for high-quality research and evidence translation. Implementation research is a powerful tool for identifying and addressing the bottlenecks impeding the success of proven health interventions. Implementation research training initiatives, although growing in number, remain out of reach for many investigators in low- and middle-income settings, who possess the knowledge required to contextualize challenges and potential solutions in light of interacting community- and system-level features. We propose a realigned implementation research training model that centers on team-based learning, tailored didactic opportunities, learning-by-doing, and mentorship.

Gender counts: A systematic review of evaluations of gender-integrated health interventions in low- and middle-income countries

2016 ◽  
Vol 12 (11) ◽  
pp. 1335-1350 ◽  
Author(s):  
Brittany Schriver ◽  
Mahua Mandal ◽  
Arundati Muralidharan ◽  
Anthony Nwosu ◽  
Radhika Dayal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Integrated Health ◽  
Low And Middle Income

Heeding the Call of an Innovative Paradigm for Mental Health Interventions in Low- and Middle-income Countries

2021 ◽  
Author(s):  
Arlene G. MacDougall ◽  
Rosemary Lysaght ◽  
Regina Casey ◽  
Marlene Janzen Le Ber ◽  
Victoria Mutiso ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mental Health Interventions ◽  
Low And Middle Income

scholarly journals Implementing lung health interventions in low- and middle-income countries: a FRESH AIR systematic review and meta-synthesis

2020 ◽  
Vol 56 (1) ◽  
pp. 2000127 ◽  
Author(s):  
Evelyn A. Brakema ◽  
Debbie Vermond ◽  
Hilary Pinnock ◽  
Christos Lionis ◽  
Bruce Kirenga ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Respiratory Disease ◽  
Health Interventions ◽  
Level Of Evidence ◽  
Middle Income ◽  
Middle Income Countries ◽  
Implementation Tool ◽  
Lung Health ◽  
Implementation Factors ◽  
Low And Middle Income

The vast majority of patients with chronic respiratory disease live in low- and middle-income countries (LMICs). Paradoxically, relevant interventions often fail to be effective particularly in these settings, as LMICs lack solid evidence on how to implement interventions successfully. Therefore, we aimed to identify factors critical to the implementation of lung health interventions in LMICs, and weigh their level of evidence.This systematic review followed Cochrane methodology and Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) reporting standards. We searched eight databases without date or language restrictions in July 2019, and included all relevant original, peer-reviewed articles. Two researchers independently selected articles, critically appraised them (using Critical Appraisal Skills Programme (CASP)/Meta Quality Appraisal Tool (MetaQAT)), extracted data, coded factors (following the Consolidated Framework for Implementation Research (CFIR)), and assigned levels of confidence in the factors (via Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual)). We meta-synthesised levels of evidence of the factors based on their frequency and the assigned level of confidence (PROSPERO:CRD42018088687).We included 37 articles out of 9111 screened. Studies were performed across the globe in a broad range of settings. Factors identified with a high level of evidence were: 1) “Understanding needs of local users”; 2) ensuring “Compatibility” of interventions with local contexts (cultures, infrastructures); 3) identifying influential stakeholders and applying “Engagement” strategies; 4) ensuring adequate “Access to knowledge and information”; and 5) addressing “Resource availability”. All implementation factors and their level of evidence were synthesised in an implementation tool.To conclude, this study identified implementation factors for lung health interventions in LMICs, weighed their level of evidence, and integrated the results into an implementation tool for practice. Policymakers, non-governmental organisations, practitioners, and researchers may use this FRESH AIR (Free Respiratory Evaluation and Smoke-exposure reduction by primary Health cAre Integrated gRoups) Implementation tool to develop evidence-based implementation strategies for related interventions. This could increase interventions’ implementation success, thereby optimising the use of already-scarce resources and improving health outcomes.

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