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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

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dc.contributor.author Belrhiti, Z.
dc.contributor.author Booth, A.
dc.contributor.author Marchal, B.
dc.contributor.author Verstraeten, R.
dc.date.accessioned 2016-06-03T09:37:53Z
dc.date.available 2016-06-03T09:37:53Z
dc.date.issued 2016
dc.identifier.issn 2046-4053
dc.identifier.doi http://dx.doi.org/10.1186/s13643-016-0239-z
dc.identifier.other ITG-H3A
dc.identifier.other ITG-HLA
dc.identifier.other DPH
dc.identifier.other U-HSO
dc.identifier.other U-NCH
dc.identifier.other DOI
dc.identifier.other FTA
dc.identifier.other OAJ
dc.identifier.other Abstract
dc.identifier.other UPD62
dc.identifier.uri http://hdl.handle.net/10390/8914
dc.description.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. en_US
dc.language English en_US
dc.subject District health systems en_US
dc.subject Capacity building en_US
dc.subject Management en_US
dc.subject Leadership en_US
dc.subject Health care delivery en_US
dc.subject Quality improvement en_US
dc.subject Effectiveness en_US
dc.subject Training en_US
dc.subject Operational research en_US
dc.subject Health personnel en_US
dc.subject Systematic review en_US
dc.subject Review of the literature en_US
dc.title 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 en_US
dc.type Article-E en_US
dc.citation.issue 70 en_US
dc.citation.jtitle Systematic Reviews en_US
dc.citation.volume 5 en_US
dc.citation.pages 1-10 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/27116915
dc.citation.jabbreviation Syst Rev en_US


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