Figures & Tables
Figures
- FIGURE 1
Scopus Search Strategy and Bibliometric Data Preparation Process
* TITLE‐ABS‐KEY (“health system”) + full country list
¶ TITLE‐ABS‐KEY (“health care system”) + full country list
§ TITLE‐ABS‐KEY (“health program”) + full country list
$ TITLE‐ABS‐KEY (“health service”) + full country list
° TITLE‐ABS‐KEY (“health system” or “health care system” or “health program” or “health service”) + (all African Regions)
- FIGURE 2
Annual Volume of Publications About sub‐Saharan African Health Systems Research, sub‐Saharan African Health Research in General, and Health Systems Research Globally, 1990–2014
The point at which the volume of literature changed, estimated using spline regression, is shown with a dotted line, which occurred at the advent of the Millennium Development Goals (MDGs) in 2000–2001 for health systems research in Africa and in 2003 for health research in Africa. Statistical significance at P < .0001 is denoted with 3 asterisks. There was no association of the onset of the MDG era with global health systems research.
- FIGURE 3.
Bibliometric Map of 2,240 Keywords From 17,655 Publications on Health Systems in sub‐Saharan Africa, 1990 to 2014
The relative size of each circle corresponds to the keyword occurrence among the 17,655 publications. The circles are, in turn, grouped into thematic clusters represented by a common color: green, personnel (mainly nursing) issues; purple, dental health; blue, family planning programming; yellow, maternal health; and red, indicators of morbidity and mortality.
- FIGURE 4
Bibliometric Map of Keywords From Publications on Health Systems in sub‐Saharan Africa, 1990 to 2014: Expansion of the Red Cluster of Keywords Related to Morbidity and Mortality Indicators
- FIGURE 5.
Bibliometric Map of Keywords From Publications on Health Systems in sub‐Saharan Africa, 1990 to 2014: Expansion of the Blue Cluster of Keywords Related to Family Planning Programming
- FIGURE 6
Bibliometric Map of Keywords From Publications on Health Systems in sub‐Saharan Africa, 1990 to 2014: Expansion of the Green Cluster of Keywords Related to Personnel Issues
- FIGURE 7
Bibliometric Map of Keywords From Publications on Health Systems in sub‐Saharan Africa, 1990 to 2014: Expansion of the Yellow Cluster of Keywords Related to Maternal Health
- FIGURE 8
Bibliometric Map of 352 Keywords From Publications on Health Systems in sub‐Saharan Africa, 1990 to 1999
Thematic clusters are represented by a common color: red, health technological research; green, maternal and oral health services; yellow, health policy and life expectancy; and blue, health care delivery, economic and social covariates of health, and family planning.
- FIGURE 9
Bibliometric Map of 1,033 Keywords From Publications on Health Systems in sub‐Saharan Africa, 2000 to 2014
Thematic clusters are represented by a common color: red, health technological research; green, manpower and training; yellow, maternal and oral health services; blue, health care delivery, economic and social covariates of health, and family planning; purple, non‐communicable diseases; turquoise, HIV/AIDS; and a small peripheral cluster at the top right for dental public health.
Tables
- TABLE Expected Keyword Themes From sub-Saharan African Health Systems Publications Published Between 1990 and 2014, Based on Global Frameworks for Health Systems Development
Health Systems Frameworks Expected Keyword Themes Related References WHO Building Blocks (World Health Organization20) 1. Access to essential health technologies Expanding health coverage Kruk37 The range of health care options: the development, provision, and evaluation of health technologies and access to technologies Travis et al.,5 Fonn38 Community health services: community health centers, community health worker, community health planning, community participation, community engagement Freeman et al.39 Quality assurance, quality management, quality indicators, quality improvement Kinney et al.40 2. Availability of providers of health services Manpower and personnel operations: the training, deployment, and management of service providers Cometto, Campbell, & Sheikh41 3. Information resources for health service decision making Health information management systems: the design, implementation, and use of information for decision making at critical levels of the system Boerma et al.42 Communication and knowledge management: interdisciplinary communication, dissemination, research utilization, organizational communication Shakarishvili et al.43 4. Capabilities to provide equipment, facilities, and supplies for operations Logistics systems: the implementation, evaluation, or reform of logistics, equipment procurement, facilities development, and commodity supply systems Bornbusch & Bates44 5. Planning, budgeting, and financing operations Financial planning and management: activities for planning, budgeting, and managing resources for sustaining services Friberg et al.45 6. Provision for leadership and governance of the health care system Leadership systems: operations for developing, implementing, and sustaining leadership and governance systems Fiszbein, Ringold, & Rogers46 Cross-Cutting Research Themes 7. Systems research Inter-building block themes, multilevel analysis, systems research, mixed qualitative and quantitative measurement, systems evaluation, operations research, implementation science deSavigny & Adam47 Experimental, quasi-experimental, and plausibility designs; evaluation methods Remme et al.,48 Habicht et al.49 8. Organizational diagnosis Bottlenecks, malaise, corruption, theft, mismanagement Gilson & Mills50 Cross-Cutting Implementation Themes 9. Scaling-up organizational change Scaling-up, decentralization, using innovation, restructuring Simmons et al.,51 Yamey52 10. Adaptive systems: “open systems” indicators Social organizational context: economic status, educational attainment, gender issues, family characteristics, family relationships, social organization Shalley & Gilson,53 Gilson et al.3
