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 FrameworksExpected Keyword ThemesRelated References
WHO Building Blocks (World Health Organization20)
1. Access to essential health technologiesExpanding health coverageKruk37
The range of health care options: the development, provision, and evaluation of health technologies and access to technologiesTravis et al.,5 Fonn38
Community health services: community health centers, community health worker, community health planning, community participation, community engagementFreeman et al.39
Quality assurance, quality management, quality indicators, quality improvementKinney et al.40
2. Availability of providers of health servicesManpower and personnel operations: the training, deployment, and management of service providersCometto, Campbell, & Sheikh41
3. Information resources for health service decision makingHealth information management systems: the design, implementation, and use of information for decision making at critical levels of the systemBoerma et al.42
Communication and knowledge management: interdisciplinary communication, dissemination, research utilization, organizational communicationShakarishvili et al.43
4. Capabilities to provide equipment, facilities, and supplies for operationsLogistics systems: the implementation, evaluation, or reform of logistics, equipment procurement, facilities development, and commodity supply systemsBornbusch & Bates44
5. Planning, budgeting, and financing operationsFinancial planning and management: activities for planning, budgeting, and managing resources for sustaining servicesFriberg et al.45
6. Provision for leadership and governance of the health care systemLeadership systems: operations for developing, implementing, and sustaining leadership and governance systemsFiszbein, Ringold, & Rogers46
Cross-Cutting Research Themes
7. Systems researchInter-building block themes, multilevel analysis, systems research, mixed qualitative and quantitative measurement, systems evaluation, operations research, implementation sciencedeSavigny & Adam47
Experimental, quasi-experimental, and plausibility designs; evaluation methodsRemme et al.,48 Habicht et al.49
8. Organizational diagnosisBottlenecks, malaise, corruption, theft, mismanagementGilson & Mills50
Cross-Cutting Implementation Themes
9. Scaling-up organizational changeScaling-up, decentralization, using innovation, restructuringSimmons et al.,51 Yamey52
10. Adaptive systems: “open systems” indicatorsSocial organizational context: economic status, educational attainment, gender issues, family characteristics, family relationships, social organizationShalley & Gilson,53 Gilson et al.3