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Dissertations / Theses on the topic 'Health systems strengthening'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Magill, Elizabeth. "The Myth of Integration: Diffusion of Health Systems Strengthening Norm in Global Health." Thesis, Boston College, 2017. http://hdl.handle.net/2345/bc-ir:107443.

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Thesis advisor: Sarah Babb<br>Since 2000, the global health management approach of health systems strengthening (HSS) has gained support from many local and international stakeholders. This thesis investigates the diffusion of the HSS norm in the global health community and within two disease programs of malaria and tuberculosis. I show how strong support for HSS by the global health community has been overwhelmed by coercive pressure from resourcewielding funding and governance structures. Drawing on organizational theory, I argue that global health organizations and experts have engaged in s

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2

Bennett, Cudjoe A. "Urban Health Systems Strengthening| The Community Defined Health System for HIV/AIDS and Diabetes Services in Korogocho, Kenya." Thesis, The George Washington University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10146927.

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<p> Background: Low- and middle-income countries have been experiencing unprecedented rates of urbanization. Rapid urbanization has attributed to an upsurge in non-communicable diseases, such as diabetes, cardiovascular diseases, and cancers in these countries. Most low- and middle-income countries are also still struggling to control communicable diseases such as HIV/AIDS, tuberculosis, and malaria. This phenomenon, described as the double burden of disease, places greater strains on urban health systems and vulnerable urban populations, such as slum dwellers, who are likely to bear the brunt

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3

LIU, HUEIMING. "Strengthening health systems through the use of process evaluations of complex interventions." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/19603.

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Strengthening health systems to provide affordable, effective and accessible care in a lifecourse approach is necessary to address the growing global burden from non-communicable diseases (NCD). To address deficiencies in the health system, researchers have designed and trialled ‘complex interventions’ which are defined as interventions with multiple interacting components, and complexity in its implementation. Process evaluations alongside randomised controlled trials (RCT) of complex interventions are highly valuable. They explore implementation and different stakeholders’ perspectives as to

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4

Adekunle, Toluwani E. "Towards Health System Strengthening: Analyzing the adoption of the WHO Health Systems Thinking Framework in the Nigerian and Botswana National Health Policies." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1430146924.

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5

Kawale, Paul. "Strengthening health systems through eHealth : two mixed-methods case studies at 10 facilities in Malawi." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/31332.

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Background: International agencies such as the World Health Organisation have highlighted the potential of digital information and communications technologies to strengthen health systems, which are underpinned by the 'building blocks' of information, human resources, finances, commodities, leadership and governance, and service delivery. In high income countries, evidence of the positive impacts of 'eHealth' innovations on the cost-effectiveness of healthcare is growing and many governments are now providing incentives for their adoption. In contrast, the use of eHealth in developing countrie

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6

Fontana, G. "IMPROVING DISTRICT HEALTH MANAGEMENT PERFORMANCE: A NEW FRAMEWORK WITH TOOLS FOR SITUATION ANALYSIS." Doctoral thesis, Università degli Studi di Milano, 2011. http://hdl.handle.net/2434/153788.

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In recent decades, The United Nations, national governments, and many international donors and non-governmental organizations have dedicated considerable resources to the achievement of the Millennium Development Goals (MDGs) in low income countries. Special efforts have gone into achieving the health-related MDGs. Early in the process, many realized that health systems in poor countries would have to be strengthened to deliver the services necessary to achieving the MDGs. Recently it has also become clear that to make health systems stronger, it will be paramount to improve the management of

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7

Amde, Woldekidan Kifle. "Unpacking the capacity development: A Systems exploration of a partnership of Africa universities to develop capacity in health workforce." University of Western Cape, 2020. http://hdl.handle.net/11394/7648.

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Philosophiae Doctor - PhD<br>Health system in Sub-Saharan in Africa face multifaceted capacity challenges to fulfil their mandates of service provision and governance of their resources. Wide-ranging capacity development interventions exist to address these limitations. however, failure to take into account complexity into planning and implementation in the practice and research of these capacity development intervention predominate , hindering understanding and learning, and resulting in poor implementation or lack of sustainability of the capacity gains.

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8

Loriston, Izienne P. "Informing BPM practice in Emergency Units of South African hospitals for improved patient flow." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28442.

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Globally, higher healthcare demand strains existing systems, already overburdened by a lack of resources and funding while longer life expectancy and increased disease burden force higher patient loads. A majority of the South African population is medically uninsured and therefore depend on emergency care; consequently, the healthcare service demand easily exceeds available acute care to prevent life threat. When this happens, emergency centres suffer from overcrowding and long patient waiting times, which increases morbidity and mortality, associated patient risk. Moreover, critical resource

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9

Mabaso, Kopano Josephine. "External quality assessment of health facilities in South Africa : strengths appraised and gaps identified." Thesis, University of Oxford, 2018. http://ora.ox.ac.uk/objects/uuid:9481e26e-1f7b-4dc9-8a33-41219b94e9fa.

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<b>Background:</b> External Quality Assessment assesses the quality of the structures, processes and outcomes of health facilities using pre-determined standards. South Africa is introducing a national policy on External Quality Assessment, operationalised by a newly established External Quality Assessment agency: the Office of Health Standards Compliance. This thesis seeks to answer three research questions: What is the relationship between External Quality Assessment and patient outcomes (specifically Healthcare Associated Infections) at the specialist-care facility level in South Africa? Wh

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10

Maluka, Stephen. "Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania : opportunities, challenges and the way forward." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-40377.

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Background During the 1990s, Tanzania, like many other developing countries, adopted health sector reforms. The most common policy change under health sector reforms has been decentralisation, which involves the transfer of power and authority from the central levels to the local governments. However, while decentralisation of health care planning and priority-setting in Tanzania gained currency in the last decade, its performance has, so far, been less than satisfactory. In a five-year EU-supported project, which started in 2006, ways of strengthening fairness and accountability in priority-s

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11

Ikpeazu, A. E. "Can the Midwives Service Scheme (MSS) present an effective and health systems strengthening response to the shortages in human resources for maternal health services in Nigeria?" Thesis, London School of Hygiene and Tropical Medicine (University of London), 2018. http://researchonline.lshtm.ac.uk/4647053/.

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The flagship Midwives Service Scheme (MSS) was introduced in 2009 as the first large-scale intervention to address rural retention of midwives in Nigeria. This was a multi-component intervention including financial incentives to midwives, provision of accommodation and systems level support, aiming to improve human resource capacity to provide quality services. This study explores how effectively the scheme’s design and implementation drew on the health system’s context, resources, needs and population preferences, and how it contributed to strengthening health systems at all levels. To meet t

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12

Bigdeli, Maryam. "Access to medicines in low- and middle-incomes countries: a health systems approach :conceptual framework and practical applications." Doctoral thesis, Universite Libre de Bruxelles, 2015. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209036.

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13

Massavon, William Gabriel Kofi. "Community and Home-Based Care HIV Service Delivery Model in the Context of Paediatric HIV Management and Contributing to Health Systems Strengthening in a Resource-Limited Setting (Uganda): Operational Research." Doctoral thesis, Università degli studi di Padova, 2014. http://hdl.handle.net/11577/3423723.

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This thesis is about the Tukula Fenna Project (TFP) that was set up at the Home Care Department of St. Raphael of St Francis Hospital (Nsambya Hospital) in Kampala, Uganda. In 2003, Associazione Casa Accoglienza alla vita “Padre Angelo” (ACAVPA) or “HOUSE FOR LIFE, Father Angelo” and other Italian partners; in particular, PENTA Foundation and University of Padova, Department of paediatrics collectively signed a memorandum of understanding (MoU) with Nsambya Hospital. The aim of the MoU was to collaborate with the hospital in the fight against HIV particularly in children and adolescents, orph

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14

Tian, Maoyi. "mhealth as a Health System Strengthening Tool in China." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17926.

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China is now undergoing a rapid epidemiological transition. Long-term prevention and management of the non-communicable diseases (NCDs) has become a major public health priority. With rapid expansion of mobile infrastructure and capabilities, mobile telecommunications have the potential to revolutionise healthcare delivery. Although there have been pilot studies conducted to evaluate the feasibility and effectiveness of the mobile health (mHealth) interventions, the extent to which mHealth contributes towards the health system strengthening in China remains unknown. Therefore, this thesis aims

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15

Barker, Jessica. "Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15506.

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Introduction: Historically in South Africa, civil society has played a key role within the health system, including advocating for equitable and quality health care services. The purpose of this research is to explore the implementation of a pilot health systems strengthening intervention in primary health facilities in Khayelitsha, South Africa. The study is built on Treatment Action Campaign, a civil society organization, which has recently implemented a health system monitoring tool within health care facilities in Khayelitsha. Specifically, this study considers the functioning and potentia

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16

Raban, Magdelena Zuzanna. "Strengthening the health information system for non-communicable disease and injury control in India." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12152.

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A country’s health information system (HIS) is expected to produce information on the distribution of population health, its determinants and the health system response which is crucial for evidence-based policymaking. However, HIS are often weak in low- and middle-income countries. India is rapidly undergoing an epidemiological transition with non-communicable diseases (NCDs) and injuries now accounting for a large proportion of the disease burden. This thesis examined the data available on NCDs and injuries in India in order to inform further development of India’s HIS. Data available on so

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17

Hazazi, Ahmed Mohammed A. "Strengthening the Saudi Health System to Improve Prevention and Control of Non-Communicable Diseases (NCDs)." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29864.

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Introduction: Non-communicable diseases (NCDs) cause an increasing disease and economic burden in Saudi Arabia, particularly those due to chronic diseases such as diabetes and cardiovascular disease. Efforts are being made to improve chronic diseases control through greater prevention and disease management. Primary healthcare centres (PHCs) play a pivotal role in chronic disease care and prevention and therefore, in the experience and satisfaction of patients with NCDs. Evaluation of patient perceptions of quality and adequacy of care is a critical component of continuous improvement in chron

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18

Mutale, W. "Evaluation of a complex health intervention in Zambia : the case of the Better Health Outcome through Mentorship and Assessment (BHOMA) applying system wide approaches to measuring health system strengthening : essential markers and impact pathway." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2014. http://researchonline.lshtm.ac.uk/1917782/.

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Introduction: In many low income countries the delivery of quality health services is hampered by health system-wide barriers which are often interlinked, however empirical evidence on how to assess the level and scope of these barriers is scarce. It has been recognised that taking a more comprehensive approach to assessing these barriers is more likely to provide lessons on what works and why. WHO has been advocating the use of systems wide approaches such as systems thinking to guide intervention design and evaluation. This thesis reports system-wide assessment of a complex health system int

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19

Richardson, Michael R. "Gender Differences in High Sensitivity C - Reactive Protein and Self-Reported Muscle Strengthening Activity Among U.S. Adults." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/499.

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Objectives: We sought to examine the gender differences between C - reactive protein (CRP) and muscle strengthening activity (MSA) in U.S. adults (≥20 years of age) Background: Elevated levels of CRP have been shown to be associated with an increase in risk of cardiovascular disease (CVD). Studies analyzing the relationship between physical activity (PA) and CRP by gender have produced mixed results. Methods: The sample (n=9,135) included participants in the 1999-2004 National Health and Nutrition Examination Survey (NHANES). Three categories of reported MSA participation were created: no MSA

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20

Gilliland, Tamara. "Marriage Moments: A New Approach to Strengthening Couples' Relationship Through the Transition to Parenthood." BYU ScholarsArchive, 2003. https://scholarsarchive.byu.edu/etd/1131.

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Strengthening marriages is important to the well-being of individuals, families and communities. The transition to parenthood brings with it particular risks and opportunities for marriage relationships, yet no interventions have been successful in accessing a large number of couples during this critical time prepare and strengthen them for the challenges of becoming parents. The healthcare system has an established education infrastructure (childbirth education) that interacts with a significant number of couples during the transition to parenthood and has become increasingly open to incorpor

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21

Simwaka, Bertha Mlalazi Nhlema. "Strengthening the skills and capacity of the informal community health system to increase early access to tuberculosis services for poor men and women : the case of extending services to communities project in urban Lilongwe, Malawi." Thesis, University of Liverpool, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441753.

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22

Henderson, Genevie. "Strengthening the volunteer visitor support systems in extended health care settings : an educational intervention." 1987. http://hdl.handle.net/1993/22421.

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23

Sutarsa, I. ""Unequal Playing Fields": The Exercise of Power in Strengthening Health Systems for HIV Control in Bali Province, Indonesia." Phd thesis, 2021. http://hdl.handle.net/1885/229911.

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Despite the shift of strategy from emergency intervention towards strengthening health system responses over the last 15 years, the HIV epidemic in Bali Province endures, inequitable access to HIV-related services persists, and HIV incidence among key population groups has increased. The aim of this thesis was to clarify what shapes health system strengthening for HIV prevention and treatment in Bali, and in particular, to assess the ways in which these efforts may have been influenced by the differential exercise of power by the actors in the health system. Current health system frameworks

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24

"Academic Medical leaders perception of how a health care system is addressed in medical education: Saudi arabian health system strengthening through empowering future physicians." Tulane University, 2013.

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25

Hugo, Clair Patricia Bruns. "Barriers to routine immunisation at Zwelihle Clinic, Overberg district, Western Cape." Diss., 2014. http://hdl.handle.net/10500/18593.

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Background: Although immunisation services are provided free at all public health facilities in South Africa, immunisation coverage remains variable and disease outbreaks still occur. The coverage rate in the Overberg district is recorded as 75.8%, below the national target of 90% (Western Cape Government Provincial Treasury 2013:2). The researcher wanted to understand what the barriers to accessing immunisation services were and how this might relate to other primary health care services. Methods: The researcher visited 22 households and interviewed nine mothers who had brought their childre

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26

Vardanega, L. "Lengthening cords and strengthening stakes : a case study in the provision of nurse education in a global context." Thesis, 2006. http://hdl.handle.net/10453/37450.

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University of Technology, Sydney. Faculty of Education.<br>The development of educational programs in one culture for the delivery in another is not a new phenomenon. Practices associated with colonial and cultural imperialism have been documented in the literature. In recent decades, higher education programs in cross-cultural contexts have proliferated. As enrolments at universities in many western countries have increased and funding has been reduced, these universities have sought markets in other cultural contexts to provide them with a financial lifeline. This trend is consistent with th

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27

Yiech, Deng Chuol. "Assessment of the availability of public health services in humanitarian responses in Gambella, Ethiopia." Thesis, 2020. http://hdl.handle.net/10500/27511.

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The purpose of the research was to assess the availability of public health services in response to humanitarian crises in Gambella, Ethiopia. This informed the development of a public health service protocol for humanitarian emergency responses in Ethiopia. The objectives of the study were explored and identify current humanitarian health emergency needs and responses, describe the availability of public health services required for humanitarian emergency responses, study and critically analyse different humanitarian responses in respect of health care services and related protocols in other

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28

Van, den Bergh Christa. "The district health information system (DHIS) as the support mechanism for strengthening the health care system." Diss., 2009. http://hdl.handle.net/10500/3558.

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The purpose of this study was to show how information from the District Health Information System can be used to empower managers to make evidence-based decisions that will strengthen the health care system to reduce the under-five mortality rate. A quantitative, contextual, exploratory evaluative and descriptive approach was followed and a data extraction framework, based on systems theory, was developed to guide the process of extracting existing routine data. A results-based approach was used to measure under-five mortality related health care in terms of impact, outcomes, outputs, proces

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29

Zulu, Margaret Thandeka. "An evaluation of the management of rural ward-based primary health care : a case study of Uthukela District Municipality in KwaZulu-Natal." Thesis, 2016. http://hdl.handle.net/10321/1558.

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Submitted in fulfillment of the requirements for the degree of Doctor in Public Management, School of Public Management and Economics, Durban University of Technology, Durban, South Africa, 2016.<br>The shortage of staff in hospitals resulted in the overcrowding of outpatients departments (OPDs) and long waiting times. The problems of the current health care system include the lack of access to transportation and high transport fees which cause delays in health seeking behaviours by patients or them resorting to traditional medicine in their neighbourhood. To alleviate the above issues, the ne

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