Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening

Background: Meeting health security capacity in sub-Saharan Africa will require strengthening existing health systems to prevent, detect, and respond to any threats to health. The purpose of this review was to examine the literature on health workforce, surveillance, and health governance issues for...

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Autores principales: Martin Amogre Ayanore, Norbert Amuna, Mark Aviisah, Adam Awolu, Daniel Dramani Kipo-Sunyehzi, Victor Mogre, Richard Ofori-Asenso, Jonathan Mawutor Gmanyami, Nuworza Kugbey, Margaret Gyapong
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Publicado: Ubiquity Press 2019
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Acceso en línea:https://doaj.org/article/ded732e579a64efba8b3a097cb07ab37
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spelling oai:doaj.org-article:ded732e579a64efba8b3a097cb07ab372021-12-02T08:11:45ZTowards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening2214-999610.5334/aogh.2514https://doaj.org/article/ded732e579a64efba8b3a097cb07ab372019-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2514https://doaj.org/toc/2214-9996Background: Meeting health security capacity in sub-Saharan Africa will require strengthening existing health systems to prevent, detect, and respond to any threats to health. The purpose of this review was to examine the literature on health workforce, surveillance, and health governance issues for health systems strengthening. Methods: We searched PubMed, Science Direct, Cochrane library, CINAHL, Web of Science, EMBASE, EBSCO, Google scholar, and the WHO depository library databases for English-language publications between January 2007 and February 2017. Electronic searches for selected articles were supplemented by manual reference screening. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results: Out of 1,548 citations retrieved from the electronic searches, 31 articles were included in the review. Any country health system that trains a cadre of health professionals on the job, reduces health workforce attrition levels, and builds local capacity for health care workers to apply innovative mHealth technologies improves health sector performance. Building novel surveillance systems can improve clinical care and improve health system preparedness for health threats. Effective governance processes build strong partnerships for health and create accountability mechanisms for responding to health emergencies. Conclusions: Overall, policy shifts in African countries’ health systems that prioritize training a cadre of willing and able workforce, invest in robust and cost-effective surveillance capacity, and create financial accountability and good governance are vital in health strengthening efforts.Martin Amogre AyanoreNorbert AmunaMark AviisahAdam AwoluDaniel Dramani Kipo-SunyehziVictor MogreRichard Ofori-AsensoJonathan Mawutor GmanyamiNuworza KugbeyMargaret GyapongUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Martin Amogre Ayanore
Norbert Amuna
Mark Aviisah
Adam Awolu
Daniel Dramani Kipo-Sunyehzi
Victor Mogre
Richard Ofori-Asenso
Jonathan Mawutor Gmanyami
Nuworza Kugbey
Margaret Gyapong
Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
description Background: Meeting health security capacity in sub-Saharan Africa will require strengthening existing health systems to prevent, detect, and respond to any threats to health. The purpose of this review was to examine the literature on health workforce, surveillance, and health governance issues for health systems strengthening. Methods: We searched PubMed, Science Direct, Cochrane library, CINAHL, Web of Science, EMBASE, EBSCO, Google scholar, and the WHO depository library databases for English-language publications between January 2007 and February 2017. Electronic searches for selected articles were supplemented by manual reference screening. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results: Out of 1,548 citations retrieved from the electronic searches, 31 articles were included in the review. Any country health system that trains a cadre of health professionals on the job, reduces health workforce attrition levels, and builds local capacity for health care workers to apply innovative mHealth technologies improves health sector performance. Building novel surveillance systems can improve clinical care and improve health system preparedness for health threats. Effective governance processes build strong partnerships for health and create accountability mechanisms for responding to health emergencies. Conclusions: Overall, policy shifts in African countries’ health systems that prioritize training a cadre of willing and able workforce, invest in robust and cost-effective surveillance capacity, and create financial accountability and good governance are vital in health strengthening efforts.
format article
author Martin Amogre Ayanore
Norbert Amuna
Mark Aviisah
Adam Awolu
Daniel Dramani Kipo-Sunyehzi
Victor Mogre
Richard Ofori-Asenso
Jonathan Mawutor Gmanyami
Nuworza Kugbey
Margaret Gyapong
author_facet Martin Amogre Ayanore
Norbert Amuna
Mark Aviisah
Adam Awolu
Daniel Dramani Kipo-Sunyehzi
Victor Mogre
Richard Ofori-Asenso
Jonathan Mawutor Gmanyami
Nuworza Kugbey
Margaret Gyapong
author_sort Martin Amogre Ayanore
title Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
title_short Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
title_full Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
title_fullStr Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
title_full_unstemmed Towards Resilient Health Systems in Sub-Saharan Africa: A Systematic Review of the English Language Literature on Health Workforce, Surveillance, and Health Governance Issues for Health Systems Strengthening
title_sort towards resilient health systems in sub-saharan africa: a systematic review of the english language literature on health workforce, surveillance, and health governance issues for health systems strengthening
publisher Ubiquity Press
publishDate 2019
url https://doaj.org/article/ded732e579a64efba8b3a097cb07ab37
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