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Publications

Filtering by Category: Briefing

Which contextual factors facilitate successful implementation of Community Score Cards in Uganda?

Future Health Systems

This issue brief describes the factors that facilitate the CSC implementation process, based on the lessons learnt from a CSC project on maternal and newborn health service delivery and utilization in six sub-counties of Kibuku district in Uganda. District and sub-county stakeholders led the implementation of the CSC, with support from Makerere University School of Public Health (MakSPH). Four rounds of scoring were undertaken between November 2017 and September 2018.

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How can political leaders help ensure Community Score Cards in Uganda are sustainable?

Future Health Systems

Beginning in June 2017, the Makerere University School of Public Health (MakSPH), in collaboration with Future Health Systems, has been implementing a CSC project focusing on maternal and newborn health service delivery and utilization in six sub-counties in Kibuku district, Uganda. As one of its exit strategies, the project carried out a qualitative study that explored ways of involving political leaders in the CSC process to ensure its sustainability.

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FHS Key Message Brief 5: Working with the media in pursuit of Health for All

Future Health Systems

This key message brief shares learning from Future Health Systems partners’ experiences of working with traditional, primarily mainstream, media outlets publishing in print and online, as well as some television and radio organisations over 12 years. We hope it offers some helpful reflections for those who are currently or considering working with the media.

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Climate change: a threat to child food security in the Indian Sundarbans

Future Health Systems

The Sundarbans, the mangrove forest delta shared both by India and Bangladesh, is among the worst hit regions of climate change in the world. Even though food insecurities due to climate change are felt across the region, the distribution of vulnerabilities is largely uneven depending upon existing climatic and social intersections.

Within the context of socio-cultural and political dynamics, and rapid globalization, efforts to respond to, mitigate, or adapt to climate change needs to address issues of equity and social justice, posing both challenges and opportunities.

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What does the end of Africa's boom mean for Universal Health Coverage?

Future Health Systems

Achieving universal health coverage by 2030, as stated in UN Global Goal 3, will require substantial increases in health spending and the proportion funded through taxation or social insurance to make health care affordable for all. Not only will institutions need to be established to ensure sustainable arrangements for social finance, it will also be vital to ensure that health financing is resilient to economic and other shocks if Global Goal 3 is to be realised. This presents a major challenge in Africa, where an economic downturn is projected in a number of resource-dependent countries, such as Mozambique and Guinea Bissau and where countries such as Sierra Leone have weakened health systems. The response to these challenges by governments and development partners, will have important effects on how well people, and the health services on which they rely, cope in the short term and longer-term evolution of health coverage.

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How to do gender analysis in health systems research: A guide

Future Health Systems

This guidance brief provides an overview of how you can incorporate gender analysis into your health systems research, including: (1) disaggregating your data by sex; (2) organizing your thinking using frameworks; and (3) using gender analysis questions. It also discusses how you can incorporate gender into the overall research process.

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FHS Key Message Brief 4: Galvanising gender analysis and practice in health systems: Reflections from Research in Gender and Ethics: Building Stronger Health Systems (RinGs)

Future Health Systems

This brief outlines some of the challenges of incorporating gender analysis into existing research programmes, along with ways in which Research in Gender and Ethics (RinGs): Building Stronger Health Systems has responded to them. RinGs is a cross research programme consortium (RPC) bringing together three health systems RPCs – Future Health Systems, ReBUILD, and RESYST – to better understand gendered dynamics in health systems and to galvanise gender analysis in HSR. 

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FHS India Research Brief 9 - Voices from the ground: Photovoice research on children’s health in the Indian Sundarbans

Future Health Systems

The objective of this brief is to introduce the Photovoice method, highlight how it helped capture the voices of mothers in the Sundarbans, and demonstrate how the method can bridge the gap between communities and local decision-makers. 

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FHS Key Message Brief 3: Unlocking community capability: key to more responsive, resilient and equitable health systems

Future Health Systems

In Future Health Systems, we focused on communities as active service delivery participants across a wide variety of contexts. In this brief, we reflect on the process of unlocking community capabilities, the key actors involved, and the productive tensions within community partnerships forged to build more responsive, resilient and equitable health systems.

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MANIFEST Issue Brief 9: What a highly effective VHT for maternal and newborn health looks like

Future Health Systems

Makerere University School of Public health in collaboration with Ministry of Health and the three districts of Kamuli, Pallisa and Kibuku designed and implemented a four year (2012-2015) maternal and newborn study (MANIFEST) that aimed at improving access to institutionalized deliveries. One of the study components was community mobilization through use of Village Health Teams (VHTs), essentially community health workers. The VHTs were trained for five days and supervised by district level health workers and district health team (DHT) members with support from external trainers following a training of trainers (TOT). The VHTs effectively sensitized communities and improved awareness on birth preparedness, knowledge of danger signs and health facility service utilization. This brief therefore highlights the key characteristics of a good performing VHT based on observations of VHT performances over three years of implementation.

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MANIFEST Issue Brief 8: Supporting Local Saving groups improves financial management and their savings

Future Health Systems

Women in resource constrained settings often fail to seek care because of inadequate money, even though they often belong to small financial social networks where they save to help each other during funerals, buy meat during festive days, and contribute to wedding preparations among many other things. The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study implemented in the districts of Kamuli, Kibuku and Pallisa exploited this opportunity by encouraging households to join existing financial social networks where households can save money, such as women’s saving groups, burial groups and financial circles, for maternal health. This Issue Brief outlines the key messages and recommendations from MANIFEST's experience.

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MANIFEST Issue Brief 7: Using integrated strategies can help improve knowledge of maternal & newborn danger signs and service utilization

Future Health Systems

Reducing maternal and newborn deaths has been a key goal for the Government of Uganda. Focus has been put on increasing access to reproductive health services including antenatal care and skilled birth attendance. Reducing maternal and newborn deaths cannot be solely achieved through increasing access to reproductive health services and skilled birth attendance. 

This brief shares key findings under the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study in both the intervention and control area. Integrated strategies were implemented to reduce maternal and newborn deaths in the districts of Kamuli, Kibuku and Pallisa, in Eastern Uganda.

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MANIFEST Issue Brief 5: Mentorship Contributes to Quality Improvement in Maternal and Newborn Care, Health Worker Motivation

Future Health Systems

Mentorship is deliberate pairing of a more skilled or experienced person with a lesser skilled or inexperienced one, with the agreed-upon goal of having the less experienced person to grow and develop specific competencies. Here, the more experienced (Mentor) guides the less experienced (Mentee) in the development of specific professional knowledge and skills which will promote personal and professional development of the mentee. This Brief is based on lessons learned from mentors and mentees following a one year mentorship exercise in three districts in Eastern Uganda.

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MANIFEST Issue Brief 4: Good Practices for District Health Teams to Improve Quality of Service Delivery: Lessons from MANIFEST

Future Health Systems

This MANIFEST Issue Brief shares lessons learned on how to enhance the commitment of district health teams, and presents the findings from quarterly district implementation committee review meeting minutes (four from each district), interviews with nine district health team members and observations made by the research team during the implementation of the project.

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MANIFEST Issue Brief 3: Professionalizing the Cadre of Facility Health Managers

Future Health Systems

Under the decentralized system of governance, health facilities are not only points of delivery but also hold resources that require management. The findings of this issue brief are based on 22 key informant interviews undertaken among health facility managers and select district health team members of three rural districts in Eastern Uganda. Pallisa, Kibuku and Kamuli were the districts in which Makerere University School of Public Health, through the MANIFEST study, intervened to improve management practices among health facility managers among other things.

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MANIFEST Issue Brief 2: Focussed Consistent Supportive Supervision Improves Management and Performance at Facility Level

Future Health Systems

In order to enhance quality of maternal and newborn care, the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study team championed a support supervision programme in Kamuli, Kibuku and Pallisa Districts. This MANIFEST Issue Brief outlines the issue, the MANIFEST experience and the results.

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MANIFEST Research Brief: Improving maternal and newborn health outcomes in Kamuli, Kibuku and Pallisa Districts in Eastern Uganda

Future Health Systems

This MANIFEST Research brief presents some of the key results from the end line survey of the 4-year study which aimed at contributing to the reduction of maternal and neonatal deaths through the use of a participatory action research approach.

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FHS Key Message Brief 2: How can Research Programme Consortia contribute to capacity development in Low and Middle Income Countries?

Future Health Systems

This brief reflects upon the experience of FHS, a DFID funded RPC, with research capacity development. While FHS espoused a strong commitment to capacity development and put together a package of related strategies to support research capacity development among its partner organizations, these strategies met with varying degrees of success. We consider which types of capacity development strategies may work best for RPCs and under what circumstances.

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