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  • 1
    Online Resource
    Online Resource
    E.U. European Publishing ; 2023
    In:  Population Medicine Vol. 5, No. Supplement ( 2023-4-26)
    In: Population Medicine, E.U. European Publishing, Vol. 5, No. Supplement ( 2023-4-26)
    Type of Medium: Online Resource
    ISSN: 2654-1459
    Language: Unknown
    Publisher: E.U. European Publishing
    Publication Date: 2023
    detail.hit.zdb_id: 3009895-6
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  • 2
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Globalization and Health Vol. 17, No. 1 ( 2021-12)
    In: Globalization and Health, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2021-12)
    Abstract: Achieving universal health coverage (UHC) requires health financing reforms (HFR) in many of the countries. HFR are inherently political. The sustainable development goals (SDG) declaration provides a global political commitment context that can influence HFR for UHC at national level. However, how the declaration has influenced HFR discourse at the national level and how ministries of health and other stakeholders are using the declaration to influence reforms towards UHC have not been explored. This review was conducted to provide information and lessons on how SDG declaration can influence health financing reforms for UHC based on countries experiences. Methods We conducted a rapid review of literature and followed the preferred reporting items for systematic review and meta-analysis (PRISMA) guideline. We conducted a comprehensive electronic search on Ovid Medline, PubMed, EBSCO, Scopus, Web of Science. In searching the electronic databases, we combined various conceptual terms for “sustainable development goals” and “health financing” using Boolean operators. In addition, we conducted manual searched using google scholar. Results Twelve articles satisfied our eligibility criteria. The included articles were analyzed thematically, and the results presented narratively. The SDG declaration has provided an enabling environment for putting in place necessary legislations, reforming health financing organization, and revisions of national health polices to align to the country’s commitment on UHC. However, there is limited information on the process; how health ministries and other stakeholders have used SDG declaration to advocate, lobby, and engage various constituencies to support HFR for UHC. Conclusion The SDG declaration can be a catalyst for health financing reform, providing reference for necessary legislations and policies for financing UHC. However, to facilitate better cross-country learning on how SDG declaration catalyzes HFR for UHC there, is need to examine the processes of how stakeholders have used the declaration as window of opportunity to accelerate reforms.
    Type of Medium: Online Resource
    ISSN: 1744-8603
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2185774-X
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  • 3
    Online Resource
    Online Resource
    E.U. European Publishing ; 2018
    In:  Tobacco Induced Diseases Vol. 16, No. 1 ( 2018-3-1)
    In: Tobacco Induced Diseases, E.U. European Publishing, Vol. 16, No. 1 ( 2018-3-1)
    Type of Medium: Online Resource
    ISSN: 1617-9625
    Language: Unknown
    Publisher: E.U. European Publishing
    Publication Date: 2018
    detail.hit.zdb_id: 2194616-4
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  • 4
    Online Resource
    Online Resource
    South African Medical Association NPC ; 2016
    In:  South African Medical Journal Vol. 106, No. 4 ( 2016-03-06), p. 365-
    In: South African Medical Journal, South African Medical Association NPC, Vol. 106, No. 4 ( 2016-03-06), p. 365-
    Type of Medium: Online Resource
    ISSN: 2078-5135
    Language: Unknown
    Publisher: South African Medical Association NPC
    Publication Date: 2016
    detail.hit.zdb_id: 2260334-7
    detail.hit.zdb_id: 2121030-5
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  • 5
    Online Resource
    Online Resource
    African Journals Online (AJOL) ; 2023
    In:  African Health Sciences Vol. 23, No. 1 ( 2023-04-12), p. 736-46
    In: African Health Sciences, African Journals Online (AJOL), Vol. 23, No. 1 ( 2023-04-12), p. 736-46
    Abstract: Background: Universal health coverage (UHC) is one of the sustainable development goals (SDG) targets. Progress towards UHC necessitates health financing reforms in many countries. Uganda has had reforms in its health financing, however, there has been no examination of how the reforms align with the principles of financing for UHC. Objective: This review examines how health financing reforms in Uganda align with UHC principles and contribute to ongoing discussions on financing UHC. Methods: We conducted a critical review of literature and utilized thematic framework for analysis. Results are presented narratively. The analysis focused on health financing during four health sector strategic plan (HSSP) periods. Results: In HSSP I, the focus of health financing was on equity, while in HSSP II the focus was on mobilizing more funding. In HSSP III & IV the focus was on financial risk protection and UHC. The changes in focus in health financing objectives have been informed by low per capita expenditures, global level discussions on SDGs and UHC, and the ongoing health financing reform discussions. User fees was abolished in 2001, sector-wide approach was implemented during HSSP I & II, and pilots with results-based financing have occurred. These financing initiatives have not led to significant improvements in financial risk protectionas indicated by the high out-of-pocket payments. Conclusion: Health financing policy intentions were aligned with WHO guidance on reforms towards UHC, however actual outputs and outcomes in terms of improvement in health financing functions and financial risk protections remain far from the intentions. Keywords: Uganda; Universal health coverage; health financing.
    Type of Medium: Online Resource
    ISSN: 1729-0503 , 1680-6905
    Language: Unknown
    Publisher: African Journals Online (AJOL)
    Publication Date: 2023
    detail.hit.zdb_id: 2179903-9
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  • 6
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 8 ( 2020-12-9)
    Type of Medium: Online Resource
    ISSN: 2296-2565
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2711781-9
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  • 7
    In: Healthcare, MDPI AG, Vol. 8, No. 2 ( 2020-06-10), p. 164-
    Abstract: Healthcare workers are an essential element in the functionality of the health system. However, the health workforce impact on health systems tends to be overlooked. Countries within the Sub-Saharan region such as the six in the East African Community (EAC) have weak and sub-optimally functioning health systems. As countries globally aim to attain Universal Health Coverage and the Sustainable Development Goal 3, it is crucial that the significant role of the health workforce in this achievement is recognized. In this systematic review, we aimed to synthesise the determinants of motivation as reported by healthcare workers in the EAC between 2009 and 2019. A systematic search was performed using four databases, namely Cochrane library, EBSCOhost, ProQuest and PubMed. The eligible articles were selected and reviewed based on the authors’ selection criteria. A total of 30 studies were eligible for review. All six countries that are part of the EAC were represented in this systematic review. Determinants as reported by healthcare workers in six countries were synthesised. Individual-level-, organizational/structural- and societal-level determinants were reported, thus revealing the roles of the healthcare worker, health facilities and the government in terms of health systems and the community or society at large in promoting healthcare workers’ motivation. Monetary and non-monetary determinants of healthcare workers’ motivation reported are crucial for informing healthcare worker motivation policy and health workforce strengthening in East Africa.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2721009-1
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  • 8
    In: Healthcare, MDPI AG, Vol. 9, No. 1 ( 2020-12-25), p. 18-
    Abstract: Kenya is among the countries with an acute shortage of skilled health workers. There have been recurrent health worker strikes in Kenya due to several issues, some of which directly or indirectly affect their health. The purpose of this study was to investigate the predictors of health-related quality of life (HRQOL) among healthcare workers in public and mission hospitals in Meru County, Kenya. A cross-sectional study design was undertaken among 553 healthcare workers across 24 hospitals in Meru County. The participants completed the EuroQol-five dimension-five level (EQ-5D-5L) instrument, which measures health status across five dimensions and the overall self-assessment of health status on a visual analogue scale (EQ-VAS). Approximately 66.55% of the healthcare workers reported no problems (i.e., 11,111) across the five dimensions. The six predictors of HRQOL among the healthcare workers were hospital ownership (p 〈 0.05), age (p 〈 0.05), income (p 〈 0.01), availability of water for handwashing (p 〈 0.05), presence of risk in using a toilet facility (p 〈 0.05), and overall safety of hospital work environment (p 〈 0.05). Personal, job-related attributes and work environment characteristics are significant predictors of healthcare workers HRQOL. Thus, these factors ought to be considered by health policymakers and managers when developing and implementing policies and programs aimed at promoting HRQOL among healthcare workers.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2721009-1
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  • 9
    In: Healthcare, MDPI AG, Vol. 8, No. 4 ( 2020-12-02), p. 530-
    Abstract: Strengthening health systems in developing countries such as Kenya is required to achieve the third United Nations’ Sustainable Development Goal of health for all, at all ages. However, Kenya is experiencing a “brain drain” and a critical shortage of healthcare professionals. There is a need to identify the factors that motivate healthcare workers to work in the health sector in rural and marginalized areas. This cross-sectional study aims to investigate the factors associated with the level and types of motivation among healthcare professionals in public and mission hospitals in Meru county, Kenya. Data were collected from 24 public and mission hospitals using a self-administered structured questionnaire. A total of 553 healthcare professionals participated in this study; 78.48% from public hospitals and 21.52% from mission hospitals. Hospital ownership was statistically nonsignificant in healthcare professionals’ overall motivation (p 〉 0.05). The results showed that sociodemographic and work-environment factors explained 29.95% of the variation in overall motivation scores among participants. Findings indicate there are more similarities than disparities among healthcare professionals’ motivation factors, regardless of hospital ownership; therefore, motivation strategies should be developed and applied in both public and private not-for-profit hospitals to ensure an effective healthcare workforce and strengthen healthcare systems in Kenya.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2721009-1
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  • 10
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 10 ( 2022-8-5)
    Type of Medium: Online Resource
    ISSN: 2296-2565
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2711781-9
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