Health Systems Performance in Sub-Saharan Africa
Author Information
Author(s): Olafsdottir Anna E, Reidpath Daniel D, Pokhrel Subhash, Allotey Pascale
Primary Institution: Centre for Public Health Research, Brunel University
Hypothesis
The study aims to examine the relationship between health systems outcomes and equity, and governance.
Conclusion
The quality of governance may be an important structural determinant of health systems performance.
Supporting Evidence
- Governance was strongly associated with U5MR.
- Governance remained significantly associated with U5MR after controlling for confounding factors.
- The study suggests a potential causal relationship between governance and health systems performance.
Takeaway
Good governance can help improve health systems, but just because one part of health is doing well doesn't mean all parts are.
Methodology
An ecological analysis using cross-sectional data from 46 countries in the African region, employing multiple linear regression.
Potential Biases
Confounding due to inter-correlations between independent measures and outcome measures.
Limitations
The study had a small sample size relative to the number of variables and issues with missing data.
Participant Demographics
Countries in the African region of the World Health Organization.
Statistical Information
P-Value
<0.001
Confidence Interval
95% CI: -.49-.22
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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