Table 2 Topics identified by country managers as priorities ranked within themes, and the number of reviews identified for each topic
Themes | Managers priorities in proposals | Number of high quality reviews | |
|---|---|---|---|
| Â | N | % | (total) |
1. Health workforce | Â | Â | Â |
Developing staff skills to deliver PHC services (not necessarily specific to immunisation) | 31 | 70% | 4(16) |
Strengthening supervision, for example, by developing checklists or providing transport | 26 | 59% | 2(8) |
Fill vacant posts for specific cadres by training, or incentives for recruitment or retention | 18 | 41% | 0(2) |
Performance incentives for individuals and teams, creating or implementing rewarding | 18 | 41% | 3(7) |
Develop hands on skills in delivering immunization | 12 | 27% | 1(3) |
Strategies to retain staff and ensure equitable geographical distribution | 10 | 23% | 1(8) |
Developing and introducing staff performance management systems | 6 | 14% | 0(1) |
Redistributing and delegating tasks across staff (through training, supervision, guidance) | 4 | 9% | 5(12) |
Measures to increase the number of female staff | 3 | 7% | 0(1) |
Creating new cadres such as District Health Officers, not specific to immunisation | 1 | 2% | 3(6) |
2. Organisation and management | Â | Â | Â |
Health management information systems, Monitoring and Evaluation, to inform decisions | 39 | 89% | 0(3) |
Training managers in planning and budgeting | 30 | 68% | 0(1) |
Increase knowledge, awareness and community empowerment to promote demand | 28 | 64% | 8(19) |
Outreach delivery of services, mass campaigns; providing transport/logistics, allowances | 22 | 50% | 1(2) |
Systems for quality control; training; develop QA programmes; assure drug quality | 21 | 48% | 0(3) |
Skills in financial management; training managers, administrative staff | 14 | 32% | 0(0) |
Community participation in management, information systems and oversight | 14 | 32% | 0(2) |
Integrating (vertical) programmes or activities into PHC | 10 | 23% | 3(8) |
Improving referral (e.g. providing transport), strengthening secondary care services | 10 | 23% | 2(3) |
Financing, introducing health insurance; economic studies to inform decisions | 8 | 18% | 1(7) |
Outsourcing PHC services, contracting out service delivery to non-government providers | 8 | 18% | 1(10) |
Performance contracts within the public sector (e.g. between central and district levels) | 6 | 14% | 0(0) |
Improving aid effectiveness through sector-wide approaches and creating basket funds | 3 | 7% | 0(0) |
Oversight within public sector, strengthening District Health Management Teams | 2 | 5% | 0(0) |
3. Procurement and supply management | Â | Â | Â |
Improving storage, transport, procuring vehicles | 32 | 73% | 0(1) |
Adequacy of health equipment, procuring and distributing equipment for health facilities | 24 | 55% | 0(0) |
Adequacy of non-health equipment, procuring other equipment (e.g. computers) | 22 | 50% | 0(0) |
Condition/amenities of health facilities, upgrading health facilities | 20 | 45% | 0(0) |
Procuring and distribution essential drugs and other key commodities | 16 | 36% | 0(1) |
Build new facilities in underserved areas | 14 | 32% | 0(0) |