Political economy analysis of subnational health management in Kenya, Malawi and Uganda.

ABSTRACT: The need to bolster primary health care (PHC) to achieve the Sustainable Development Goal (SDG) targets for health is well recognized. In Eastern and Southern Africa, where governments have progressively decentralized health decision-making, health management is critical to PHC performance. While investments in health management capacity are important, so is improving the environment in which managers operate. Governance arrangements, management systems and power dynamics of actors can have a significant influence on health managers' ability to improve PHC access and quality. We conducted a problem-driven political economy analysis (PEA) in Kenya, Malawi and Uganda to explore local decision-making environments and how they affect management and governance practices for health. This PEA use

SUBMITTER: Rodriguez DC 

PROVIDER: S-EPMC10190959 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature