Health systems responsiveness in low and middle-income countries (L&MICs): revisiting its scope.

ABSTRACT:

Introduction

Health systems responsiveness (HSR) addresses the legitimate non-health expectations of the population and plays a vital role in strengthening health systems and enhancing population health. Identifying specific constructs or domains within HSR is particularly important in the context of low and middle-income countries (L&MICs) to facilitate targeted improvement. Following a comprehensive systematic review of the literature, we developed a conceptual framework for HSR. This study was designed to validate our proposed framework through a Delphi process.

Methods

Global HSR experts were contacted via email to participate in the study, and a copy of the proposed framework (12 domains, 53 subdomains) was shared with them. Participants were asked to rate each subdomai

SUBMITTER: Iqbal M 

PROVIDER: S-EPMC12519344 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature