In complex health systems, referral and outreach systems (ROS) are formal strategies for
connecting and managing interdependencies between facilities in service delivery …

District-level initiatives to improve maternal, neonatal and child health (MNCH) generally do
not take governance as their primary lens on health system strengthening. This paper is a …

Poorly functioning health systems and local health systems barriers affect many women
giving birth in low-and middle-income countries. The district clinical specialist teams in …

Background Sustained implementation of facility-level quality improvement (QI) processes
such as Plan-Do-Study-Act cycles, requires enabling meso-level environments and …

Background: Accountability for maternal, newborn and child health (MNCH) is a
collaborative endeavour and documenting collaboration dynamics may be key to …

Abstract Background The Eastern Cape Province reports among the poorest health service
indicators in South Africa with some of its districts standing out as worst performing as …

There is a growing understanding that strong health systems are crucial to sustain progress.
Health systems, however, are complex and much of their success depends on factors …

Background Strategies to improve maternal health in low-income countries are increasingly
embracing partnership approaches between public and private stakeholders in health. In …

Ghana Health Service conducted an audit to strengthen the referral system for pregnant or
recently pregnant women and newborns in northern Ghana. The audit took place in 16 …

There are global calls for research to support health system strengthening in low-income
and middle-income countries (LMICs). To examine the nature and magnitude of gaps in …