Journal article

Protocol for a realist synthesis of health systems responsiveness in low-income and middle-income countries

Tolib Mirzoev, Anna Cronin de Chavez, Ana Manzano, Irene Akua Agyepong, Mary Eyram Ashinyo, Anthony Danso-Appiah, Leveana Gyimah, Lucy Yevoo, Elizabeth Awini, Thi Thu Ha Bui, Do Thi Hanh Trang, Thai Nguyen Quynh-Chi, Minh Le Thi, Thi Le Vui, Joseph Paul Hicks, Judy M Wright, Sumit Kane

BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2021

Abstract

INTRODUCTION: Health systems responsiveness is a key objective of any health system, yet it is the least studied of all objectives particularly in low-income and middle-income countries. Research on health systems responsiveness highlights its multiple elements, for example, dignity and confidentiality. Little is known, however, about underlying theories of health systems responsiveness, and the mechanisms through which responsiveness works. This realist synthesis contributes to bridging these two knowledge gaps. METHODS AND ANALYSIS: In this realist synthesis, we will use a four-step process, comprising: mapping of theoretical bases, formulation of programme theories, theory refinement and ..

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