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Improving health system performance

This section contains RHL summaries of published systematic reviews on a wide variety of interventions and strategies to improve health system performance. This includes interventions to improve delivery of healthcare services, financial arrangements and leadership and governance arrangements. Also included are summaries prepared by the SUPPORT project.

WHO recommendation on  the use of formal protocols for referral of women to a higher level of care

WHO recommendation on the use of simulations of PPH treatment for pre-service and in-service training programmes

WHO recommendation on monitoring the use of uterotonics after birth for the prevention of PPH

WHO recommendation on the use of formal protocols by health facilities for the prevention and treatment of PPH 

Radio talk show, Ghana.

Mass media interventions: effects on health services utilisation

Nursing staff at Tonga's largest hospital

Guidelines in professions allied to medicine

Health workers taling with women in a primary health centre, Nepal.

The effect of financial incentives on the quality of health care provided by primary care physicians

Nursing students in training, Indonesia

Local opinion leaders: effects on professional practice and health care outcomes

 314-12 | 314-12  A pregnant woman pays for reproductive health services at a clinic in San Salvador

The impact of user fees on access to health services in low- and middle-income countries

Managerial supervision to improve primary health care in low- and middle-income countries

Using alternative statistical formats for presenting risks and risk reductions

Consumer-oriented interventions for evidence-based prescribing and medicines use: an overview of systematic reviews

Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases

The impact of contracting out on health outcomes and use of health services in low- and middle-income countries

In-service training for health professionals to improve care of the seriously ill newborn or child in low- and middle-income countries

Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs

The impact of conditional cash transfers on health outcomes and the use of health services in low- and middle-income countries

Tailored interventions to overcome identified barriers to change: effects on professional practice and health-care outcomes

Continuing education meetings and workshops: effects on professional practice and health-care outcomes

Educational outreach visits: effects on professional practice and health-care outcomes

Delivery of healthcare services

Pregnant woman in Bangladesh at an antenatal care visit.

Alternative packages of antenatal care for low-risk pregnant women

Nurses working in a hospital ward.

Doctors or mid-level providers for abortion

Newborn baby lying on table in maternity ward

Standardised formal neonatal resuscitation training (SFNRT) programmes for reducing mortality and morbidity in newborn infants

Financial arrangements

A woman paying for service at a clinic in the Philippines

Paying for performance to improve the delivery of health interventions in low- and middle-income countries

Pharmaceutical drugs on shelves at a clinic in Ethiopia.

Pharmaceutical policies: effects of cap and co-payment on rational drug use

An infant receives a medical checkup, India.

Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians

Leadership and governance arrangements

Health workers attending a meeting.

Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes

Implementation strategies

During a regular antenatal check up, A community health worker uses a weighing scale to take weight readings from a pregnant woman, Bangladesh.

Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes

Doctors in a meeting.

Interprofessional education: effects on professional practice and health-care outcomes

A woman receives ARV medicine at a pharmacy in Africa.

Mobile phone text messaging for promoting adherence to antiretroviral therapy in patients with HIV infection