Publications by authors named "S Witter"

Background: The COVID-19 pandemic posed significant challenges to health systems globally, particularly in low-resource settings like Sierra Leone. Understanding the effectiveness of leadership, health workforce performance, community engagement, and service delivery during the pandemic is critical for strengthening future pandemic, preparedness and response.

Methods: A cross-sectional study was conducted with 303 respondents, including stakeholders from the Ministry of Health, district health management teams, and community health workers.

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Background: Over the last decades, universal health coverage (UHC) has been promoted in south-east Asia (SEA), where many countries still need to ensure adequate financial protection to their populations. However, successful health financing reforms involve complex interactions among a range of stakeholders, as well as with context factors, including shocks and crises of different nature. In this article, we examine recent health financing reforms in Nepal, Thailand and Indonesia, using a political economy lens.

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Article Synopsis
  • - The private sector significantly contributes to health care in low- and middle-income countries (LMICs), and effective governance of this sector is essential for improving health outcomes, as explored in a scoping review of governance approaches.
  • - Researchers analyzed 107 studies from various LMICs, focusing on the World Health Organization's (WHO) governance behaviors and identifying crucial factors for effective governance, including clear vision, inclusive policy processes, and capacity development for both public and private sectors.
  • - The findings emphasize that governance choices impact current and future health systems, highlighting the need to address barriers such as policy design, stakeholder engagement, and accountability to enhance governance effectiveness.
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Background: Due to the weaknesses of the public health system and its low reach, especially in border areas, provision of health services by non-state actors (NSAs) has historically played an important role in Myanmar. NSAs include local and international NGOs and civil society organisations (CSOs), but also Ethnic Health Organisations (EHOs) in the border areas, as well as the private (for profit) sector. This study aims to understand the changing role of NSAs in the shifting political environment of Myanmar between 2010 and 2022, and to explore their contribution to health system resilience.

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Article Synopsis
  • The text indicates a correction has been made to a previously published article.* -
  • The article in question is identified by its Digital Object Identifier (DOI): 10.1371/journal.pgph.0002902.* -
  • Such corrections typically address errors or inaccuracies to ensure the integrity of the published research.*
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