{"id":"https://openalex.org/W2124697243","doi":"https://doi.org/10.1186/1478-4505-12-36","title":"Advancing the application of systems thinking in health: understanding the dynamics of neonatal mortality in Uganda","display_name":"Advancing the application of systems thinking in health: understanding the dynamics of neonatal mortality in Uganda","publication_year":2014,"publication_date":"2014-08-07","ids":{"openalex":"https://openalex.org/W2124697243","doi":"https://doi.org/10.1186/1478-4505-12-36","mag":"2124697243","pmid":"https://pubmed.ncbi.nlm.nih.gov/25104047"},"language":"en","primary_location":{"id":"doi:10.1186/1478-4505-12-36","doi":"https://doi.org/10.1186/1478-4505-12-36","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1478-4505-12-36","pdf_url":"https://health-policy-systems.biomedcentral.com/counter/pdf/10.1186/1478-4505-12-36","source":{"id":"https://openalex.org/S201446958","display_name":"Health Research Policy and Systems","issn_l":"1478-4505","issn":["1478-4505"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Research Policy and Systems","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://health-policy-systems.biomedcentral.com/counter/pdf/10.1186/1478-4505-12-36","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009751153","display_name":"Agnes Rwashana Semwanga","orcid":"https://orcid.org/0000-0003-4155-7684","observed_orcids":["https://orcid.org/0000-0003-4155-7684"]},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":true,"raw_author_name":"Agnes Semwanga Rwashana","raw_affiliation_strings":["Information Systems Department, College of Computing and Information Sciences, Makerere University, P,O, Box 7062, Kampala, Uganda. asemwanga@cit.ac.ug","Information Systems Department, College of Computing and Information Sciences, Makerere University, P,O, Box 7062, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Information Systems Department, College of Computing and Information Sciences, Makerere University, P,O, Box 7062, Kampala, Uganda. asemwanga@cit.ac.ug","institution_ids":["https://openalex.org/I72227227"]},{"raw_affiliation_string":"Information Systems Department, College of Computing and Information Sciences, Makerere University, P,O, Box 7062, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034045213","display_name":"Sarah Nakubulwa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Sarah Nakubulwa","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda","Department of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]},{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056677188","display_name":"Margaret Nakakeeto-Kijjambu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Margaret Nakakeeto-Kijjambu","raw_affiliation_strings":["Kampala Children\u2019s Hospital, Neonatal Pediatrician, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kampala Children\u2019s Hospital, Neonatal Pediatrician, Kampala, Uganda","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080254206","display_name":"Taghreed Adam","orcid":"https://orcid.org/0000-0002-2929-2209","observed_orcids":["https://orcid.org/0000-0002-2929-2209"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]},{"id":"https://openalex.org/I4210112411","display_name":"Alliance for Health Policy and Systems Research","ror":"https://ror.org/021jq8741","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210105654","https://openalex.org/I4210112411"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Taghreed Adam","raw_affiliation_strings":["Alliance for Health Policy and Systems Research, World Health Organization, Geneva, 1211, Switzerland","#N#        Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alliance for Health Policy and Systems Research, World Health Organization, Geneva, 1211, Switzerland","institution_ids":["https://openalex.org/I4210105654","https://openalex.org/I4210112411"]},{"raw_affiliation_string":"#N#        Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland","institution_ids":["https://openalex.org/I4210105654","https://openalex.org/I4210112411"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5009751153"],"corresponding_institution_ids":["https://openalex.org/I72227227"],"apc_list":{"value":3590,"currency":"USD","value_usd":3590},"apc_paid":{"value":3590,"currency":"USD","value_usd":3590},"fwci":4.717,"has_fulltext":true,"cited_by_count":92,"citation_normalized_percentile":{"value":0.95052291,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"12","issue":"1","first_page":"36","last_page":"36"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9229000210762024,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9229000210762024,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.0738999992609024,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11810","display_name":"Complex Systems and Decision Making","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.9990000128746033},{"id":"https://openalex.org/keywords/systems-thinking","display_name":"systems thinking","score":0.9559999704360962},{"id":"https://openalex.org/keywords/causal-loop-diagrams","display_name":"causal loop diagrams","score":0.9950000047683716},{"id":"https://openalex.org/keywords/feedback-loops","display_name":"feedback loops","score":0.7799999713897705},{"id":"https://openalex.org/keywords/health-care-system","display_name":"health care system","score":0.4880000054836273},{"id":"https://openalex.org/keywords/maternal-health","display_name":"maternal health","score":0.6470000147819519},{"id":"https://openalex.org/keywords/village-health-workers","display_name":"village health workers","score":0.6539999842643738},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.8539999723434448},{"id":"https://openalex.org/keywords/health-facility-supervision","display_name":"health facility supervision","score":0.7200000286102295},{"id":"https://openalex.org/keywords/kampala-district","display_name":"Kampala District","score":0.5590000152587891},{"id":"https://openalex.org/keywords/uganda","display_name":"Uganda","score":0.9089999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6689186692237854},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6185817718505859},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.549883246421814},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.5386630296707153},{"id":"https://openalex.org/C112299071","wikidata":"https://www.wikidata.org/wiki/Q835884","display_name":"Infant mortality","level":3,"score":0.5228312611579895},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.48910266160964966},{"id":"https://openalex.org/C46299933","wikidata":"https://www.wikidata.org/wiki/Q61559","display_name":"Child mortality","level":3,"score":0.47769835591316223},{"id":"https://openalex.org/C3019760594","wikidata":"https://www.wikidata.org/wiki/Q2781245","display_name":"Neonatal mortality","level":4,"score":0.46655648946762085},{"id":"https://openalex.org/C144400606","wikidata":"https://www.wikidata.org/wiki/Q2412982","display_name":"Causal loop diagram","level":3,"score":0.4482819139957428},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.42817947268486023},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.427068829536438},{"id":"https://openalex.org/C153083717","wikidata":"https://www.wikidata.org/wiki/Q6535263","display_name":"Leverage (statistics)","level":2,"score":0.4219481348991394},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3974589407444},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3662862181663513},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.22572514414787292},{"id":"https://openalex.org/C77405623","wikidata":"https://www.wikidata.org/wiki/Q598451","display_name":"System dynamics","level":2,"score":0.10723313689231873},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.09647619724273682},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008427","descriptor_name":"Maternal Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008429","descriptor_name":"Maternal Welfare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008429","descriptor_name":"Maternal Welfare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008429","descriptor_name":"Maternal Welfare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008429","descriptor_name":"Maternal Welfare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1186/1478-4505-12-36","doi":"https://doi.org/10.1186/1478-4505-12-36","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1478-4505-12-36","pdf_url":"https://health-policy-systems.biomedcentral.com/counter/pdf/10.1186/1478-4505-12-36","source":{"id":"https://openalex.org/S201446958","display_name":"Health Research Policy and Systems","issn_l":"1478-4505","issn":["1478-4505"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Research Policy and Systems","raw_type":"journal-article"},{"id":"pmid:25104047","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25104047","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health research policy and systems","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:3103385","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4134459","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4134459","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4134459","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Res Policy Syst","raw_type":"Text"},{"id":"doi:10.60692/1j095-02496","doi":"https://doi.org/10.60692/1j095-02496","is_oa":true,"landing_page_url":"https://doi.org/10.60692/1j095-02496","pdf_url":null,"source":{"id":"https://openalex.org/S7407051682","display_name":"Greater South Information System","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"article-journal"},{"id":"doi:10.60692/cg7y7-d8e45","doi":"https://doi.org/10.60692/cg7y7-d8e45","is_oa":true,"landing_page_url":"https://doi.org/10.60692/cg7y7-d8e45","pdf_url":null,"source":{"id":"https://openalex.org/S7407051682","display_name":"Greater South Information System","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"doi:10.1186/1478-4505-12-36","doi":"https://doi.org/10.1186/1478-4505-12-36","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1478-4505-12-36","pdf_url":"https://health-policy-systems.biomedcentral.com/counter/pdf/10.1186/1478-4505-12-36","source":{"id":"https://openalex.org/S201446958","display_name":"Health Research Policy and Systems","issn_l":"1478-4505","issn":["1478-4505"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Research Policy and Systems","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/4","score":0.8100000023841858,"display_name":"Quality education"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320307856","display_name":"World Health Organization","ror":"https://ror.org/01f80g185"},{"id":"https://openalex.org/F4320319949","display_name":"International Development Research Centre","ror":"https://ror.org/0445x0472"},{"id":"https://openalex.org/F4320323078","display_name":"Universitetet i Bergen","ror":"https://ror.org/03zga2b32"},{"id":"https://openalex.org/F4320325373","display_name":"Universidad Nacional Mayor de San Marcos","ror":"https://ror.org/006vs7897"},{"id":"https://openalex.org/F4320332590","display_name":"Alliance for Health Policy and Systems Research","ror":"https://ror.org/021jq8741"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2124697243.pdf","grobid_xml":"https://content.openalex.org/works/W2124697243.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W289774899","https://openalex.org/W585028869","https://openalex.org/W651665359","https://openalex.org/W1527311855","https://openalex.org/W1533102664","https://openalex.org/W1589399253","https://openalex.org/W1982468539","https://openalex.org/W1998684759","https://openalex.org/W2001778257","https://openalex.org/W2006479099","https://openalex.org/W2014319969","https://openalex.org/W2021169264","https://openalex.org/W2021820043","https://openalex.org/W2034523877","https://openalex.org/W2037228432","https://openalex.org/W2040989939","https://openalex.org/W2073560371","https://openalex.org/W2096850036","https://openalex.org/W2126324264","https://openalex.org/W2134805717","https://openalex.org/W2246695730","https://openalex.org/W3048996148","https://openalex.org/W4252480876","https://openalex.org/W4297696547"],"related_works":["https://openalex.org/W2083921201","https://openalex.org/W2118408122","https://openalex.org/W4281729441","https://openalex.org/W2900295545","https://openalex.org/W4391134020","https://openalex.org/W2158292467","https://openalex.org/W3015580757","https://openalex.org/W1970012292","https://openalex.org/W2919948111","https://openalex.org/W2256345030"],"abstract_inverted_index":{"BACKGROUND:":[0],"Of":[1],"the":[2,60,67,81,84,96,100,180,205,235,288,295,316,324,333,340],"three":[3],"million":[4],"newborns":[5],"that":[6,56,241,260,321],"die":[7],"each":[8,22],"year,":[9],"Uganda":[10,114],"ranks":[11],"fifth":[12],"highest":[13],"in":[14,126,297,329],"neonatal":[15,20,64,86,101,134,183,211,326],"mortality":[16,87,135,212,327],"rates,":[17,269],"with":[18,109,132,137,210],"43,000":[19],"deaths":[21],"year.":[23],"Despite":[24],"child":[25,33],"survival":[26],"and":[27,66,104,106,122,142,152,155,162,168,190,200,222,225,227,237,278,284,301,313,318,338,343],"safe":[28],"motherhood":[29],"programmes":[30],"towards":[31,336],"reducing":[32],"mortality,":[34,184],"insufficient":[35],"attention":[36],"has":[37],"been":[38],"given":[39],"to":[40,51,76,79,94,173,258,275,323],"this":[41,71,244],"critical":[42],"first":[43,334],"month":[44],"of":[45,63,83,129,182,207,218,220,229,305,315],"life.":[46],"There":[47],"is":[48,332],"urgent":[49],"need":[50],"innovatively":[52],"employ":[53],"alternative":[54],"solutions":[55],"take":[57],"into":[58],"account":[59],"intricate":[61],"complexities":[62],"health":[65,68,102,110,146,157,164,230,280,289],"systems.":[69],"In":[70],"paper,":[72],"we":[73],"set":[74],"out":[75],"empirically":[77],"contribute":[78],"understanding":[80,312],"causes":[82,181],"stagnating":[85],"by":[88,188],"applying":[89],"a":[90,116],"systems":[91,111],"thinking":[92],"approach":[93],"explore":[95],"dynamics":[97],"arising":[98],"from":[99,159,243],"complexity":[103,245],"non-linearity":[105],"its":[107],"interplay":[108],"factors,":[112],"using":[113],"as":[115,214,291,293],"case":[117],"study.":[118],"METHODS:":[119],"Literature":[120],"reviews":[121],"interviews":[123],"were":[124,171,186,246],"conducted":[125],"two":[127,196],"divisions":[128],"Kampala":[130],"district":[131],"high":[133,251],"rates":[136,328],"mothers":[138,274],"at":[139,143,287],"antenatal":[140],"clinics":[141],"home,":[144],"village":[145],"workers,":[147],"community":[148],"leaders,":[149],"healthcare":[150],"decision":[151],"policy":[153],"makers,":[154],"frontline":[156],"workers":[158],"both":[160],"public":[161],"private":[163],"facilities.":[165],"Data":[166],"analysis":[167],"brainstorming":[169],"sessions":[170],"used":[172],"develop":[174],"causal":[175],"loop":[176],"diagrams":[177],"(CLDs)":[178],"depicting":[179,204],"which":[185,331],"validated":[187],"local":[189],"international":[191],"stakeholders.":[192],"RESULTS:":[193],"We":[194],"developed":[195],"CLDs":[197,309],"for":[198],"demand":[199],"supply":[201],"side":[202],"issues,":[203],"range":[206],"factors":[208],"associated":[209],"such":[213],"maternal":[215,221,267],"health,":[216,224],"level":[217],"awareness":[219],"newborn":[223],"availability":[226],"quality":[228],"services,":[231,281],"among":[232],"others.":[233],"Further,":[234],"reinforcing":[236],"balancing":[238],"feedback":[239,319],"loops":[240,320],"resulted":[242],"also":[247],"examined.":[248],"The":[249],"potential":[250,341],"leverage":[252],"points":[253],"include":[254],"special":[255],"gender":[256],"considerations":[257],"ensure":[259],"girls":[261],"receive":[262],"essential":[263],"education,":[264],"thereby":[265],"increasing":[266],"literacy":[268],"improved":[270,282],"socioeconomic":[271],"status":[272],"enabling":[273],"keep":[276],"healthy":[277],"utilise":[279],"supervision,":[283],"internal":[285],"audits":[286],"facilities":[290],"well":[292],"addressing":[294],"gaps":[296],"resources":[298],"(human,":[299],"logistics,":[300],"drugs).":[302],"CONCLUSIONS:":[303],"Synthesis":[304],"theoretical":[306],"concepts":[307],"through":[308],"facilitated":[310],"our":[311],"interpretation":[314],"interactions":[317],"contributed":[322],"stagnant":[325],"Uganda,":[330],"step":[335],"discussing":[337],"exploring":[339],"strategies":[342],"their":[344],"likely":[345],"impact.":[346]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":11},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2025-10-10T00:00:00"}