{"id":"https://openalex.org/W3112495685","doi":"https://doi.org/10.1186/s12875-020-01332-5","title":"Experiences of managerial accountability in Ethiopia\u2019s primary healthcare system: a qualitative study","display_name":"Experiences of managerial accountability in Ethiopia\u2019s primary healthcare system: a qualitative study","publication_year":2020,"publication_date":"2020-12-01","ids":{"openalex":"https://openalex.org/W3112495685","doi":"https://doi.org/10.1186/s12875-020-01332-5","mag":"3112495685","pmid":"https://pubmed.ncbi.nlm.nih.gov/33280608","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7720402"},"language":"en","primary_location":{"id":"doi:10.1186/s12875-020-01332-5","doi":"https://doi.org/10.1186/s12875-020-01332-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12875-020-01332-5","pdf_url":"https://bmcprimcare.biomedcentral.com/track/pdf/10.1186/s12875-020-01332-5","source":{"id":"https://openalex.org/S153257185","display_name":"BMC Family Practice","issn_l":"1471-2296","issn":["1471-2296","2731-4553"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","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":"BMC Family Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcprimcare.biomedcentral.com/track/pdf/10.1186/s12875-020-01332-5","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063136310","display_name":"Netsanet W Fetene","orcid":"https://orcid.org/0000-0002-3208-0055","observed_orcids":["https://orcid.org/0000-0002-3208-0055"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Netsanet Fetene","raw_affiliation_strings":["Yale Global Health Leadership Initiative, Addis Ababa, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-3208-0055","affiliations":[{"raw_affiliation_string":"Yale Global Health Leadership Initiative, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101945746","display_name":"Akshar Patel","orcid":"https://orcid.org/0000-0003-4908-8595","observed_orcids":["https://orcid.org/0000-0003-4908-8595"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Akshar Patel","raw_affiliation_strings":["Yale School of Public Health, New Haven, CT, USA"],"raw_orcid":"https://orcid.org/0000-0003-4908-8595","affiliations":[{"raw_affiliation_string":"Yale School of Public Health, New Haven, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008459420","display_name":"Tibebu Benyam","orcid":"https://orcid.org/0000-0002-0714-9655","observed_orcids":["https://orcid.org/0000-0002-0714-9655"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tibebu Benyam","raw_affiliation_strings":["Yale Global Health Leadership Initiative, Addis Ababa, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-0714-9655","affiliations":[{"raw_affiliation_string":"Yale Global Health Leadership Initiative, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026472226","display_name":"Assefa Ayde","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210100352","display_name":"Federal Ministry of Health","ror":"https://ror.org/017yk1e31","country_code":"ET","type":"government","lineage":["https://openalex.org/I4210100352"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Assefa Ayde","raw_affiliation_strings":["Reform and Good Governance Directorate, Federal Ministry of Health, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Reform and Good Governance Directorate, Federal Ministry of Health, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4210100352"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090410813","display_name":"Mayur M. Desai","orcid":"https://orcid.org/0000-0001-6616-0945","observed_orcids":["https://orcid.org/0000-0001-6616-0945"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mayur M. Desai","raw_affiliation_strings":["Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA"],"raw_orcid":"https://orcid.org/0000-0001-6616-0945","affiliations":[{"raw_affiliation_string":"Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005547439","display_name":"Leslie Ann Curry","orcid":"https://orcid.org/0000-0002-3419-4654","observed_orcids":["https://orcid.org/0000-0002-3419-4654"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leslie Curry","raw_affiliation_strings":["Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA"],"raw_orcid":"https://orcid.org/0000-0002-3419-4654","affiliations":[{"raw_affiliation_string":"Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083920678","display_name":"Erika L. Linnander","orcid":"https://orcid.org/0000-0002-3417-1049","observed_orcids":["https://orcid.org/0000-0002-3417-1049"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Erika Linnander","raw_affiliation_strings":["Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA. erika.linnander@yale.edu","Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA"],"raw_orcid":"https://orcid.org/0000-0002-3417-1049","affiliations":[{"raw_affiliation_string":"Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA. erika.linnander@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Yale Global Health Leadership Initiative and Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT, 06520-8034, USA","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5083920678"],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":{"value":2170,"currency":"USD","value_usd":2170},"apc_paid":{"value":1590,"currency":"EUR","value_usd":1714},"fwci":0.7437,"has_fulltext":true,"cited_by_count":8,"citation_normalized_percentile":{"value":0.76822788,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"21","issue":"1","first_page":"261","last_page":"261"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6675000190734863,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6675000190734863,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.10010000318288803,"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/T14186","display_name":"Healthcare Systems and Practices","score":0.09989999979734421,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/managerial-accountability","display_name":"managerial accountability","score":0.9959999918937683},{"id":"https://openalex.org/keywords/primary-health-care-system","display_name":"primary health care system","score":0.765999972820282},{"id":"https://openalex.org/keywords/ethiopia","display_name":"Ethiopia","score":0.6919999718666077},{"id":"https://openalex.org/keywords/accountability-framework","display_name":"accountability framework","score":0.8309999704360962},{"id":"https://openalex.org/keywords/bottom-up-accountability","display_name":"bottom-up accountability","score":0.847000002861023},{"id":"https://openalex.org/keywords/health-system-governance","display_name":"health system governance","score":0.5839999914169312},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.8989999890327454}],"concepts":[{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.9644827842712402},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5600324869155884},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5331921577453613},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.5218602418899536},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.5038155913352966},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.501469612121582},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.46919700503349304},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.43055811524391174},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3152484893798828},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.20909333229064941},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","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":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012941","descriptor_name":"Social Responsibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12875-020-01332-5","doi":"https://doi.org/10.1186/s12875-020-01332-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12875-020-01332-5","pdf_url":"https://bmcprimcare.biomedcentral.com/track/pdf/10.1186/s12875-020-01332-5","source":{"id":"https://openalex.org/S153257185","display_name":"BMC Family Practice","issn_l":"1471-2296","issn":["1471-2296","2731-4553"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","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":"BMC Family Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7720402","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7720402","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":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Fam Pract","raw_type":"Text"},{"id":"pmid:33280608","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33280608","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":"BMC family practice","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2cbcd2df799149d58849d19f614969c9","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2cbcd2df799149d58849d19f614969c9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Family Practice, Vol 21, Iss 1, Pp 1-9 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12875-020-01332-5","doi":"https://doi.org/10.1186/s12875-020-01332-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12875-020-01332-5","pdf_url":"https://bmcprimcare.biomedcentral.com/track/pdf/10.1186/s12875-020-01332-5","source":{"id":"https://openalex.org/S153257185","display_name":"BMC Family Practice","issn_l":"1471-2296","issn":["1471-2296","2731-4553"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","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":"BMC Family Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.7297000288963318}],"study_designs":[],"awards":[{"id":"https://openalex.org/G7148023308","display_name":null,"funder_award_id":"OPP1131084","funder_id":"https://openalex.org/F4320306137","funder_display_name":"Bill and Melinda Gates Foundation"}],"funders":[{"id":"https://openalex.org/F4320306137","display_name":"Bill and Melinda Gates Foundation","ror":"https://ror.org/0456r8d26"},{"id":"https://openalex.org/F4320308380","display_name":"Yale University","ror":"https://ror.org/03v76x132"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3112495685.pdf","grobid_xml":"https://content.openalex.org/works/W3112495685.grobid-xml"},"referenced_works_count":23,"referenced_works":["https://openalex.org/W1515587369","https://openalex.org/W1556808170","https://openalex.org/W1794396526","https://openalex.org/W1987614881","https://openalex.org/W2007516613","https://openalex.org/W2048592430","https://openalex.org/W2082563645","https://openalex.org/W2084024733","https://openalex.org/W2102059582","https://openalex.org/W2103666798","https://openalex.org/W2104000083","https://openalex.org/W2116506283","https://openalex.org/W2146691185","https://openalex.org/W2154074623","https://openalex.org/W2329395632","https://openalex.org/W2621487749","https://openalex.org/W2625092341","https://openalex.org/W2626618995","https://openalex.org/W2755266830","https://openalex.org/W2793182665","https://openalex.org/W2899452072","https://openalex.org/W2913512374","https://openalex.org/W2921657420"],"related_works":["https://openalex.org/W3040176992","https://openalex.org/W4408113563","https://openalex.org/W2007516613","https://openalex.org/W6921147378","https://openalex.org/W6958973398","https://openalex.org/W2857129956","https://openalex.org/W7009652233","https://openalex.org/W1518013568","https://openalex.org/W4414123312","https://openalex.org/W1508108834"],"abstract_inverted_index":{"BACKGROUND:":[0],"Despite":[1],"calls":[2],"for":[3,155],"improved":[4],"accountability":[5,18,24,55,125,171,183,196],"in":[6,29,56,83,197],"global":[7],"health":[8],"systems,":[9,150],"and":[10,15,27,31,79,81,149,151,174,185,187],"a":[11,134],"set":[12],"of":[13,22,49,86,97,124,133,137,141,146,153,181,195],"clear":[14],"consistent":[16],"theoretical":[17],"frameworks,":[19],"empirical":[20],"descriptions":[21],"how":[23,44],"is":[25,37],"experienced":[26],"enacted":[28],"low-":[30],"middle-":[32],"income":[33],"country":[34],"(LMIC)":[35],"settings":[36],"limited.":[38],"Therefore,":[39],"we":[40],"sought":[41],"to":[42,107,112,119,126,163,166,178,190],"characterize":[43],"managers":[45],"at":[46],"all":[47],"levels":[48],"Ethiopia's":[50],"primary":[51],"healthcare":[52],"system":[53],"experience":[54],"their":[57],"daily":[58],"practice.":[59],"METHODS:":[60],"We":[61],"conducted":[62],"in-depth":[63],"key":[64,69],"informant":[65],"interviews":[66],"with":[67,94],"41":[68],"stakeholders":[70],"across":[71],"4":[72],"regions":[73],"(Amhara,":[74],"Oromia,":[75],"Southern":[76],"Nations":[77],"Nationalities":[78],"Peoples,":[80],"Tigray)":[82],"the":[84,87,95,103],"context":[85],"Primary":[88],"Healthcare":[89],"Transformation":[90],"Initiative":[91],"(PTI).":[92],"Consistent":[93],"principles":[96],"grounded":[98],"theory,":[99],"our":[100],"team":[101],"used":[102],"constant":[104],"comparative":[105],"method":[106],"identify":[108],"emergent":[109],"themes":[110,130],"related":[111],"concrete":[113],"areas":[114],"that":[115],"could":[116],"be":[117,161],"targeted":[118],"allow":[120],"an":[121],"overall":[122],"culture":[123],"flourish.":[127],"RESULTS:":[128],"Emergent":[129],"were:":[131],"development":[132,152,175],"shared":[135],"understanding":[136],"system-wide":[138],"accountability,":[139],"streamlining":[140],"managerial":[142],"reporting":[143],"lines,":[144],"strengthening":[145],"medico-legal":[147],"knowledge":[148],"mechanisms":[154],"bottom-up":[156],"accountability.":[157],"CONCLUSIONS:":[158],"Findings":[159],"may":[160],"valuable":[162],"policymakers":[164],"seeking":[165,177],"create":[167],"more":[168],"effective":[169],"national":[170],"frameworks;":[172],"practitioners":[173],"partners":[176],"strengthen":[179],"implementation":[180],"evidence-based":[182],"systems":[184],"practices;":[186],"researchers":[188],"aiming":[189],"develop":[191],"meaningful,":[192],"practical":[193],"measures":[194],"public":[198],"health.":[199]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2020-12-21T00:00:00"}