{"id":"https://openalex.org/W7214728016","doi":"https://doi.org/10.37432/jieph-d-26-00100","title":"Health service integration in lower-level facilities: Application of the Health Systems Integration Maturity Framework across Hoima, Kabale and Wakiso Districts, Uganda","display_name":"Health service integration in lower-level facilities: Application of the Health Systems Integration Maturity Framework across Hoima, Kabale and Wakiso Districts, Uganda","publication_year":2026,"publication_date":"2026-09-28","ids":{"openalex":"https://openalex.org/W7214728016","doi":"https://doi.org/10.37432/jieph-d-26-00100"},"language":"en","primary_location":{"id":"doi:10.37432/jieph-d-26-00100","doi":"https://doi.org/10.37432/jieph-d-26-00100","is_oa":true,"landing_page_url":"https://doi.org/10.37432/jieph-d-26-00100","pdf_url":null,"source":{"id":"https://openalex.org/S4210235220","display_name":"Journal of Interventional Epidemiology and Public Health","issn_l":"2664-2824","issn":["2664-2824"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310311037","host_organization_name":"African Field Epidemiology Network","host_organization_lineage":["https://openalex.org/P4310311037"],"host_organization_lineage_names":["African Field Epidemiology Network"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Interventional Epidemiology and Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.37432/jieph-d-26-00100","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062705021","display_name":"Angella Kigongo Nabakooza","orcid":"https://orcid.org/0009-0007-2065-748X","observed_orcids":["https://orcid.org/0009-0007-2065-748X"]},"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":"Angella Nabakooza Kigongo","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":"https://orcid.org/0009-0007-2065-748X","affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153512412","display_name":"Albert Tonny Okia","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":"Albert Tonny Okia","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153517471","display_name":"Ibrahim Ssebukulu","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":"Ibrahim Ssebukulu","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153453121","display_name":"Irene Tumwebaze","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":"Irene Tumwebaze","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153414206","display_name":"Stuart Mariya","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":"Stuart Mariya","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153503549","display_name":"Amon Lucly Bwambale","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":"Amon Lucly Bwambale","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153525556","display_name":"Moussa Matovu","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":"Moussa Matovu","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004602935","display_name":"Tukamuhebwa Agatha","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":"Agatha Tukamuhebwa","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153527598","display_name":"Irene Elizabeth Nuwe","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":"Irene Elizabeth Nuwe","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118275528","display_name":"Gilbert Mateeka","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gilbert Mateeka","raw_affiliation_strings":["District Health Office, Kabale District Local Government, Kabale, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"District Health Office, Kabale District Local Government, Kabale, Uganda","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119577390","display_name":"Connie Nait","orcid":"https://orcid.org/0009-0004-6616-9535","observed_orcids":["https://orcid.org/0009-0004-6616-9535"]},"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":"Connie Nait","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153432954","display_name":"Immaculate Nakasiita","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":"Immaculate Nakasiita","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033786944","display_name":"Suzanne Namusoke Kiwanuka","orcid":"https://orcid.org/0000-0003-4729-4897","observed_orcids":["https://orcid.org/0000-0003-4729-4897"]},"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":"Suzanne Namusoke Kiwanuka","raw_affiliation_strings":["Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5062705021"],"corresponding_institution_ids":["https://openalex.org/I72227227"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"3","first_page":"155","last_page":"155"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.8794000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational 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/T11531","display_name":"Healthcare Systems and Reforms","score":0.8794000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational 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/T14186","display_name":"Healthcare Systems and Practices","score":0.08479999750852585,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational 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/T10629","display_name":"Health Policy Implementation Science","score":0.010700000450015068,"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/integrated-care","display_name":"integrated care","score":0.9580000042915344},{"id":"https://openalex.org/keywords/health-system-building-blocks","display_name":"health system building blocks","score":0.5609999895095825},{"id":"https://openalex.org/keywords/health-information-systems","display_name":"health information systems","score":0.6129999756813049},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.7049999833106995},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.6290000081062317}],"concepts":[{"id":"https://openalex.org/C101433766","wikidata":"https://www.wikidata.org/wiki/Q3543263","display_name":"Maturity (psychological)","level":2,"score":0.6071000099182129},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.5673999786376953},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.5629000067710876},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5415999889373779},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5385000109672546},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.5227000117301941},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.44369998574256897},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.4399000108242035},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4341000020503998},{"id":"https://openalex.org/C19527686","wikidata":"https://www.wikidata.org/wiki/Q1665453","display_name":"System integration","level":2,"score":0.43140000104904175},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.4235999882221222},{"id":"https://openalex.org/C147268084","wikidata":"https://www.wikidata.org/wiki/Q5635796","display_name":"HRHIS","level":4,"score":0.4106999933719635},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.3921000063419342},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3630000054836273},{"id":"https://openalex.org/C521751864","wikidata":"https://www.wikidata.org/wiki/Q1729207","display_name":"Christian ministry","level":2,"score":0.36039999127388},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.35850000381469727},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35179999470710754},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.34689998626708984},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.34619998931884766},{"id":"https://openalex.org/C106476913","wikidata":"https://www.wikidata.org/wiki/Q7257747","display_name":"Public health informatics","level":5,"score":0.34139999747276306},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3402000069618225},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.33739998936653137},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3292999863624573},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.326200008392334},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.3239000141620636},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3181999921798706},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.311599999666214},{"id":"https://openalex.org/C72634772","wikidata":"https://www.wikidata.org/wiki/Q386824","display_name":"Data integration","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3003999888896942},{"id":"https://openalex.org/C33326189","wikidata":"https://www.wikidata.org/wiki/Q17092450","display_name":"Information integration","level":2,"score":0.2996000051498413},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.2987000048160553},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.29260000586509705},{"id":"https://openalex.org/C140187875","wikidata":"https://www.wikidata.org/wiki/Q1665345","display_name":"Integrated services","level":2,"score":0.2921999990940094},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.289900004863739},{"id":"https://openalex.org/C2779541514","wikidata":"https://www.wikidata.org/wiki/Q1477478","display_name":"Integrated care","level":3,"score":0.28360000252723694},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.2775000035762787},{"id":"https://openalex.org/C85890633","wikidata":"https://www.wikidata.org/wiki/Q929673","display_name":"Capability Maturity Model","level":3,"score":0.2766999900341034},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.2615000009536743},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.37432/jieph-d-26-00100","doi":"https://doi.org/10.37432/jieph-d-26-00100","is_oa":true,"landing_page_url":"https://doi.org/10.37432/jieph-d-26-00100","pdf_url":null,"source":{"id":"https://openalex.org/S4210235220","display_name":"Journal of Interventional Epidemiology and Public Health","issn_l":"2664-2824","issn":["2664-2824"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310311037","host_organization_name":"African Field Epidemiology Network","host_organization_lineage":["https://openalex.org/P4310311037"],"host_organization_lineage_names":["African Field Epidemiology Network"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Interventional Epidemiology and Public Health","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:5ffa3e013e0b4d8fb8e478a315e62a43","doi":null,"is_oa":false,"landing_page_url":"https://doi.org/10.37432/jieph-d-26-00100","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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Interventional Epidemiology and Public Health, Vol 9, Iss 3 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.37432/jieph-d-26-00100","doi":"https://doi.org/10.37432/jieph-d-26-00100","is_oa":true,"landing_page_url":"https://doi.org/10.37432/jieph-d-26-00100","pdf_url":null,"source":{"id":"https://openalex.org/S4210235220","display_name":"Journal of Interventional Epidemiology and Public Health","issn_l":"2664-2824","issn":["2664-2824"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310311037","host_organization_name":"African Field Epidemiology Network","host_organization_lineage":["https://openalex.org/P4310311037"],"host_organization_lineage_names":["African Field Epidemiology Network"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Interventional Epidemiology and Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6240000128746033,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.5378999710083008,"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9"},{"score":0.5217000246047974,"display_name":"Partnerships for the goals","id":"https://metadata.un.org/sdg/17"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2091254174","https://openalex.org/W2576478764","https://openalex.org/W2727816174","https://openalex.org/W2807441320","https://openalex.org/W2892255678","https://openalex.org/W2969285613","https://openalex.org/W3000504572","https://openalex.org/W3032822331","https://openalex.org/W3042065950","https://openalex.org/W3173224202","https://openalex.org/W3192437827","https://openalex.org/W4210472684","https://openalex.org/W4288751219","https://openalex.org/W4390046510","https://openalex.org/W4404283160","https://openalex.org/W4405764227","https://openalex.org/W4406624459","https://openalex.org/W4409268330","https://openalex.org/W4410498658","https://openalex.org/W4413051490"],"related_works":["https://openalex.org/W4390046510","https://openalex.org/W2789528890","https://openalex.org/W2776121737","https://openalex.org/W4307354977","https://openalex.org/W2291269581","https://openalex.org/W2755685024","https://openalex.org/W644530538","https://openalex.org/W7203702940","https://openalex.org/W4402456859","https://openalex.org/W4409982568"],"abstract_inverted_index":{"Introduction:":[0],"Service":[1],"delivery":[2,222],"in":[3,14,147],"Uganda":[4,60],"has":[5],"historically":[6],"been":[7],"shaped":[8],"by":[9,156],"vertical,":[10],"donor-funded":[11],"programmes,":[12],"resulting":[13],"fragmented":[15,202],"systems.":[16],"In":[17],"February":[18],"2025,":[19],"the":[20,59,67,77],"Ministry":[21,61],"of":[22,26,62,92,121,139,177,198,261],"Health":[23,63,69,78,111,125,130,253],"mandated":[24],"integration":[25,34,64,226,234,245,260],"standalone":[27],"services.":[28,263],"This":[29],"study":[30,44],"assessed":[31,52],"health":[32,170,189],"service":[33,221],"at":[35,47],"lower-level":[36],"public":[37],"facilities.":[38,49],"Methods:":[39],"A":[40],"convergent":[41],"mixed-methods":[42],"case":[43],"was":[45,51,145],"conducted":[46],"three":[48],"Integration":[50,80,144],"using":[53,100],"a":[54,118],"40-item":[55],"checklist":[56],"adapted":[57],"from":[58],"standards":[65],"and":[66,89,128,141,150,166,169,186,188,200,205,208,258],"World":[68],"Organisation":[70],"health-system":[71],"building":[72],"blocks,":[73],"then":[74],"mapped":[75],"to":[76,239],"Systems":[79],"Maturity":[81],"Framework.":[82],"Key":[83],"informant":[84],"interviews":[85],"explored":[86],"facilitators,":[87],"barriers,":[88],"perceived":[90,215],"effects":[91],"donor":[93,211,217],"funding":[94,212,218],"cuts.":[95,213],"Quantitative":[96],"data":[97,105],"were":[98,106],"summarised":[99],"mean":[101,119,137],"scores,":[102],"while":[103,123,223],"qualitative":[104],"analysed":[107],"thematically.":[108],"Results:":[109],"Kasangati":[110],"Centre":[112,126,131],"IV":[113,132],"had":[114,133],"minimal":[115,238],"integration,":[116,135],"with":[117,136],"score":[120],"2.6,":[122],"Dwoli":[124],"III":[127],"Kamukira":[129],"moderate":[134,240],"scores":[138],"3.2":[140],"3.3,":[142],"respectively.":[143],"strongest":[146],"supply":[148],"chain":[149],"laboratory":[151],"services":[152],"(3.7":[153],"each),":[154],"followed":[155],"clinic-space":[157],"reorganisation":[158],"(3.5).":[159],"Community":[160],"engagement":[161],"(2.3),":[162],"financing":[163],"(2.4),":[164],"policy":[165,182],"governance":[167],"(2.5),":[168],"information":[171,203],"systems":[172],"(2.8)":[173],"showed":[174],"lower":[175],"levels":[176],"integration.":[178,241],"Facilitators":[179],"included":[180,193],"national":[181],"direction,":[183],"district-level":[184],"oversight":[185],"support,":[187],"worker":[190],"adaptability.":[191],"Barriers":[192],"staffing":[194],"shortages,":[195],"inconsistent":[196],"availability":[197],"medicines":[199],"diagnostics,":[201],"systems,":[204],"reduced":[206],"supervision":[207],"outreaches":[209],"following":[210],"Participants":[214],"that":[216],"cuts":[219],"constrained":[220],"accelerating":[224],"organisational":[225],"through":[227],"resource":[228],"pooling.":[229],"Conclusion:":[230],"Following":[231],"Uganda\u2019s":[232],"2025":[233],"directive,":[235],"facilities":[236],"achieved":[237],"Progression":[242],"towards":[243],"full":[244],"requires":[246],"adequate":[247],"financing,":[248],"facility-specific":[249],"implementation":[250],"guidance,":[251],"integrated":[252],"Management":[254],"Information":[255],"System":[256],"tools,":[257],"context-appropriate":[259],"community":[262]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-09-30T00:00:00"}