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September 12, 2025BMJ Open QualityOpen Access

Health systems responsiveness in low and middle-income countries (L&MICs): revisiting its scope

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Authors

MIMeesha IqbalRMRobert O. MorganCBCici Bauer

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Overview

Delphi process validated a 10-domain framework for health systems responsiveness in L&MICs, suggesting targeted improvements.

Key Points

  • The framework includes 10 domains essential for health systems responsiveness, highlighting areas for improvement.
  • High internal consistency was established with Cronbach’s alpha values of 0.94 for scientific strength and 0.96 for feasibility.
  • The study engaged 13 global health experts in the Delphi process to evaluate and refine the proposed framework.
  • The final framework aims to enhance health systems responsiveness in low and middle-income countries.

Cite This Study

Iqbal et al. (2025) studied this question.

synapsesocial.com/papers/68d44b3831b076d99fa54b9ahttps://doi.org/10.1136/bmjoq-2025-003441
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rethinking Health Systems Responsiveness in Low- and Middle-Income Countries: Validation Study (Preprint)2024
  2. 2Rethinking Health Systems Responsiveness in Low- and Middle-Income Countries: Validation Study2024 · 1 citations
  3. 3Health system responsiveness to older adults with functional limitations and socio-economic vulnerability in India2026
  4. 4Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review2025
  5. 5Health system responsiveness and associated factors among outpatients in primary healthcare units in Southern Ethiopia: a facility-based cross-sectional study2026