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July 23, 2026BMC Primary CareOpen Access

Strengthening primary care facility management: a systematic review of management interventions, implementation strategies, and outcomes in six sub-Saharan African countries

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Authors

EBErmyas BirruSUSandra UrusaroADAneth Dinis

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Overview

Systematic review examines management interventions to improve health outcomes in Sub-Saharan Africa, suggesting the need for robust research.

Key Points

  • The review aims to synthesize evidence on interventions that strengthen primary health care facility management in Sub-Saharan Africa.
  • Conducted a systematic review using thematic synthesis across eight databases.
  • Focused on peer-reviewed and grey literature from 2012 to 2022 on facility management interventions.
  • Mapped implementation strategies to the Expert Recommendations for Implementing Change (ERIC) framework.
  • Identified nine studies across six Sub-Saharan African countries (Botswana, Ethiopia, Kenya, South Africa, Tanzania, Zambia).
  • Four intervention categories revealed: training/capacity building, peer-to-peer learning, audit/feedback systems, and supportive supervision.
  • Improvements in maternal and child health indicators were reported alongside enhanced management effectiveness in four domains.

Cite This Study

Birru et al. (2026) studied this question.

synapsesocial.com/papers/6a61aeeefaa9903c51169e66https://doi.org/10.1186/s12875-026-03485-1
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