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An assessment of interactions between global health initiatives and country health systems

Overview of attention for article published in The Lancet, June 2009
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (97th percentile)
  • Good Attention Score compared to outputs of the same age and source (76th percentile)

Citations

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429 Dimensions

Readers on

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789 Mendeley
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4 CiteULike
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Title
An assessment of interactions between global health initiatives and country health systems
Published in
The Lancet, June 2009
DOI 10.1016/s0140-6736(09)60919-3
Pubmed ID
Authors

Badara Samb, Tim Evans, Mark Dybul, Rifat Atun, Jean-Paul Moatti, Sania Nishtar, Anna Wright, Francesca Celletti, Justine Hsu, Jim Yong Kim, Ruairi Brugha, Asia Russell, Carissa Etienne

Abstract

Since 2000, the emergence of several large disease-specific global health initiatives (GHIs) has changed the way in which international donors provide assistance for public health. Some critics have claimed that these initiatives burden health systems that are already fragile in countries with few resources, whereas others have asserted that weak health systems prevent progress in meeting disease-specific targets. So far, most of the evidence for this debate has been provided by speculation and anecdotes. We use a review and analysis of existing data, and 15 new studies that were submitted to WHO for the purpose of writing this Report to describe the complex nature of the interplay between country health systems and GHIs. We suggest that this Report provides the most detailed compilation of published and emerging evidence so far, and provides a basis for identification of the ways in which GHIs and health systems can interact to mutually reinforce their effects. On the basis of the findings, we make some general recommendations and identify a series of action points for international partners, governments, and other stakeholders that will help ensure that investments in GHIs and country health systems can fulfil their potential to produce comprehensive and lasting results in disease-specific work, and advance the general public health agenda. The target date for achievement of the health-related Millennium Development Goals is drawing close, and the economic downturn threatens to undermine the improvements in health outcomes that have been achieved in the past few years. If adjustments to the interactions between GHIs and country health systems will improve efficiency, equity, value for money, and outcomes in global public health, then these opportunities should not be missed.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 789 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 12 2%
United Kingdom 10 1%
Brazil 4 <1%
South Africa 4 <1%
Netherlands 3 <1%
Switzerland 2 <1%
Philippines 2 <1%
Canada 2 <1%
Portugal 1 <1%
Other 6 <1%
Unknown 743 94%

Demographic breakdown

Readers by professional status Count As %
Student > Master 175 22%
Student > Ph. D. Student 108 14%
Researcher 106 13%
Student > Bachelor 58 7%
Other 47 6%
Other 184 23%
Unknown 111 14%
Readers by discipline Count As %
Medicine and Dentistry 237 30%
Social Sciences 161 20%
Nursing and Health Professions 59 7%
Business, Management and Accounting 34 4%
Unspecified 32 4%
Other 135 17%
Unknown 131 17%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 June 2023.
All research outputs
#1,253,707
of 25,377,790 outputs
Outputs from The Lancet
#9,125
of 42,665 outputs
Outputs of similar age
#3,559
of 125,211 outputs
Outputs of similar age from The Lancet
#37
of 158 outputs
Altmetric has tracked 25,377,790 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 42,665 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 67.9. This one has done well, scoring higher than 78% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 125,211 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 158 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 76% of its contemporaries.