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Using a plant health system framework to assess plant clinic performance in Uganda

Author

Listed:
  • Solveig Danielsen

    (University of Copenhagen
    CABI)

  • Frank B. Matsiko

    (Makerere University)

Abstract

Systems thinking is commonly applied to understand the complexities of human healthcare delivery. In contrast, plant health systems as an organising principle have evolved more recently from work with plant clinics as providers of plant healthcare services to farmers. As plant health systems evolve and expand, new analytical frameworks and tools are needed to identify factors influencing performance of services and systems in specific contexts, and to guide interventions. In this paper we apply a plant health system framework to assess plant clinic performance, using Uganda as a case study. A comparative study of plant clinics was carried out between July 2010 and September 2011 in the 12 districts where plant clinics were operating at that time. The framework enabled us to organise multiple issues and identify key features that affected the plant clinics. Clinic performance was, among other factors, influenced by basic operational and financial concerns, inter-institutional relations and public sector policies. Overall, there was a fairly close match between the plant health system attributes and plant clinic performance, suggesting that the framework can help explain system functioning and identify intervention points and domains for strengthening plant health systems. The plant health system framework needs further testing to explore the full scope of the method, including assessing the relative importance and interactions of the system components, and tracking attributions and outcomes over time.

Suggested Citation

  • Solveig Danielsen & Frank B. Matsiko, 2016. "Using a plant health system framework to assess plant clinic performance in Uganda," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(2), pages 345-359, April.
    • Handle: RePEc:spr:ssefpa:v:8:y:2016:i:2:d:10.1007_s12571-015-0546-6
    DOI: 10.1007/s12571-015-0546-6
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    References listed on IDEAS

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    1. Kruk, Margaret Elizabeth & Porignon, Denis & Rockers, Peter C. & Van Lerberghe, Wim, 2010. "The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives," Social Science & Medicine, Elsevier, vol. 70(6), pages 904-911, March.
    2. Solveig Danielsen & Julio Centeno & Julio López & Lilliam Lezama & Gregorio Varela & Patricia Castillo & Cony Narváez & Ivania Zeledón & Francisco Pavón & Eric Boa, 2013. "Innovations In Plant Health Services In Nicaragua: From Grassroots Experiment To A Systems Approach," Journal of International Development, John Wiley & Sons, Ltd., vol. 25(7), pages 968-986, October.
    3. Jeffery Bentley & Eric Boa & Solveig Danielsen & Pablo Franco & Olivia Antezana & Bertho Villarroel & Henry Rodríguez & Jhon Ferrrufino & Javier Franco & René Pereira & Jaime Herbas & Oscar Díaz & Vla, 2009. "Plant health clinics in Bolivia 2000—2009: operations and preliminary results," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 1(3), pages 371-386, September.
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