Table 4 Summary of key findings under governance arrangement level of health system
| Systems-level factors: Governance arrangement | Number and type of studies a | Reported as barriers | Reported as facilitators | Related to b | ||
|---|---|---|---|---|---|---|
| Implementation | Uptake | Sustainability | ||||
| Stakeholder involvement |
N = 3 Qualitative (2); Case study (1) |
N = 3 [46, 48, 62] | – | X | ||
| Political economy context |
N = 6 Qualitative (1); Mixed (3); Case studies (2) |
N = 5 [31, 55, 59, 63, 75] |
N = 1 [58] | X | X | X |
| Government support |
N = 7 Qualitative (4); Mixed (2); Case study (1) |
N = 2 [47, 75] |
N = 5 [40, 48, 55, 61, 74] | X | X | |
| Management and administrative structure |
N = 12 Qualitative (3); Cross-sectional (2); Mixed (4); Case studies (3) |
N = 8 [32, 44, 46, 48, 49, 62, 73, 83] |
N = 5 [33, 41, 48, 55, 58] | X | X | |
| Capacity of insurer promoters |
N = 3 Mixed (2); Case study (1) |
N = 2 [47, 48] |
N = 1 [61] | X | X | X |
| Package content |
N = 9 Qualitative (2); Cross-sectional (4); Mixed (2); Case study (1) |
N = 5 [4, 48, 53,54,55, 61] |
N = 5 [4, 33, 54, 56, 66] | X | ||
| Membership size |
N = 3 Qualitative (2); Crosss-sectional (1) |
N = 2 [57, 61] |
N = 1 [36] | X | ||
| Membership criteria |
N = 10 Qualitative (4); Cross-sectional (3); Mixed (3) |
N = 7 [40, 47, 52, 54, 61, 62, 76] |
N = 5 [33, 61, 73, 76, 84] | X | X | |
