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. 2023 Dec 6;8(12):e012906. doi: 10.1136/bmjgh-2023-012906

Table 1.

Summary of articles included in the analysis

Authors, year, reference no DOI Title Article type Geographical scope Research question or objective* Accountability for what outcomes? Which actor is held to account? (duty bearer) By whom? (claims holder)
Eaton, 200582 https://doi.org/10.1136/bmj.331.7519.718 Global Fund toughens stance against corruption News article Uganda To report on how the Global Fund sees the enforcement of transparency and accountability as a vital step in ensuring results Better governance of development assistance for health National government of Uganda Multisectoral institution (the Global Fund)
Bryce et al, 200689 https://doi.org/10.1016/S0140-6736(06)69339-2 Countdown to 2015: tracking intervention coverage for child survival Research article—case study 60 countries with the highest rates of child mortality To present the first report of the Child Survival Countdown, a worldwide effort to monitor coverage of key child-survival interventions Reduction in child mortality National governments of countries with the highest burden of child mortality International partnership of multiple actors (child survival countdown)
Gostin, 200798 https://scholarship.law.georgetown.edu/facpub/480/ The ‘Tobacco Wars’—global litigation strategies Commentary USA, Australia, Japan, Norway, Israel, Canada, Bangladesh, India, Uganda, Nepal and Continental Europe To explore global tobacco litigation strategies with four key elements: compensation/recovery, advertising restrictions, criminal liability and public interest writ litigation Better regulation of tobacco industry and reduction in smoking prevalence Tobacco industry/companies Civil society and advocates
Desmond et al, 200990 https://doi.org/10.2307/20460106 Relative response: ranking country responses to HIV and AIDS Research article—quantitative study or case study Global To support efforts to hold governments accountable their commitments to respond to HIV Better governance and outcomes for HIV/AIDS National governments Civil society organisation (AIDS Accountability International)
Labonte and Marriott, 201091 https://doi.org/10.1016/S0140-6736(10)60625-3 IHP+: little progress in accountability or just little progress? Commentary Global To review and comment on the IHP+report Better governance of development assistance for health International donor agencies, bilateral donors, national governments of LMICs receiving assistance International partnership of multiple actors (IHP+)
Marouf, 201078 https://www.hhrjournal.org/2013/08/holding-the-world-bank-accountable-for-leakage-of-funds-from-africas-health-sector/ Holding the World Bank accountable for leakage of funds from Africa’s health sector Commentary Sub-Saharan Africa To explore the accountability of international financial institutions, such as the World Bank, for human rights violations related to the massive leakage of funds from sub-Saharan Africa’s health sector Elimination of corruption in development assistance for health Multilateral development agency (World Bank) Self-accountability through internal processes
Schrecker et al, 201083 https://doi.org/10.1016/j.socscimed.2010.06.042 Advancing health equity in the global marketplace: how human rights can help Commentary Global To analyse the relevance of the international human rights framework to the goal of the WHO Commission on Social Determinants of Health to reducing health disparities Realisation of health-related rights National governments Civil society and advocacy organisations
Leinster, 201195 https://doi.org/10.3109/0142159X.2011.590253 Evaluation and assessment of social accountability in medical schools Review—narrative Cuba, Venezuela, Canada, South Africa, Australia, Philippines To describe processes to evaluate and assess the social accountability of medical schools Improvement in community health Medical schools International partnership of medical schools (THEnet)
McKimm and McLean, 201196 https://doi.org/10.3109/0142159X.2011.590245 Developing a global health practitioner: time to act? Review—narrative Global To acknowledge that creating a global health practitioner requires international collaboration and places the onus of social accountability on academic leaders Improvement in community health Medical schools International partnership of medical schools (Global Consensus for Social Accountability of Medical Schools)
Palsdottir and Neusy, 201197 https://doi.org/10.1016/j.idc.2011.02.001 Global health: networking innovative academic institutions Research article—case study South Africa, Cuba, Venezuela, Canada, Australia, Philippines To describe the Training for Health Equity Network (THEnet) Improvement in community health Medical schools International partnership of medical schools (THEnet)
Gómez and Atun, 201279 https://doi.org/10.1186/1744-8603-8-25 The effects of Global Fund financing on health governance in Brazil Research article—case study Brazil To examine the impact of Global Fund investments at several tiers of health governance in Brazil Better governance of TB prevention and control Multiple levels of government in Brazil Civil society organisations
London and Schneider, 201284 https://doi.org/10.1016/j.socscimed.2011.03.022 Globalisation and health inequalities: can a human rights paradigm create space for civil society action? Research article—case study South Africa To explore the seeming contradiction that globalisation is conceived as disempowering nations states’ ability to act in their population’s interests, yet implementation of human rights obligations requires effective states to deliver socioeconomic entitlements, such as health Realisation of health-related rights National government of South Africa Parliament, civil society organisations
Meier et al, 201285 https://scholarship.law.georgetown.edu/facpub/935/ Bridging international law and rights-based litigation: mapping health-related rights through the development of the global health and human rights database Research article—case study Global To describe the Global Health and Human Rights Database Realisation of health-related rights National governments Academic institutions, civil society organisations
Requejo et al, 201392 https://doi.org/10.1371/journal.pmed.1001416 Measuring coverage in MNCH: challenges and opportunities in the selection of coverage indicators for global monitoring Review—narrative 75 countries where >95% of all maternal and child deaths occur To examine the process and implications of selecting a core set of coverage indicators for global monitoring of maternal and child mortality Reduction in maternal and child mortality National governments International partnership of multiple actors (Countdown to 2015 for Maternal, Newborn, and Child Survival), special global monitoring body (Commission on Accountability for Women’s and Children’s Health)
Rosinski et al, 201393 https://doi.org/10.1371/journal.pone.0067320 Developing a scorecard to assess global progress in scaling up diarrhoea control tools: a qualitative study of academic leaders and implementers Research article—qualitative study Global To explore the opportunities for using a scorecard as a policy tool for increasing the use of key preventive and therapeutic diarrhoea control tools Reduction in the burden of diarrhoea in children National governments International partnership of multiple actors (national governments, academic institutions and civil society organisations)
Yassi et al, 201399 https://doi.org/10.1007/s10805-013-9182-y The ethics of ethics reviews in global health research: case studies applying a new paradigm Research article—case study Canada, Honduras, South Africa, Ecuador To conduct a critical analysis of three case studies of research conducted in LMICs and apply emerging ethical guidelines and principles specific to global health research Ethical global health research collaborations Academic institutions Ethics review committees
Amaya et al, 2014101 https://doi.org/10.1080/17441692.2013.878957 After the Global Fund: who can sustain the HIV/AIDS response in Peru and how? Research article—case study Peru To examine the transition from Global Fund support to increasing national HIV/AIDS funding in Peru by analysing actor roles, motivations and effects on policies, identifying recommendations to inform decision-makers on priority areas Better governance and outcomes for HIV/AIDS Multiple levels of government in Peru, non-government organisations Multiple actors
Bruen et al, 20147 https://doi.org/10.1186/s12992-014-0073-9 A concept in flux: questioning accountability in the context of global health cooperation Review—narrative Global To examine the changing and distributed nature of global health cooperation and reflect on the concept and practice of accountability in the context of global health cooperation Better governance of development assistance for health Multiple actors Multiple actors
McGuire, 201594 https://doi.org/10.3945/an.115.008599 Actions and accountability to accelerate the world’s progress on nutrition News article Global To describe the content of the Global Nutrition Report 2014 Reduction in the burden of malnutrition in children Multiple actors International partnership (Joint Child Malnutrition Monitoring Group of the UNICEF, WHO and the World Bank)
Murphy et al, 2015100 https://doi.org/10.1007/s11673-014-9604-6 Making a commitment to ethics in global health research partnerships: a practical tool to support ethical practice Research article—case study Canada, Africa To describe a process of consultation on global health research partnerships that led to a call for improved ethical conduct in research partnerships Ethical global health research collaborations Academic institutions Self-accountability through the Partnership Assessment Toolkit
Thomas et al, 201586 https://www.hhrjournal.org/2015/11/assessing-the-impact-of-a-human-rights-based-approach-across-a-spectrum-of-change-for-womens-childrens-and-adolescents-health/ Assessing the impact of a human rights-based approach across a spectrum of change for women’s, children’s and adolescents’ health Commentary Global To present a framework to measure results in a way that offers a more nuanced understanding of the impact of human rights-based approaches and their complexity, as well as their contextual, multisectoral and evolving nature Realisation of health-related rights for women’s, children’s and adolescents’ health National governments Multiple actors
Hawkes and Buse, 201687 https://www.ijhpm.com/article_3166.html Searching for the right to health in the Sustainable Development Agenda Commentary Global To propose that the significance of the SDGs lies in their ability to move beyond a biomedical approach to health and healthcare, and to seize the opportunity for the realisation of the right to health in its fullest, widest, most fundamental sense Realisation of health-related rights for SDGs and UHC National governments Multiple actors
McDougall, 2016102 https://www.ijhpm.com/article_3153.html Power and politics in the global health landscape: beliefs, competition and negotiation among global advocacy coalitions in the policy-making process Research article—case study or qualitative study Global To examine how coalitions negotiate among themselves and exercise hidden forms of power to produce policy on the basis of their beliefs and strategic interests Improvement in women’s, children’s and adolescents’ health National governments International partnership (Global Strategy for Women’s and Children’s Health)
Moon and Omole, 201780 https://doi.org/10.1017/S1744133116000463 Development assistance for health: critiques, proposals and prospects for change Review—narrative Global To offer a systematic overview of problems and proposals for change in development assistance for health Better governance of development assistance for health International funding agencies, national governments of LMICs receiving assistance Multiple actors
Rodríguez et al, 201781 https://doi.org/10.2471/BLT.16.179861 Political commitment for vulnerable populations during donor transition Policy and practice paper Global To argue that, for reasons linked to human rights, it is critical that governments sustain health services for vulnerable populations during and after donor transition Better governance of development assistance for health and improved health for vulnerable groups International funding agencies, national governments of LMICs receiving assistance Civil society organisations
Yamin and Meleche, 201788 https://doi.org/10.1186/s12914-017-0128-0 Realising Universal Health Coverage (UHC) in East Africa: the relevance of human rights Commentary East Africa To apply human rights-based approaches to questions that countries undertaking efforts towards UHC and promoting women’s, children’s and adolescents’ health, will need to face, including meaningful oversight and accountability processes Improvement in women’s, children’s, and adolescents’ health, UHC National governments Civil society organisations
Ageborg, 201852 https://doi.org/10.1016/S0140-6736(18)31365-5 Transparency and accountability in AstraZeneca’s access to healthcare programmes Correspondence Kenya, Ethiopia To clarify points regarding AstraZeneca’s access programmes Ethical global health research collaborations Pharmaceutical industry Scientific journal and self-accountability
Barros et al, 201853 https://doi.org/10.1186/s12939-018-0836-7 Towards a global monitoring system for implementing the Rio Political Declaration on Social Determinants of Health: developing a core set of indicators for government action on the social determinants of health to improve health equity Research article—case study Global To describe the selection of indicators proposed to be part of the initial WHO global system for monitoring action on the Social Determinants of Health Better governance to address Social Determinants of Health and improvement in health equity National governments Multilateral organisation (WHO)
Boerma et al, 201854 https://doi.org/10.1016/S0140-6736(18)30104-1 Countdown to 2030: tracking progress towards universal coverage for reproductive, maternal, newborn and child health Review—narrative 81 countries with the highest reproductive, maternal, newborn and child health and nutrition burden To assess the progress of 81 countries in meeting outcome targets related to maternal, newborn and child health and nutrition Improvement in women’s, children’s and adolescents’ health National governments International partnership (Countdown 2030)
Clark, 201855 https://doi.org/10.1016/S0140-6736(18)30428-8 Report card shows gender is missing in global health Commentary Global To describe the work of Global Health 50/50 and how it contributes to gender equality Gender equality Multiple actors International partnership (Global Health 50/50)
El Bcheraoui et al, 201856 https://doi.org/10.1371/journal.pone.0203647 Advantages and disadvantages of channelling GAVI’s health system strengthening funds through health partners, a case study Research article—case study Chad, Cameroon To investigate the process and effect of channelling GAVI’s health systems strengthening funds through health partners to inform the global health community about the added value of this solution Better governance of development assistance for health National governments of Chad, Cameroon Multilateral public-private partnership (GAVI)
Johnson et al, 201857 https://doi.org/10.1186/s12914-018-0174-2 Global Abortion Policies Database: a new approach to strengthening knowledge on laws, policies and human rights standards Policy and practice paper Global To describe the Global Abortion Policies Database Realisation of health-related rights for SDGs National governments Civil society organisations and human rights advocacy groups
Paschke et al, 201858 https://dx.doi.org/10.2471/BLT.17.206516 Increasing transparency and accountability in national pharmaceutical systems Policy and practice paper Global To provide a conceptual understanding of how transparency can facilitate accountability for better access to medicines Better governance of the pharmaceutical system and access to quality medicines National governments, pharmaceutical industry Multiple actors
Ward et al, 201859 https://doi.org/10.1186/s12992-017-0319-4 Good collaborative practice: reforming capacity building governance of international health research partnerships Commentary Global To examine the extent to which provisions of international health research guidance and legislation promote capacity building and equitable partnerships in global health research Ethical global health research collaborations Research institutions Self-accountability through guidelines or agreements
Ajuebor et al, 201960 https://doi.org/10.1186/s12960-019-0392-2 Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis Research article—cross-sectional mixed-methods study Global To analyse the strengths and weaknesses in implementing the strategic directions for strengthening nursing and midwifery in the context of the SDGs, and identify opportunities for future policy reforms Stronger nursing and midwifery workforce National governments Multilateral organisation (WHO)
Boelen et al, 201961 https://doi.org/10.4103/efh.EfH_204_19 Accrediting excellence for a medical school’s impact on population health Commentary Argentina, Australia, Brazil, Canada, China, Chile, Colombia, Egypt, France, Germany, India, Indonesia, Iran, Ireland, Japan, Mexico, Pakistan, Philippines, Russia, South Africa, Sudan, Sweden, Spain, Tunisia, Turkey, UK, USA To advocate for stronger links between accreditation systems and health system challenges to better contribute towards health for all Socially accountabile schools and improvement in community health Health professional schools International partnership of health professional schools
Kavanagh and Chen, 201962 http://doi.org/10.5334/aogh.2505 Governance and health aid from the Global Fund: effects beyond fighting disease Research article—quantitative study 112 LMICs To describe the results of an analysis of a unique dataset on Global Fund financing alongside key indicators of governance and development over the past 15 years to empirically explore the impact of the Fund Better governance of development assistance for health Ministries of Health, non-government organisations (eg, Action Aid Malawi) Multisectoral institution (the Global Fund)
Pratt, 201963 https://doi.org/10.1093/heapol/czz041 Towards inclusive priority-setting for global health research projects: recommendations for sharing power with communities Research article—qualitative study Africa, Australia, Europe, USA, Latin America, Asia To argue that, before moving ahead with priority-setting for global health research projects, it is vital to assess whether contextual factors necessary for meaningful engagement between researchers and marginalised communities are present or can be built in the research setting Ethical global health research collaborations Research/academic institutions, funding agencies Communities
Prideaux, 201964 https://doi.org/10.1111/medu.13630 The global–local tension in medical education: turning ‘think global, act local’ on its head? Review—narrative Australia, New Zealand, Canada, USA, China, Latin America, Belgium, Sudan, South Africa, Nepal, Philippines To explore the global–local tension in medical education within a context that recognises that global health is marked by inequity and a consequent need to address global health disparities Socially accountable schools and improvement in community health Medical schools International partnership of medical schools (THEnet)
Yamin and Mason, 201965 https://doi.org/10.1016/S0140-6736(19)30434-9 Why accountability matters for UHC and meeting the SDGs Commentary Global To describes how the Independent Accountability Panel (IAP) contributes to accountability for meeting UHC and the SDGs Improvement in women’s, children’s and adolescents’ health National governments Special high-level body (UN Secretary General’s IAP)
Aktar et al, 202066 http://dx.doi.org/10.1136/bmjgh-2019-002253 How to prevent and address safeguarding concerns in global health research programmes: practice, process and positionality in marginalised spaces Policy and practice paper Bangladesh, India, Kenya, Sierra Leone To share the process and practice relating to safeguarding within the Accountability for Informal Urban Equity Hub, known as ARISE Ethical global health research collaborations International organisations providing services to vulnerable groups in LMICs International partnership of multiple actors (Accountability for Informal Urban Equity Hub, or ARISE)
Kohler and Bowra, 202067 https://doi.org/10.1186/s12992-020-00629-5 Exploring anticorruption, transparency and accountability in the WHO, the United Nations Development Programme, the World Bank Group and the Global Fund to Fight AIDS, Tuberculosis and Malaria Review—systematic literature review Global To explore how international organisations are implementing measures to promote accountability and transparency, and anticorruption in their own operations Better governance of global health institutions Multilateral global health institutions (WHO, UNDP, World Bank, Global Fund) Self-accountability through internal processes
Sacks et al, 202068 https://doi.org/10.1146/annurev-publhealth-100919-114442 Benchmarking as a public health strategy for creating healthy food environments: an evaluation of the INFORMAS Initiative (2012–2020) Policy and practice paper 58 countries To describe INFORMAS, an international network that monitors and benchmarks food environments and related policies that has resulted in the development and widespread application of standardised methods for assessing the characteristics of food environments Healthy food environments and systems National governments International partnership of multiple actors (INFORMAS)
Smits and Champagne, 202069 https://doi.org/10.1186/s12961-020-0525-z Governance of health research funding institutions: an integrated conceptual framework and actionable functions of governance Review—narrative Canada, UK, Australia, USA, Sweden, Netherlands, Singapore To identify the main functions of governance for health research funding institutions Better governance of global health funding and more ethical global health research collaborations Global health funding organisations Multiple actors and self-accountability
Vian, 202070 https://doi.org/10.1080/16549716.2019.1694744 Anticorruption, transparency and accountability in health: concepts, frameworks and approaches Review—narrative Global To summarise concepts, frameworks and approaches used to identify corruption risks and consequences of corruption on health systems and outcomes and inventory interventions to increase transparency and accountability Better governance for SDGs and UHC National governments Civil society organisations
Chang et al, 202171 https://doi.org/10.1186/s12992-021-00753-w The Global Fund: why anticorruption, transparency and accountability matter Research article—case study Global To understand anticorruption, transparency and accountability implementations and their impacts over the past decade in the Global Fund Better governance of global health institutions Multisectoral institution (Global Fund) and multiple levels of government Multiple actors
Christen and Conteh, 202172 http://dx.doi.org/10.1136/bmjgh-2021-006827 How are mathematical models and results from mathematical models of vaccine-preventable diseases used, or not, by global health organisations? Research article—qualitative study Europe, North America, Asia To examine how research evidence on global burden of disease and vaccine impact estimates is used by global health organisations to strengthen global immunisation systems Reduction in burden of disease Global health institutions (eg, BMGF Foundation, GAVI) Multiple actors
Fitzgerald et al, 202173 https://doi.org/10.7189/jogh.11.03045 Global health and social accountability: an essential synergy for the 21st century medical school Commentary USA, Kenya, Canada, Ecuador To argue that when global health and social accountability each draw on the strength of the other, these endeavours can be reinforced in a powerful synergy that enables them to realise their full potential Socially accountable schools and improvement in community health Medical schools Self-accountability
Kiendrébéogo et al, 202174 http://dx.doi.org/10.1136/bmjgh-2020-004273 Reinforcing locally led solutions for UHC: a logic model with applications in Benin, Namibia and Uganda Policy and practice paper Benin, Namibia, Uganda To present new ways for LMICs to gain more control of their development assistance programming as they move towards UHC Better governance of development assistance for UHC National governments Multiple actors
Saxena and Kline, 202175 https://doi.org/10.1016/S2215-0366(21)00391-6 Data to drive action and accountability Commentary Global To describe the Countdown Global Mental Health 2030 Improvement in mental health National governments International partnership of multiple actors (Countdown Global Mental Health)
Schaaf and Khosla, 202149 http://dx.doi.org/10.1136/bmjgh-2021-006033 Necessary but not sufficient: a scoping review of legal accountability for sexual and reproductive health in low-income and middle-income countries (LMICs) Review—scoping review Global To explore the links between legal accountability strategies and changes in the desired sexual and reproductive health and rights outcomes Realisation of health-related rights for sexual and reproductive health National governments Civil society organisations
Thomas and Brown, 202176 https://doi.org/10.1021/acs.est.0c04115 Using feedback to improve accountability in global environmental health and engineering Commentary Global To propose that the application of smarter, more actionable monitoring and decision support systems and aligned financial incentives can enhance accountability between donors, implementers, service providers, governments and the people who are the intended beneficiaries of development programming Better governance of environmental health interventions in LMICs Multiple actors Multiple actors
Debie et al, 202277 https://doi.org/10.1186/s12961-022-00858-7 Successes and challenges of health systems governance towards UHC and global health security: a narrative review and synthesis of the literature Review—narrative Global To synthesise the evidence and identify successes and challenges of health systems governance towards UHC and health security Attainment of UHC and health security National governments Multiple actors

*Edited for brevity, clarity and correctness.

ARISE, Accountability for Informal Urban Equity Hub; BMGF, Bill & Melinda Gates Foundation; GAVI, the Vaccine Alliance; IAP, Independent Accountability Panel; IHP+, International Health Partnership Plus; INFORMAS, International Network for Food and Obesity/noncommunicable diseases Research, Monitoring and Action Support; LMIC, low- and middle-income country; MNCH, Maternal, Newborn and Child Health; SDG, Sustainable Development Goal; the Global Fund, The Global Fund to Fight AIDS, Tuberculosis and Malaria; THEnet, Training for Health Equity Network; UHC, Universal Health Coverage; UNICEF, United Nations Children's Fund; WHO, World Health Organization.