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eLearning for health system leadership and management capacity building: a protocol for a systematic review
  1. Lorainne Tudor Car1,2,3,
  2. Rifat Atun3
  1. 1 Center for Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
  2. 2 Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK
  3. 3 Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard, Boston, USA
  1. Correspondence to Dr Lorainne Tudor Car;{at}


Introduction Health leadership and management capacity are essential for health system strengthening and for attaining universal health coverage by optimising the existing human, technological and financial resources. However, in health systems, health leadership and management training is not widely available. The use of information technology for education (ie, eLearning) could help address this training gap by enabling flexible, efficient and scalable health leadership and management training. We present a protocol for a systematic review on the effectiveness of eLearning for health leadership and management capacity building in improving health system outcomes.

Methodology and analysis We will follow the Cochrane Collaboration methodology. We will search for experimental studies focused on the use of any type of eLearning modality for health management and leadership capacity building in all types of health workforce cadres. The primary outcomes of interest will be health outcomes, financial risk protection and user satisfaction. In addition, secondary outcomes of interest include the attainment of health system objectives of improved equity, efficiency, effectiveness and responsiveness. We will search relevant databases of published and grey literature as well as clinical trials registries from 1990 onwards without language restrictions. Two review authors will screen references, extract data and perform risk of bias assessment independently. Contingent on the heterogeneity of the collated literature, we will perform either a meta-analysis or a narrative synthesis of the collated data.

Ethics and dissemination The systematic review will aim to inform policy makers, investors, health professionals, technologists and educators about the existing evidence, potential gaps in literature and the impact of eLearning for health leadership and management capacity building on health system outcomes. We will disseminate the review findings by publishing it as a peer-reviewed journal manuscript and conference abstracts.

Trial registration number PROSPERO CRD42017056998

  • Elearning
  • Health Management
  • Leadership
  • Health System Strengthening

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  • Contributors LTC and RA conceived the idea, planned and designed the study protocol. LTC designed the figure and wrote the first draft; RA planned and provided critical insights. Both authors have approved and contributed to the final written manuscript.

  • Funding This study was supported by Lee Kong Chian School of Medicine, NanyangTechnological University, Singapore. The study also received financial supportfrom the Department of Primary Care and Public Health, Imperial College London.The Department of Primary Care and Public Health is grateful for the supportfrom the National Institute for Health Research (NIHR) under the Collaborationsfor Leadership in Applied Health Research and Care (CLARCH) programme for NorthWest London, the NIHR Biomedical Research Centre scheme and the Imperial Centrefor Patient Safety and Service Quality.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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