Structured PREreview of “What slows the progress of health systems strengthening at subnational level? A Political Economy Analysis of three districts in Uganda”

Does the introduction explain the objective of the research presented in the preprint?

Yes

The introduction briefly explains the history behind HSS in Uganda and outlines the purpose of the article.

Are the methods well-suited for this research?

Highly appropriate

Are the conclusions supported by the data?

Highly supported

The results ultimately analyzed the root causes which face Uganda's health care system. These findings are supported by the research and are not extrapolated beyond the data presented.

Are the data presentations, including visualizations, well-suited to represent the data?

Somewhat appropriate and clear

There is only one data table with ambiguous significance at the bottom of the paper. To increase accessibility, providing a written explanation of the data points and clear labels for the graph would improve the effectiveness of their data presentation.

How clearly do the authors discuss, explain, and interpret their findings and potential next steps for the research?

Somewhat clearly

They mention the ideal next steps, but describe them through a hypothetical analysis instead of clear actions that can be taken.

Is the preprint likely to advance academic knowledge?

Highly likely

The preprint advances the use of a political economy analysis in the study of health systems. Their approach also expands current research and contributes new information to discussions of Uganda's health care system.

Would it benefit from language editing?

No

Would you recommend this preprint to others?

Yes, it’s of high quality

Is it ready for attention from an editor, publisher or broader audience?

Yes, as it is

Competing interests

The author declares that they have no competing interests.