Conclusion

The landscape analysis represents a discovery period and sets the stage for future exploration of drivers in specific contexts. The large number of potential drivers identified during this process enriches understanding of the many factors that practitioners, researchers, and program managers report as important influences on RI system performance. However, for the most part, the data fail to clearly link drivers to performance, either for changes in essential system functions or for system outcomes (e.g., coverage, equity).

Furthermore, because most reports lacked detail or failed to substantiate findings, the data did not allow researchers to prioritize any one of the emerging drivers over another. Finally, none of the data gathered for this analysis allowed researchers to assess the full picture of country experience or to review enough examples of proposed drivers to make generalizations about driver behavior or the capacity to improve performance.