Advancing the application of systems thinking in health : a realist evaluation of a capacity building programme for district managers in Tumkur, India

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IDL-53966.pdf (3.13 MB)

Date

2014

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BioMed Central

Abstract

District health systems are constantly evolving in response to national policies, the local socio-political environment, and internal dynamics within healthcare institutions. A realist evaluation can help to make sense of these complex changes. The study compares outcomes of cases which received a capacity-building intervention for health managers, and explores how individual, institutional, and contextual factors interact and contribute to observed outcomes. Performance of health staff is determined by a variety of factors related to motivation, organisational dynamics and culture, and environmental factors including socio-economic and political forces. The paper describes the complexity of capacity-building interventions at the district level.

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Keywords

ORGANIZATION OF HEALTH-CARE, INDIA, HEALTH PERSONNEL, CAPACITY BUILDING, LEADERSHIP, SYSTEMS ANALYSIS, PUBLIC HEALTH ADMINISTRATION, DECENTRALIZATION, PROGRAMME EVALUATION, PROGRAMME OWNERSHIP, RURAL COMMUNITIES, SOUTH ASIA, COMPLEXITY

Citation

Prashanth, N.S., Marchal, B., Devadasan, N., Kegels, G., & Criel, B. (2014). Advancing the application of systems thinking in health: a realist evaluation of a capacity building programme for district managers in Tumkur, India. Health Research Policy and Systems, 12. doi:10.1186/1478-4505-12-42

URI

http://hdl.handle.net/10625/53966

DOI

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IDRC Research Results / Résultats de recherches du CRDI
2010-2019 / Années 2010-2019
Research Results (GEHS) / Résultats de recherches (GESS)