Crises, routines and innovations : the complexities and possibilities of sub-district management
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Health Systems Trust
Abstract
This case study of one urban sub-district in Cape Town was developed as part of a wider action learning project partnership – the District Innovation and Action Learning for Health System Development (DIALHS) project – which aims to understand and improve health system governance. The paper argues that generating positive organizational change is a key task of district managers and leaders. Routine management in an environment of stress, constraints and uncertainty requires that managers be resilient, reflective, and continuously able to learn. The article recommends that management and leadership programmes should focus on developing these capabilities alongside technical skills training.
Description
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item.page.type
Journal Article (peer-reviewed)
item.page.format
Keywords
HEALTH SYSTEM, SOUTH AFRICA, HEALTHCARE REFORM, SYSTEMS ANALYSIS, PROGRAMME MANAGEMENT, SOUTH OF SAHARA, TRUST, LEADERSHIP, WORKING CONDITIONS, ORGANIZATIONAL CHANGE, OPERATIONS RESEARCH, DECISION MAKING, HEALTH-CARE DELIVERY, HEALTH EQUITY
Citation
Elloker, S., Olckers, P., Gilson, L., & Lehmann, U. (2013). Crises, Routines and Innovations: The complexities and possibilities of sub-district management. South African Health Review 2012/13: 161-173.