Whole-system change : case study of factors facilitating early implementation of a primary health care reform in a South African province

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IDL-54735.pdf (259.84 KB)

Date

2014

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Publisher

BioMed Central

Abstract

The case study highlights how collective vision can facilitate commitment to and engagement with new policy in complex organisational environments. All those interviewed recognized value of the new approach. It brought tangible benefits in expanding access, improving performance of the health system (aspects such as vitamin A distribution, early antenatal booking, immunization coverage and retention in care of chronic cases all being mentioned), and building inter-sectoral relationships. Successful adoption does not, however, guarantee sustained implementation at scale. Lack of dedicated financial resources from national or provincial government is the most significant challenge.

Description

Keywords

SOUTH AFRICA, HEALTH SYSTEM, PRIMARY HEALTH CARE, COMMUNITY HEALTH WORKERS, SYSTEMS ANALYSIS, HEALTHCARE REFORM, ORGANIZATIONAL CHANGE, PARTICIPATORY RESEARCH, LEADERSHIP, PROGRAMME OWNERSHIP, PROGRAMME MANAGEMENT

Citation

Schneider, H., English, R., Tabana, H., Padayachee, T., & Orgill, M. (2014). Whole-system change: case study of factors facilitating early implementation of a primary health care reform in a South African province. BMC Health Services Research, 14(609): 1-11. http://www.biomedcentral.com/1472-6963/14/609

URI

http://hdl.handle.net/10625/54735

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)