Whole-system change : case study of factors facilitating early implementation of a primary health care reform in a South African province
Date
2014
Journal Title
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Volume Title
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
item.page.type
Journal Article (peer-reviewed)
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Text
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