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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dc.contributor.authorPrashanth, Nuggehalli Srinivas
dc.contributor.authorMarchal, Bruno
dc.contributor.authorDevadasan, Narayanan
dc.contributor.authorKegels, Guy
dc.contributor.authorCriel, Bart
dc.date.accessioned2015-04-20T15:09:48Z
dc.date.available2015-04-20T15:09:48Z
dc.date.copyright2014
dc.date.issued2014
dc.description.abstractDistrict 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.en
dc.formatTexten
dc.format.extent1 digital file (20 p. : ill.)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationPrashanth, 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:10.1186/1478-4505-12-42en
dc.identifier.urihttp://hdl.handle.net/10625/53966
dc.language.isoen
dc.publisherBioMed Centralen
dc.relation.ispartofAdvancing the application of systems thinking in healthen
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.subjectORGANIZATION OF HEALTH-CAREen
dc.subjectINDIAen
dc.subjectHEALTH PERSONNELen
dc.subjectCAPACITY BUILDINGen
dc.subjectLEADERSHIPen
dc.subjectSYSTEMS ANALYSISen
dc.subjectPUBLIC HEALTH ADMINISTRATIONen
dc.subjectDECENTRALIZATIONen
dc.subjectPROGRAMME EVALUATIONen
dc.subjectPROGRAMME OWNERSHIPen
dc.subjectRURAL COMMUNITIESen
dc.subjectSOUTH ASIAen
dc.subjectCOMPLEXITYen
dc.titleAdvancing the application of systems thinking in health : a realist evaluation of a capacity building programme for district managers in Tumkur, Indiaen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderPrashanth et al.; licensee BioMed Central Ltd.
idrc.copyright.oapermissionsourceCC BYen
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber106975001
idrc.project.number106975
idrc.project.titleAdvancing Knowledge and Practice to Systems Thinking to Strengthen Equity in Health Systemsen
idrc.recordsserver.bcsnumberIC01-9715-14
idrc.rims.adhocgroupIDRC SUPPORTEDen

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