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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dc.contributor.authorSchneider, Helen
dc.contributor.authorEnglish, Rene
dc.contributor.authorTabana, Hanani
dc.contributor.authorPadayachee, Thesandree
dc.contributor.authorOrgill, Marsha
dc.date.accessioned2015-10-07T19:06:55Z
dc.date.available2015-10-07T19:06:55Z
dc.date.copyright2014
dc.date.issued2014
dc.description.abstractThe 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.en
dc.formatTexten
dc.format.extent1 digital file (p. 1-11)en
dc.format.mimetypeApplication/pdf
dc.identifier.citationSchneider, 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/1472-6963/14/609en
dc.identifier.urihttp://hdl.handle.net/10625/54735
dc.language.isoen
dc.publisherBioMed Centralen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.subjectSOUTH AFRICAen
dc.subjectHEALTH SYSTEMen
dc.subjectPRIMARY HEALTH CAREen
dc.subjectCOMMUNITY HEALTH WORKERSen
dc.subjectSYSTEMS ANALYSISen
dc.subjectHEALTHCARE REFORMen
dc.subjectORGANIZATIONAL CHANGEen
dc.subjectPARTICIPATORY RESEARCHen
dc.subjectLEADERSHIPen
dc.subjectPROGRAMME OWNERSHIPen
dc.subjectPROGRAMME MANAGEMENTen
dc.titleWhole-system change : case study of factors facilitating early implementation of a primary health care reform in a South African provinceen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderSchneider et al.; licensee BioMed Central Ltd.
idrc.copyright.oapermissionsourceCC BYen
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber106788001
idrc.project.number106788
idrc.project.titleCollaboration for Health Systems Analysis and Innovation (CHESAI)en
idrc.recordsserver.bcsnumberIC01-7115-28
idrc.rims.adhocgroupIDRC SUPPORTEDen

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