Gilson, LucyElloker, SorayaOlckers, PattiLehmann, Uta2015-04-202015-04-2020142014Gilson, L., Elloker, S., Olckers, P., & Lehmann, U. (2014). Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care. Health Research Policy and Systems, 12. doi:10.1186/1478-4505-12-30http://hdl.handle.net/10625/53974Sub-district managers recognize the challenge of having to address the passivity of primary health care (PHC) managers and their staff, as well as their role in empowering them. The article discusses leadership practices that facilitate change processes and allow for more active engagement and ownership both by managers and their staff. Undertaken collaboratively between health managers and researchers, the project is implemented through cycles of action-learning, including systematic reflection and synthesis, focusing on how local health managers can better support front line facility managers in PHC. The analysis adds to a limited body of work examining health system complexity.Text1 digital file (13 p. : ill.)Application/pdfenPRIMARY HEALTH CARESOUTH AFRICAHEALTH SYSTEMLEADERSHIPHEALTH POLICYSYSTEMS ANALYSISORGANIZATIONAL REFORMHEALTH SERVICE GATEKEEPERSSOUTH OF SAHARACOMMUNITY HEALTH WORKERSCOMMUNICATION BARRIERSCAPE TOWNHEALTHCARE REFORMHEALTH-CARE DELIVERYHEALTH FACILITIESHEALTH EQUITYJournal Article (peer-reviewed)