Elloker, SorayaOlckers, PattiGilson, LucyLehmann, Uta2015-10-072015-10-072013Elloker, S., Olckers, P., Gilson, L., & Lehmann, U. (2013). Crises, Routines and Innovations: The complexities and possibilities of sub-district management. South African Health Review 2012/13: 161-173.http://hdl.handle.net/10625/54730Due to copyright restrictions, this item cannot be sharedThis case study of one urban sub-district in Cape Town was developed as part of a wider action learning project partnership – the District Innovation and Action Learning for Health System Development (DIALHS) project – which aims to understand and improve health system governance. The paper argues that generating positive organizational change is a key task of district managers and leaders. Routine management in an environment of stress, constraints and uncertainty requires that managers be resilient, reflective, and continuously able to learn. The article recommends that management and leadership programmes should focus on developing these capabilities alongside technical skills training.1 digital file (p. 161-173)application/pdfenHEALTH SYSTEMSOUTH AFRICAHEALTHCARE REFORMSYSTEMS ANALYSISPROGRAMME MANAGEMENTSOUTH OF SAHARATRUSTLEADERSHIPWORKING CONDITIONSORGANIZATIONAL CHANGEOPERATIONS RESEARCHDECISION MAKINGHEALTH-CARE DELIVERYHEALTH EQUITYJournal Article (peer-reviewed)