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Exploring the nature of governance at the level of implementation for health system strengthening: the DIALHS experience.

Scott V, Schaay N, Olckers P, Nqana N, Lehmann U, Gilson L - Health Policy Plan (2014)

Bottom Line: By re-framing the conflict as organizational, they were then able to create opportunities for staff to understand their context and participate in negotiating principles for communication and collaborative work.The result reduced conflict between staff in the two organizations, leading to improved implementation of programme support.Strengthening relationships among those working at local level by building collaborative norms and values is an important part of local health system governance for improved service delivery by multiple actors.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, University of the Western Cape, Bellville, South Africa, Metro District Health Services, Provincial Government of the Western Cape, Western Cape, South Africa, City Health, City of Cape Town, South Africa, Health Policy and Systems Division, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa and Health Economics and Systems Analysis Group, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK verascott@mweb.co.za.

No MeSH data available.


Related in: MedlinePlus

Operational and HAST programme managers and HAST staff in the two organizations. TB, Tuberculosis
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czu073-F2: Operational and HAST programme managers and HAST staff in the two organizations. TB, Tuberculosis

Mentions: HAST services are offered both within primary care facilities and in the community. The HAST programme staff do not work directly with clients and communities but are responsible for providing technical support to the staff and managers of primary care facilities and community-based organizations, and for liaising with sub-district finance, procurement and health information system staff. Figure 2 highlights the variation in numbers, titles and placements of HAST programme staff in the two organizations.Figure 2


Exploring the nature of governance at the level of implementation for health system strengthening: the DIALHS experience.

Scott V, Schaay N, Olckers P, Nqana N, Lehmann U, Gilson L - Health Policy Plan (2014)

Operational and HAST programme managers and HAST staff in the two organizations. TB, Tuberculosis
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4202916&req=5

czu073-F2: Operational and HAST programme managers and HAST staff in the two organizations. TB, Tuberculosis
Mentions: HAST services are offered both within primary care facilities and in the community. The HAST programme staff do not work directly with clients and communities but are responsible for providing technical support to the staff and managers of primary care facilities and community-based organizations, and for liaising with sub-district finance, procurement and health information system staff. Figure 2 highlights the variation in numbers, titles and placements of HAST programme staff in the two organizations.Figure 2

Bottom Line: By re-framing the conflict as organizational, they were then able to create opportunities for staff to understand their context and participate in negotiating principles for communication and collaborative work.The result reduced conflict between staff in the two organizations, leading to improved implementation of programme support.Strengthening relationships among those working at local level by building collaborative norms and values is an important part of local health system governance for improved service delivery by multiple actors.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, University of the Western Cape, Bellville, South Africa, Metro District Health Services, Provincial Government of the Western Cape, Western Cape, South Africa, City Health, City of Cape Town, South Africa, Health Policy and Systems Division, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa and Health Economics and Systems Analysis Group, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK verascott@mweb.co.za.

No MeSH data available.


Related in: MedlinePlus