Bottom-up innovation for health management capacity development: a qualitative case study in a South African health district.

ABSTRACT:

Background

As part of health system strengthening in South Africa (2012-2017) a new district health manager, taking a bottom-up approach, developed a suite of innovations to improve the processes of monthly district management team meetings, and the practices of managers and NGO partners attending them. Understanding capacity as a property of the health system rather than only of individuals, the research explored the mechanisms triggered in context to produce outputs, including the initial sensemaking by the district manager, the subsequent sensegiving and sensemaking in the team and how these homegrown innovations interacted with existing social processes and norms within the system.

Methods

We conducted a realist evaluation, adopting the case study design, over a two-year

SUBMITTER: Orgill M 

PROVIDER: S-EPMC7992952 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature