Testing the Contextual Interaction Theory in a UHC Pilot District in South Africa

Abstract Background: World-wide, there is growing universal health coverage (UHC) enthusiasm. The South African government began piloting policies aimed at achieving UHC in 2012. These UHC policies have been and are being rolled out in the ten selected pilot districts. Our study explored policy implementation experiences of 71 actors involved in UHC policy implementation, in one South African pilot district using the Contextual Interaction Theory (CIT) lens.Method: Our study applied a two-actor deductive theory of implementation, Contextual Interaction Theory (CIT) to analyse 71 key informant interviews from one National Health Insurance (NHI) pilot district in South Africa. The theory uses motivation, information, power, resources and the interaction of these to explain implementation experiences and outcomes. The research question centred on the utility of CIT tenets in explaining the observed implementation experiences of actors and outcomes particularly policy- practice gaps.Results: All CIT central tenets (information, motivation, power, resources and interactions) were alluded to by actors in their policy implementation experiences, a lack or presence of these tenets were explained as either a facilitator or barrier to policy implementation. This theory was found as very useful in explaining policy implementation experiences of both policy makers and facilitators. Conclusion: A central tenet that was present in this context but not fully captured by CIT was leadership. Leadership interactions were revealed as critical for policy implementation, hence we propose the inclusion of leadership interactions to the current CIT central tenets, to become motivation, information, power, resources, leadership and interactions of all these.

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Testing the Contextual Interaction Theory in a UHC Pilot District in South Africa

10.21203/rs.3.rs-127904/v1 ◽

2020 ◽

Author(s):

Janet Michel ◽

Nthabiseng Mohlakoana ◽

Till Bärnighausen ◽

Fabrizio Tediosi ◽

David Evans ◽

...

Keyword(s):

South Africa ◽

Policy Implementation ◽

South African ◽

Research Question ◽

Health Coverage ◽

Interaction Theory ◽

Policy Practice ◽

Power Resources ◽

Information Power ◽

Leadership Interactions

Abstract Background: World-wide, there is growing universal health coverage (UHC) enthusiasm. The South African government began piloting policies aimed at achieving UHC in 2012. These UHC policies have been and are being rolled out in the ten selected pilot districts. Our study explored policy implementation experiences of 71 actors involved in UHC policy implementation, in one South African pilot district using the Contextual Interaction Theory (CIT) lens.Method: Our study applied a two-actor deductive theory of implementation, Contextual Interaction Theory (CIT) to analyse 71 key informant interviews from one National Health Insurance (NHI) pilot district in South Africa. The theory uses motivation, information, power, resources and the interaction of these to explain implementation experiences and outcomes. The research question centred on the utility of CIT tenets in explaining the observed implementation experiences of actors and outcomes particularly policy- practice gaps.Results: All CIT central tenets (information, motivation, power, resources and interactions) were alluded to by actors in their policy implementation experiences, a lack or presence of these tenets were explained as either a facilitator or barrier to policy implementation. This theory was found as very useful in explaining policy implementation experiences of both policy makers and facilitators. Conclusion: A central tenet that was present in this context but not fully captured by CIT was leadership. Leadership interactions were revealed as critical for policy implementation, hence we propose the inclusion of leadership interactions to the current CIT central tenets, to become motivation, information, power, resources, leadership and interactions of all these.

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Testing the Contextual Interaction Theory in a UHC pilot district in South Africa

10.21203/rs.3.rs-93700/v3 ◽

2021 ◽

Author(s):

Janet Michel ◽

Nthabiseng Mohlakoana ◽

Till Bärnighausen ◽

Fabrizio Tediosi ◽

David Evans ◽

...

Keyword(s):

South Africa ◽

Policy Implementation ◽

South African ◽

Research Question ◽

Health Coverage ◽

Interaction Theory ◽

Policy Practice ◽

Power Resources ◽

Information Power ◽

Leadership Interactions

Abstract Background: World-wide, there is growing universal health coverage (UHC) enthusiasm. The South African government began piloting policies aimed at achieving UHC in 2012. These UHC policies have been and are being rolled out in the ten selected pilot districts. Our study explored policy implementation experiences of 71 actors involved in UHC policy implementation, in one South African pilot district using the Contextual Interaction Theory (CIT) lens.Method: Our study applied a two-actor deductive theory of implementation, Contextual Interaction Theory (CIT) to analyse 71 key informant interviews from one National Health Insurance (NHI) pilot district in South Africa. The theory uses motivation, information, power, resources and the interaction of these to explain implementation experiences and outcomes. The research question centred on the utility of CIT tenets in explaining the observed implementation experiences of actors and outcomes particularly policy- practice gaps. Results: All CIT central tenets (information, motivation, power, resources and interactions) were alluded to by actors in their policy implementation experiences, a lack or presence of these tenets were explained as either a facilitator or barrier to policy implementation. This theory was found as very useful in explaining policy implementation experiences of both policy makers and facilitators.Conclusion: A central tenet that was present in this context but not fully captured by CIT was leadership. Leadership interactions were revealed as critical for policy implementation, hence we propose the inclusion of leadership interactions to the current CIT central tenets, to become motivation, information, power, resources, leadership and interactions of all these.

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Achieving universal health coverage for people with stroke in South Africa: protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2020-041221 ◽

2020 ◽

Vol 10 (10) ◽

pp. e041221

Author(s):

Sjan-Mari van Niekerk ◽

Gakeemah Inglis-Jassiem ◽

Sureshkumar Kamalakannan ◽

Silke Fernandes ◽

Jayne Webster ◽

...

Keyword(s):

South Africa ◽

South African ◽

Universal Health Coverage ◽

Scoping Review ◽

Research Question ◽

Health Coverage ◽

African Health ◽

Ethical Approval ◽

Analyse Data ◽

Universal Health

IntroductionStroke is the second most common cause of death after HIV/AIDS and a significant health burden in South Africa. The extent to which universal health coverage (UHC) is achieved for people with stroke in South Africa is unknown. Therefore, a scoping review to explore the opportunities and challenges within the South African health system to facilitate the achievement of UHC for people with stroke is warranted.Methods and analysisThe scoping review will follow the approach recommended by Levac, Colquhoun and O’Brien, which includes five steps: (1) identifying the research question, (2) identifying relevant studies, (3) selecting the studies, (4) charting the data, and (5) collating, summarising and reporting the results. Health Systems Dynamics Framework and WHO Framework on integrated people-centred health services will be used to map, synthesise and analyse data thematically.Ethics and disseminationEthical approval is not required for this scoping review, as it will only include published and publicly available data. The findings of this review will be published in an open-access, peer-reviewed journal and we will develop an accessible summary of the results for website posting and stakeholder meetings.

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The use of social media by South African organisations

Journal of Advances in Management Research ◽

10.1108/jamr-05-2017-0063 ◽

2018 ◽

Vol 15 (2) ◽

pp. 198-210 ◽

Cited By ~ 2

Author(s):

Nomusa Nomhle Dlamini ◽

Kevin Johnston

Keyword(s):

South Africa ◽

Social Media ◽

South African ◽

Quantitative Research ◽

Brand Management ◽

Research Question ◽

Management Tool ◽

Content Type ◽

Quantitative Research Methods ◽

Main Research

Purpose The purpose of this paper is to present how organisations in South Africa are using social media. The paper further explores the value of social media to South African organisations and if it is important for an organisation to have a social media presence. Design/methodology/approach The study used quantitative research methods to answer the main research question and sub-questions. Findings The data collected revealed that most organisations in South Africa are using social media for free advertising, CRM and marketing. The popular social media sites used by these organisations are Facebook and Twitter, with LinkedIn increasing in popularity. The data further revealed that social media is important in organisations for relationship building, contact keeping advertising, marketing, attracting customers, brand management and information gathering. Research limitations/implications The role of social media is changing, it was initially a marketing tool, but the findings revealed that majority of organisations are using social media for free advertising, CRM and marketing. Social media is an easy CRM tool that offers effective and efficient capabilities. Practical implications It is important to use integrate social media with the organisations processes to market and advertise new products, it is an instant and cost-saving way of communicating with customers, and helps in reaching and attracting new customers. Social implications Social media is important for keeping contact and building relationships with customers, advertising and marketing, way to attract customers, brand management tool and gathering information. Originality/value The study provides guidance to how organisation can use social media, identifying the value of using social media and highlighting the importance of social media in an organisation in the South African context.

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South African parents’ view of their role in the education of their young children in South Africa as democratic citizens

Journal of Early Childhood Research ◽

10.1177/1476718x20938074 ◽

2020 ◽

pp. 1476718X2093807

Author(s):

Cecilia Klopper

Keyword(s):

South Africa ◽

Young Children ◽

South African ◽

Role Models ◽

Primary Schools ◽

Research Question ◽

Democratic Citizenship ◽

Self Control ◽

Best Interest ◽

Political Factors

This study addressed the knowledge gap regarding South African parents’ view of their role in the education of young children as democratic citizens. The study was conducted with parents of children younger than 8 years in 2 multicultural primary schools in Gauteng, South Africa. The explanatory sequential mixed methods research design was used to collect data from parents in order to answer the research question. The quantitative data were gathered first by means of a questionnaire, and afterwards the qualitative data were gathered by means of semi-structured interviews. The research results showed that when educating their young children to democratic citizenship, participating parents consider various values of a democratic citizen as important including responsibility, respect, participation, norms and values, peacebuilding, love, loyalty, deliberations, kindness, commitment, non-racism, non-sexism, equality, reconciliation, self-control, forgiveness, compassion, tolerance, open-mindedness, a sense of belonging, rule of law and social justice. Participating parents also regard their example as democratic citizens, respect, participation and the creation of a safe, proud and free democratic society as important. They did, however, consider the media and other bad role models as challenges when educating their young children towards democratic citizenship. The most important finding of the study is the influence of negative societal and political factors on the attitudes and opinions of the participating parents. New insights that emerged from the study includes that these parents want to do their best to educate their children as democratic citizens in South Africa, in the best interest of their children as future democratic citizens, but are hindered by certain societal and political factors.

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The "Double-edged Sword" of Institutional Power: COSATU, Neo-liberalisation and the Right to Strike

Global Labour Journal ◽

10.15173/glj.v10i2.3585 ◽

2019 ◽

Vol 10 (2) ◽

Cited By ~ 1

Author(s):

Carin Runciman

Keyword(s):

South Africa ◽

South African ◽

Trade Unions ◽

Analytical Framework ◽

The South ◽

Labour Relations ◽

Institutional Power ◽

Power Resources ◽

Legal Provisions ◽

The Right

On 1 January 2019 amendments to the Labour Relations Act came into force that significantly altered and curtailed the right to protected strike action in South Africa. Internationally, the right to strike has been eroded in recent years with many countries adopting legal provisions that violate the International Labour Organization’s principles. Comparatively, the rights of South African workers to go on protected strikes remain better than many other places in the world, a reflection of the militant history of the South African labour movement. But the erosion of these rights, with the active support of the Congress of South African Trade Unions, should be a cause for concern for activists and labour scholars in South Africa and beyond. This article develops the Power Resources Approach to consider how union institutional power has entrenched neo-liberalism in South Africa. Grounding the analysis of institutional power within the analytical framework of corporatism allows this article to develop an analysis of institutional power that is attentive to class forces. This provides an avenue for understanding the “double-edged sword” of institutional power in the South African context in order to comprehend when and under what circumstances trade unions advance and defend the interests of the working class and when they defend those of capital. KEY WORDS: labour; neo-liberalism; institutional power; corporatism; South Africa

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Whatever happened to God’s holiness? The holiness of God and the theological authenticity of the South African neo-Pentecostal prophetic activities

Verbum et Ecclesia ◽

10.4102/ve.v42i1.2323 ◽

2021 ◽

Vol 42 (1) ◽

Author(s):

Collium Banda

Keyword(s):

South Africa ◽

South African ◽

Research Question ◽

Theoretical Framework ◽

The South ◽

Human Needs ◽

Theological Perspective ◽

Doctrine Of The Church ◽

The Church

The controversial activities of the neo-Pentecostal prophets (NPPs) in South Africa raise many theological questions. From a systematic theological perspective that affirms the importance of Christian doctrines in regulating church worship and practice, this article uses God’s holiness to evaluate the theological authenticity of the NPPs’ controversial activities. The research question answered in the article is: how can an understanding of the holiness of God empower Christian believers to respond meaningfully to the controversial practices? The article begins by describing the theoretical framework of God’s holiness. This is followed by describing the NPPs’ shift from prophecy focusing on holiness to one focused on human needs. Furthermore, this shift among the NPPs from holiness to human needs is attributed to celebrity cultism through which the prophets thrust themselves as powerful figures who are able to solve people’s problems. Afterward an analysis is made of how the holiness of God is violated by the NPPs’ controversial practices. Finally, some steps are suggested for NPPs and their followers to take to align their activities with God’s holiness. The contribution of the article lies in highlighting the importance of God’s holiness as a standard of measuring the Christian authenticity of the controversial activities of the NPPs in South Africa.Intradisciplinary and/or interdisciplinary implications: The article uses insights from the doctrine of God’s holiness, the role of biblical prophecy and the doctrine of the church, to critique the controversial activities of the NPPs in South Africa.

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Centrist television in the democratic South Africa: policymakers fail to answer the regional/local question, 1990-2011

Info ◽

10.1108/info-05-2013-0029 ◽

2013 ◽

Vol 15 (5) ◽

pp. 128-140

Author(s):

Chris Armstrong

Keyword(s):

South Africa ◽

Policy Implementation ◽

Conceptual Framework ◽

South African ◽

Public Interest ◽

Content Type ◽

The Public ◽

Media Regulation ◽

The Impact

Purpose – The purpose of this paper is to explore the disconnect between policy intent and policy implementation in relation to regional/local (sub-national) TV deliverables in South Africa between 1990 and 2011, and evaluate the impact of this disconnect in pursuit of public interest objectives. Design/methodology/approach – The article is based on a research case study in which data extracted from policy documents and interviews were qualitatively analysed via the Kingdon “policy streams” framework and the Feintuck and Varney public interest media regulation framework. Findings – It was found that ruptures in deliberative policymaking, and policy implementation missteps, undermined sub-national TV delivery and, in turn, undermined pursuit of the public interest. Originality/value – By combining a political science conceptual framework with a media policy conceptual framework, the article provides unique insights into South African TV policymaking in the early democratic era.

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