scholarly journals Theorizing and institutionalizing operation Sukuma Sakhe: a case study of integrated service delivery

2016 ◽  
Vol 7 (4) ◽  
pp. 161-170 ◽  
Author(s):  
Nonhlanhla Ignatia Ndlovu ◽  
Pumela Msweli
Keyword(s):  
Service Delivery ◽  
Institutional Theory ◽  
Methodological Approach ◽  
Jel Classification ◽  
Economic Systems ◽  
Integrated Service Delivery ◽  
The Social ◽  
Scientific Approach ◽  
Integrated Service

The authority of South Africa is in the midst of a profound economic crisis precipitated by high levels of unemployment and inequality, marked by political shifts unprecedented in scope subsequent to the 2016 local government elections. The recent election outcomes reveal disturbances in the social, political and economic systems of the country. These disturbances have been precipitated by low economic growth trajectory and poor investment in service delivery infrastructure. The central thesis of this paper is that in addressing the triple challenge of poverty, inequality and unemployment, a symptomatic approach of addressing social ills and service delivery will not work. This paper draws from institutional theory as a sense-making mechanism to produce a scientific approach to integrated service delivery. Using the tenets of the critical reflecting methodological approach, institutional theory is deconstructed to provide an understanding of how to operationalize integrated service delivery across functions in a scientific fashion. Keywords: service delivery, institutional theory, poverty, inequality and unemployment. JEL Classification: L8, J64, J71, I32

scholarly journals Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146694 ◽  
Author(s):  
Susannah H. Mayhew ◽  
George B. Ploubidis ◽  
Andy Sloggett ◽  
Kathryn Church ◽  
Carol D. Obure ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Service Delivery ◽  
Integrated Service Delivery ◽  
The Impact ◽  
Integrated Service

Towards Integrated Service Delivery for Primary Health Care: Can Programs Meet People's Lives?

2000 ◽  
Vol 6 (4) ◽  
pp. 43
Author(s):  
Vivian Lin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Care Policy ◽  
Unit Cost ◽  
Policy Research ◽  
Evidence Base ◽  
Integrated Service Delivery ◽  
Primary Health ◽  
Integrated Service

The primary health care sector faces a number of challenges. Some of these are in the form of persistent problems which include, inter alia, health disparities in resources and outcomes, a fragmented health system, issues of power with respect to priority setting and resource allocation, and a poor information and evidence base with which to allocate resources and evaluate outcomes. These problems are perennially accompanied by a gap between the rhetoric of policy and the reality of implementation. Neo-liberal reforms present a series of challenges to primary health, with the introduction of unit-cost funding, competitive tendering and increased user pays. Changing epidemiological patterns, the rise of evidence-based medicine, and new information and communication technology all question accepted methods of practice. Eroding community confidence in government and professionals, and the growing polarisation of society are also cause for concern. Three areas for development in primary health care policy and practice may provide the keys for dealing with these challenges. These are, first, the development of integrated service delivery models, which move away from narrowly defined single purpose programs delivered by one provider. Second, the development of innovative policy and managerial tools that support the objectives of primary health care while addressing the concerns of policy makers. Finally, the development of a strategic research and development agenda that effectively links policy, research and practice.

scholarly journals 149SCREENING TO IDENTIFY PATIENTS SUITABLE FOR INTEGRATED SERVICE DELIVERY IN THE EMERGENCY DEPARTMENT

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii13.50-ii56
Author(s):  
Maria Costello ◽  
Lynn Spooner ◽  
Cliona Small ◽  
Antoinette Flannery ◽  
Liam O'Reilly ◽  
...  
Keyword(s):  
Emergency Department ◽  
Service Delivery ◽  
Integrated Service Delivery ◽  
Integrated Service
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