scholarly journals Administrative integration of vertical HIV monitoring and evaluation into health systems: a case study from South Africa

2013 ◽  
Vol 6 (1) ◽  
pp. 19252 ◽  
Author(s):  
Mary Kawonga ◽  
Sharon Fonn ◽  
Duane Blaauw
2020 ◽  
Vol 23 (11) ◽  
pp. 1462-1469
Author(s):  
Fiammetta M. Bozzani ◽  
Tom Sumner ◽  
Don Mudzengi ◽  
Gabriela B. Gomez ◽  
Richard White ◽  
...  

2021 ◽  
Vol 41 (3) ◽  
pp. 1-11
Author(s):  
Mdutshekelwa Ndlovu ◽  
Precious Simba

The qualitative case study reported on here was commissioned and funded by the Western Cape Government (WCG) in partnership with the Cape Higher Education Consortium (CHEC) to inquire into attributes of well performing after-school programmes (ASPs) within the Western Cape provincei of South Africa. The research question of the study was: What quality elements of ASPs can be identified in 2 purposefully selected ASPs in the Western Cape province? In the multiple (double) case study we used interviews and archival data from the 2 ASPs. Using Mott’s Theory of Change (ToC) framework and Socio-Cultural Learning (SCL) theory as analytical lenses, we found that adaptability, strong management, staff commitment, involvement of current and former learners, family involvement, multi-stakeholder partnerships, continuous programme funding, and monitoring and evaluation were central to the success of the ASPs. Upscaling and replication efforts in the province and similar contexts should seriously consider embedding these quality elements in their logic models.


2021 ◽  
Author(s):  
Helen Schneider ◽  
Fidele Mukinda ◽  
Hanani Tabana ◽  
Asha George

Abstract Background Implementation frameworks and theories acknowledge the role of power as a factor in the adoption (or not) of interventions in health services. Despite this recognition, there is a paucity of evidence on how interventions at the front line of health systems confront or shape existing power relations. This paper reports on a study of actor power in the implementation of an intervention to improve maternal, neonatal and child health care quality and outcomes in a rural district of South Africa. Methods A retrospective qualitative case study based on interviews with 34 actors in three ‘implementation units’ – a district hospital and surrounding primary health care services – of the district, selected as purposefully representing full, moderate and low implementation of the intervention some three years after it was first introduced. Data are analysed using Veneklasen and Miller’s typology of the forms of power – namely ‘power over’, ‘power to’, ‘power within’ and ‘power with’. Results Multiple expressions of actor power were evident during implementation and played a plausible role in shaping variable implementation, while the intervention itself acted to change power relations. The ability to mobilise collective action (power with) was a key dimension of successful implementation, but potentially poses a threat to hierarchical power (power over) at higher levels of the system, affecting sustainability. Conclusions A systematic approach to the analysis of power in implementation research may provide insights into the fate of interventions. Intervention designs need to consider how they shape power relations, especially where interventions seek to widen participation and responsiveness in local health systems.


2019 ◽  
Vol 34 (Supplement_2) ◽  
pp. ii121-ii134 ◽  
Author(s):  
Kafayat Oboirien ◽  
Jane Goudge ◽  
Bronwyn Harris ◽  
John Eyles

Abstract We present an interpretive qualitative account of micro-level activities and processes of clinical governance by recently introduced district-based clinical specialist teams (DCSTs) in South Africa. We do this to explore whether and how they are functioning as institutional entrepreneurs (IE) at the local service delivery level. In one health district, between 2013 and 2015, we carried out 59 in-depth interviews with district, sub-district and facility managers, nurses, DCST members and external actors. We also ran one focus group discussion with the DCST and analysed key policies, activities and perceptions of the innovation using an institutional entrepreneurship conceptual lens. Findings show that the DCST is located in a constrained context. Yet, by revealing and bridging gaps in the health system, team members have been able to take on certain IE characteristics, functioning—more or less—as announcers of reforms, articulating a strategic vision and direction for the system, advocating for change, mobilizing resources. In addition, they have helped to reorganize services and shape care practices by re-framing issues and exerting power to influence organizational change. The DCST innovation provides an opportunity to promote institutional entrepreneurship in our context because it influences change and is applicable to other health systems. Yet there are nuanced differences between individual members and the team, and these need better understanding to maximize this contribution to change in this context and other health systems.


Author(s):  
Melanie SARANTOU ◽  
Satu MIETTINEN

This paper addresses the fields of social and service design in development contexts, practice-based and constructive design research. A framework for social design for services will be explored through the survey of existing literature, specifically by drawing on eight doctoral theses that were produced by the World Design research group. The work of World Design researcher-designers was guided by a strong ethos of social and service design for development in marginalised communities. The paper also draws on a case study in Namibia and South Africa titled ‘My Dream World’. This case study presents a good example of how the social design for services framework functions in practice during experimentation and research in the field. The social design for services framework transfers the World Design group’s research results into practical action, providing a tool for the facilitation of design and research processes for sustainable development in marginal contexts.


2019 ◽  
Vol 29 (1) ◽  
Author(s):  
N G Mugovhani ◽  
Lebogang Lance Nawa

This article discusses and raises awareness about the socio-economic plight of indigenous musicians in South Africa. Through a qualitative case study of the Venda musician, Vho-Talelani Andries Ntshengedzeni Mamphodo, dubbed the “Father of mbila music,” the article highlights the fact that the welfare of Black South African artists, particularly indigenous musicians in South Africa, is generally a precarious affair. Their popularity, at the height of their careers, sometimes masks shocking details of exploitation, neglect, and the poverty they are subjected to, which are exposed only after they have died. Empirical data identifies this as a symptom of, among other things, cultural policy and arts management deficiencies in the promotion of indigenous music. The article aims to find ways to redress this unfortunate situation, which is partially a product of general apathy and scant regard that these artists have perennially been subjected to, even by their own governments, as well as some members of their societies. All these factors mentioned are compounded by ignorance on the part of South African artists. Part of the objective of this study was to establish whether the exposition of the Vhavenda musicians is a typical example of all Black South African indigenous musicians and, if this is the case, whether the suggested ways to redress this unfortunate situation could contribute to or play a role in alleviating the plight of such artists in the entire country.


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