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Whole-system change: case study of factors facilitating early implementation of a primary health care reform in a South African province
(BioMed Central, 2014)
BACKGROUND: Whole-system interventions are those that entail system wide changes in goals, service delivery arrangements and relationships between actors, requiring approaches to implementation that go beyond projects or ...
Management of type 2 diabetes mellitus: Adherence challenges in environments of low socio-economic status
(AOSIS Publishing, 2014)
BACKGROUND: The efficacy of treatment for clients with diabetes is highly dependent on the individual’s ability to manage the disease. Several constraints, such as poverty, illiteracy and insufficient resources (finances ...
Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care
(Biomed Central, 2014)
BACKGROUND: New forms of leadership are required to bring about the fundamental
health system changes demanded by primary health care (PHC). Using theory about
complex adaptive systems and policy implementation, this ...