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Working towards inclusive, socially accountable and resilient community health systems: An introduction to a special issue
(Kerman University of Medical Sciences, 2021)
This editorial introduces the eleven papers in the special issue titled: The multiple lenses on the community health
system: implications for research and action. Our editorial begins by describing the collaboration that ...
Factors associated with workplace and interpersonal trust in the supervisory system of a community health worker programme in a rural South African district
(Kerman University of Medical Sciences, 2022)
Key to effective supportive supervision, and ultimately performance of community health workers
(CHWs), is the nature of relationships in the formal health system at the coal face of programmes. The central character
and ...
Intersectoral collaboration before and during the COVID-19 pandemic in the Western Cape: implications for future whole-of-society approaches to health and wellbeing
(Health System Trust, 2022)
The profound health, social and economic impacts
generated by the COVID-19 pandemic have necessitated
collaboration among societal actors in an unprecedented
fashion, elevating the status of the health sector and
positioning ...
Expressions of actor power in implementation: A qualitative case study of a health service intervention in South Africa
(Research Square, 2021)
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 ...
Developing a district level supportive supervision framework for community health workers through co-production in South Africa
(BMC, 2021)
One of the key challenges of community health worker (CHW) programmes across the globe is
inadequate supervision. Evidence on effective approaches to CHW supervision is limited and intervention research has
up to now ...
The first thousand days within the Western Cape whole of society approach: Lessons for the collaborative governance of intersectoral action for health
(Researchgate, 2020-11)
This report is a case study of the Western Cape’s Whole of Society Approach (WoSA)
through the lens of the First Thousand Days (FTD) of childhood initiative, focusing in
particular on its implementation in Saldanha Bay ...
District governance and improved maternal, neonatal and child health in South Africa: Pathways of change
(Health systems and reform, 2020)
District-level initiatives to improve maternal, neonatal and child health (MNCH) generally do not take governance as their primary lens on health system strengthening. This paper is a case study of a district and sub-district ...
The multiple lenses on the community health system: Implications for policy, practice and research
(2021-07)
Community health systems (CHSs) have historically been approached from multiple perspectives, with different
purposes and methodological and disciplinary orientations. The terrain is, on the one hand, vast and diverse. ...
District and sub-district stewardship of quality and health outcomes: roles, systems and strategies
(University of the Western Cape, 2022)
Sub-district and district health systems – generically referred to as the meso-level – are key
to enhancing quality of care and improving health outcomes. Facility (micro) level
improvement strategies are less likely to ...
Exploring politics and contestation in the policy process: The case of Zambia’s contested community health strategy
(Kerman University of Medical Sciences, 2021)
There have been increased calls for low- and middle-income countries to develop community health systems (CHS)
policies or strategies. However, emerging global guidance brackets the inherent complexity and contestation ...