+publisher:"University of Cape Town" +contributor:("Gilson, Lucy")

University of Cape Town

1. Laenen, Inneke. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.

Degree: MPH, Public Health and Family Medicine, 2020, University of Cape Town

URL: http://hdl.handle.net/11427/32384

► Health systems, like commercial enterprises, face wide-ranging challenges and need to develop an adaptive capacity in order to remain effective. There is increasing recognition in… (more)

▼ Health systems, like commercial enterprises, face wide-ranging challenges and need to develop an adaptive capacity in order to remain effective. There is increasing recognition in the health sector that the concept of the learning organisation, which has long been popular in the business management field, could be a key strategy to develop this adaptive capacity in health systems. Although examples exist of the application of learning organisation principles to health care facilities, there is little guidance for how units or groups responsible for health policy and strategies can apply them more widely. In order to provide some initial guidance to the Western Cape Department of Health, which has expressed an interest in developing into a learning organisation, this project sought to identify the enablers of, and barriers to learning organisation creation by conducting a systematic review of learning organisation interventions across multiple sectors. As multiple definitions and models of a learning organisation exist in the literature, this systematic review was complemented by an initial review of conceptual literature which synthesised the existing definitions and models of a learning organisation and identified a core set of learning organisation dimensions. Findings indicate that a foundation of good organisational software such as a shared understanding of, and commitment to a learning organisation vision, a culture which is conducive to learning organisation creation, and a secure, supportive and interpersonally non-threatening environment, is essential for learning organisation creation. Building on this foundation it is then important to invest in staff time (i.e. that staff are officially allowed, and incentivised, to spend time on learning during work hours), and the infrastructure and processes necessary to support knowledge transfer, such as physical meeting spaces, online learning databases, mentorship programmes, and feedback mechanisms. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Health System

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APA (6^th Edition):

Laenen, I. (2020). What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Laenen, Inneke. “What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.” 2020. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/32384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Laenen, Inneke. “What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.” 2020. Web. 06 Mar 2021.

Vancouver:

Laenen I. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. [Internet] [Thesis]. University of Cape Town; 2020. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/32384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Laenen I. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. [Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

2. Reddy, Mishka. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.

Degree: Master Thesis, Public Health and Family Medicine, 2020, University of Cape Town

URL: http://hdl.handle.net/11427/32522

► In the transition from the Millennium Development Goals to the Sustainable Development Goals, the importance of an integrated health system in which all health activities… (more)

▼ In the transition from the Millennium Development Goals to the Sustainable Development Goals, the importance of an integrated health system in which all health activities interact - including the multiple actors within the system - has gained greater recognition. In light of these transitions, the World Health Organisation and the Alliance for Health Policy and System Research called for a participatory leadership model, which engages with multiple health system actors in and out of the health system. It is a leadership model, which seeks to be inclusive of diverse and currently underrepresented stakeholders such as women. This leadership model is aligned with the gender equality movement in health leadership, which has rightfully gained global prominence over the last decade. However, it would be an oversimplification to assume all women in leadership positions have had to overcome similar obstacles. Treating women as a homogenous group tends to leave people out given the evidence that social identities culminate to produce unique experiences and therefore challenge feminist notions of the homogeneity of women. Drawing on data from a primary study on gender and leadership in South Africa, this study sought to explore the influence of gender, as it intersects with race and professional cadre, on the experiences of female health managers in the South African health system. The primary study noted that black females felt as though they were "left behind" throughout their leadership journey. This secondary analysis was undertaken using Bilge's intersectionality approach. It is a two-step qualitative analysis approach, which uses an understanding of intersectionality to extract data related to social identity and intersecting social identities. The analysis assessed 1) how gender, race and professional cadre discretely inform each participant's account and 2) how gender intersects with other social identities to create unique barriers for different women. It explored how intersecting identities might leave certain people behind - and how then to conduct health policy and systems research that can produce qualitative data necessary for creating formalised initiatives that address potential barriers. While recognising the enormous potential of participatory leadership, this study focused on the experiences of formally designated health managers who were able to reflect on their journey towards their current position and explain the barriers in this journey, related to their entangled social identities. Advisors/Committee Members: Gilson, Lucy (advisor), Shung-King, Maylene (advisor).

Subjects/Keywords: Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Reddy, M. (2020). Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. (Masters Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32522

Chicago Manual of Style (16^th Edition):

Reddy, Mishka. “Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.” 2020. Masters Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/32522.

MLA Handbook (7^th Edition):

Reddy, Mishka. “Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.” 2020. Web. 06 Mar 2021.

Vancouver:

Reddy M. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. [Internet] [Masters thesis]. University of Cape Town; 2020. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/32522.

Council of Science Editors:

Reddy M. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. [Masters Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32522

University of Cape Town

3. Abrahams, Nina. Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa.

Degree: MPH, Public Health and Family Medicine, 2018, University of Cape Town

URL: http://hdl.handle.net/11427/29393

► The burden of non-communicable diseases is growing rapidly globally and especially in low and middle-income countries. However, health systems around the world are not appropriately… (more)

▼ The burden of non-communicable diseases is growing rapidly globally and especially in low and middle-income countries. However, health systems around the world are not appropriately prepared for this increase in need for chronic care. Research suggests that health models that emphasise self-management and empowering patients to care actively for their disease are integral in non-communicable disease treatment as patients live with their disease well beyond contact with health services. Adherence and health-seeking behaviour literature suggest multiple factors within the lives of patients and within health systems that enhance or constrain patient empowerment interventions. However, in depth understanding of these factors are lacking in the South African context and especially in the inpatient setting as most research focuses on the role of primary care. This research used interviews with stakeholders in an upcoming inpatient diabetes intervention as a lens to qualitatively explore empowerment factors in further detail within the South African inpatient context. The study highlights multiple barriers to patient empowerment, namely the low socio-economic contexts of many South Africans who then struggle to access appropriate healthcare information and services and often have financial and emotional priorities that take precedence over their chronic illness. In addition, health services are bound by a shortage of resources and staff and ineffective communication systems which affects health professionals’ ability to implement patient empowerment strategies. It also highlights the unique barriers found in inpatient care as the hospital emphasises short-term acute treatment – losing potential engagement time with patients. The study suggests that patient and provider contexts make encouraging patient engagement in long term chronic care difficult. However, knowledge of these factors can be harnessed to improve chronic care interventions in low- and middle-income countries. Advisors/Committee Members: Gilson, Lucy (advisor), Levitt, Naomi (advisor).

Subjects/Keywords: Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Abrahams, N. (2018). Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/29393

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Abrahams, Nina. “Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa.” 2018. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/29393.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Abrahams, Nina. “Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa.” 2018. Web. 06 Mar 2021.

Vancouver:

Abrahams N. Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa. [Internet] [Thesis]. University of Cape Town; 2018. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/29393.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Abrahams N. Factors that influence patient empowerment in inpatient chronic care: Early implementation experience with a diabetes care intervention in South Africa. [Thesis]. University of Cape Town; 2018. Available from: http://hdl.handle.net/11427/29393

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

4. Govender, Veloshnee. The role of gender in patient-provider trust for tuberculosis treatment.

Degree: Image, Health Economics Unit, 2017, University of Cape Town

URL: http://hdl.handle.net/11427/27432

► Background: In South Africa, tuberculosis (TB) is the leading cause of death, and Cape Town is among the three cities in the country with the… (more)

▼ Background: In South Africa, tuberculosis (TB) is the leading cause of death, and Cape Town is among the three cities in the country with the highest TB burden. Despite implementation of Directly Observed Treatment Short-Course (DOTS), and improvements in the organisation and delivery of TB care, poor treatment adherence challenges treatment outcomes and the health system's ability to reach international targets. TB requires long-term care, where the relationship with healthcare providers is one of the important influences on decisions to seek care and adhere to treatment. This study sought to explore and deepen insight into how trust is built and experienced between patients and healthcare providers for TB treatment in primary care settings from a gender perspective. Methods: The research was located in three local government-managed clinics in the City of Cape Town's Metropole health district, similar in TB patient load and performance indicators, but differing in level of TB-HIV integrated services. A case study design employing qualitative data collection approaches (non-participant observations in clinics, focus group discussions and in-depth interviews with patients and providers) was applied. Findings: Trust plays a central role for both patients and providers in treatment for TB. On the part of patients, many expressed a deep desire and motivation to complete their treatment. However, patient vulnerability, a complex outcome of intersecting factors at all levels (personal, community and health service level), across which gender was an underlying influence, emerged as a critical influence over patient trust in providers and the health system, with consequences for a range of outcomes including treatment adherence. The ability of providers and the health system as an institution to recognise and respond to patient vulnerability and needs beyond the illness, including to access socio-economic and psycho-social support for the patient, was critical for building trust and enabling adherence. On the part of healthcare providers, vulnerability was a consequence of a range of factors, including professional status and gender, with implications for how trust was built in patients and managers and its outcomes. Patient trustworthiness was based on judgements of competency, integrity and recognition. The ability of managers to mitigate the challenges healthcare providers faced, through providing a supportive and enabling work environment, had implications for providers' experiences and judgements of institutional trustworthiness. Conclusion: Reflecting on the findings within broader national, provincial and global health policy reforms, specific strategies for building patient and provider trust in each other, and in the health system, are proposed. Recommended strategies addressing both patient and provider vulnerabilities rooted in the personal, community and health facility environment are considered. While many of the recommendations are specific to the TB and TB/HIV model of care, they have wider relevance for… Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Patient-physician relationships; Gender Analysis; patient trust

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APA (6^th Edition):

Govender, V. (2017). The role of gender in patient-provider trust for tuberculosis treatment. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/27432

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Govender, Veloshnee. “The role of gender in patient-provider trust for tuberculosis treatment.” 2017. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/27432.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Govender, Veloshnee. “The role of gender in patient-provider trust for tuberculosis treatment.” 2017. Web. 06 Mar 2021.

Vancouver:

Govender V. The role of gender in patient-provider trust for tuberculosis treatment. [Internet] [Thesis]. University of Cape Town; 2017. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/27432.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Govender V. The role of gender in patient-provider trust for tuberculosis treatment. [Thesis]. University of Cape Town; 2017. Available from: http://hdl.handle.net/11427/27432

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

5. Mphaphuli, Edzani Brenda. Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge.

Degree: Image, Health Policy and Systems Division, 2017, University of Cape Town

URL: http://hdl.handle.net/11427/26892

► Context: The Western Cape Province's Department of Health, South Africa, implemented a complex intervention aimed at changing organisational culture across health facilities in the province… (more)

▼ Context: The Western Cape Province's Department of Health, South Africa, implemented a complex intervention aimed at changing organisational culture across health facilities in the province called the C²AIR² club challenge, in phases, starting from August 2013 and was still ongoing in 2016 at the time of the research. A group of front-line staff from each participating health facility called C²AIR² club champions were capacitated to implement the intervention in their respective facilities. This study aimed to explored the process of introduction, diffusion, adoption and implementation of the C²AIR² club challenge in one of the primary health facilities where the challenge was implemented, using a diffusion of innovation lens. Methods: We examined the process of implementing the C²AIR² club and the contextual and other factors that constrained and enabled this process. Working in one primary health care facility selected as a representative case, we explored the experiences of the champions and other staff members of the C²AIR² club. Our methods included 21 in-depth interviews, informal conversations, document review, and non-participant observation. Results: Innovation-fit, leadership, champions, adopters' characteristics, and contextual issues were the main factors that influenced the spread of the C²AIR² club. Contextual issues particularly those related to resource constraints played a central role in determining the successful spread of the complex organisational culture change intervention. Sufficiently trained champions could successfully spread the intervention without onsite external change consultants' facilitation, however this took time and caution should be taken not to evaluate implementation success too early. Involvement of not only top leadership but of all other multi-levels and multi-disciplines facilitated the spread of the intervention. Conclusions: When introducing an innovation like the C²AIR² club challenge the impact of which is not immediate neither tangible, in an organisation where there are tangible problems such as lack of working space, staff shortages and shortages in working equipment, it is important that efforts are made to address these immediate challenges and where they cannot be addressed that this is openly acknowledged by the implementers and management. If this is not considered, organisational members are likely to acknowledge the innovation as a good initiative but one that they would not actively rally around as it does not speak to their problems. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Health Systems; Organisational culture; change intervention; organisational champions

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mphaphuli, E. B. (2017). Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/26892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mphaphuli, Edzani Brenda. “Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge.” 2017. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/26892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mphaphuli, Edzani Brenda. “Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge.” 2017. Web. 06 Mar 2021.

Vancouver:

Mphaphuli EB. Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge. [Internet] [Thesis]. University of Cape Town; 2017. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/26892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mphaphuli EB. Exploring the introduction of a complex intervention in primary health care facilities in the Western Cape: A single site exploratory case study of the C²AIR² club challenge. [Thesis]. University of Cape Town; 2017. Available from: http://hdl.handle.net/11427/26892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

6. Henwood, Ruth. Stakeholder analysis : drawing methodological lessons from review of relevant literature.

Degree: Image, Public Health and Family Medicine, 2017, University of Cape Town

URL: http://hdl.handle.net/11427/25423

► Stakeholder analysis (SHA) is an important tool in policy analysis, used to understand the actors who are affected by or have an effect on a… (more)

▼ Stakeholder analysis (SHA) is an important tool in policy analysis, used to understand the actors who are affected by or have an effect on a particular policy. Its implementation spans a variety of sectors from government to corporate, and conservation to health. The widespread application of SHA naturally causes some confusion with regards to terminology and methodology, but also serves as an opportunity for cross-sectoral and cross-discipline learning. This mini-dissertation discusses methods used to conduct stakeholder analyses (SHAs). It presents, first, the results of a broad scoping review investigating SHA methods described in 28 articles outside the health sector spanning low, middle and high income geographical regions. This scoping review, together with the seminal Varvasovszky and Brugha (2000) health policy SHA guide is, second, used to inform a systematic review – that entails a more critical assessment of the application of SHA across 21 articles addressing the use of SHAs within health policy analysis work undertaken within low to middle income country (LMIC) settings. A variety of methodological approaches to SHAs are used outside of the health sector, including creative ways to generate information in collaboration with SHs, as well as to present SHA findings. Future health policy analysts and researchers would do well to look outside the health sector for more creative and participative data collection and presentation approaches. Notwithstanding the widespread citing of Varvasovsky and Brugha (2000) across health policy SHAs, many of the articles were found wanting in their reflection on key issues presented by Varvasovsky and Brugha (2000). Health policy SH analysts and researchers should consider the use of a two- step SH identification strategy in order to include a greater variety of SHs; offer reflection on their own role within the process of focus and the potential impact of this on the analysis; as well as expand on how context is accounted for in the SHA process, rather than just describing it. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Public Health; Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Henwood, R. (2017). Stakeholder analysis : drawing methodological lessons from review of relevant literature. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/25423

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Henwood, Ruth. “Stakeholder analysis : drawing methodological lessons from review of relevant literature.” 2017. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/25423.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Henwood, Ruth. “Stakeholder analysis : drawing methodological lessons from review of relevant literature.” 2017. Web. 06 Mar 2021.

Vancouver:

Henwood R. Stakeholder analysis : drawing methodological lessons from review of relevant literature. [Internet] [Thesis]. University of Cape Town; 2017. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/25423.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Henwood R. Stakeholder analysis : drawing methodological lessons from review of relevant literature. [Thesis]. University of Cape Town; 2017. Available from: http://hdl.handle.net/11427/25423

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

7. Mbau, Rahab Waithira. Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review.

Degree: Image, Health Policy and Systems Division, 2016, University of Cape Town

URL: http://hdl.handle.net/11427/20919

► The qualitative interpretive synthesis carried out for this MPH mini-dissertation reviews existing empirical literature for evidence on organisational culture and its influence on the implementation… (more)

▼ The qualitative interpretive synthesis carried out for this MPH mini-dissertation reviews existing empirical literature for evidence on organisational culture and its influence on the implementation of health sector reforms in Low and Middle Income Countries. This mini-dissertation is organised into three parts: PART A: This is the review protocol which outlines the introduction, the background and the review questions for both the scoping review (which forms section B) and the qualitative interpretive synthesis ( which forms section C) along with their justifications. It also outlines the methodology for both the scoping review and the qualitative interpretive review. The literature search was carried out in eight electronic databases using key search terms developed from the review questions. Inclusion and exclusion criteria were developed to determine the articles for inclusion into the review. All the search terms, data extraction templates and summary tables used in both reviews are provided in this section. PART B: This is the literature review section which was carried out to map the scope of literature on organisational culture within the health sector in Low and Middle Income Countries in order to support the more detailed analysis in Section C. It begins with a general description of organisational culture and its conceptual frameworks, as well as a description of the tools used in assessing organisational culture that were identified from a broader reading of literature on organisational culture. The reviewer then describes the literature search strategy of the scoping review and maps the retrieved articles based on themes on organisational culture in the health sector. Lastly, the reviewer classifies the different dimensions of organisational culture identified in the reviewed articles using the Competing Values Framework in order to facilitate comparison of organisational culture across the studies. PART C: This is the full qualitative interpretive synthesis presented as a journal ready manuscript. This review begins with an introduction on health sector reforms and organisational culture. This is followed by a description of the methods used to identify the literature, an outline and synthesis of the findings, discussion section and lastly, the conclusion. The findings of this interpretive synthesis indicate the potential influence of various dimensions of organisational culture such as power distance, uncertainty avoidance, in-group and institutional collectivism, mediated through organisational practices, over the implementation of the health sector reforms. It also highlights the dearth of empirical literature around organisational culture and therefore, its results can only be tentative. There is need for health policy makers and health system researchers in Low and Middle Income Countries to conduct further analysis of organisational culture and change within the health system. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mbau, R. W. (2016). Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/20919

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mbau, Rahab Waithira. “Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review.” 2016. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/20919.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mbau, Rahab Waithira. “Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review.” 2016. Web. 06 Mar 2021.

Vancouver:

Mbau RW. Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review. [Internet] [Thesis]. University of Cape Town; 2016. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/20919.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mbau RW. Influence of organisational culture on the implementation of health sector reforms in low and middle income countries : a qualitative interpretive review. [Thesis]. University of Cape Town; 2016. Available from: http://hdl.handle.net/11427/20919

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

8. Wilson, Nicola Ann. Modelling intermediate care services as part of an integrated care pathway.

Degree: Image, Health Policy and Systems Division, 2016, University of Cape Town

URL: http://hdl.handle.net/11427/20290

► This study explores the implications of implementing enhanced or redesigned intermediate care initiatives in the Western Cape of South Africa from the 2014/15 financial year… (more)

Subjects/Keywords: Health Systems

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APA (6^th Edition):

Wilson, N. A. (2016). Modelling intermediate care services as part of an integrated care pathway. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/20290

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wilson, Nicola Ann. “Modelling intermediate care services as part of an integrated care pathway.” 2016. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/20290.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wilson, Nicola Ann. “Modelling intermediate care services as part of an integrated care pathway.” 2016. Web. 06 Mar 2021.

Vancouver:

Wilson NA. Modelling intermediate care services as part of an integrated care pathway. [Internet] [Thesis]. University of Cape Town; 2016. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/20290.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wilson NA. Modelling intermediate care services as part of an integrated care pathway. [Thesis]. University of Cape Town; 2016. Available from: http://hdl.handle.net/11427/20290

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

9. Barker, Jessica. Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa.

Degree: Image, Public Health and Family Medicine, 2015, University of Cape Town

URL: http://hdl.handle.net/11427/15506

► Introduction: Historically in South Africa, civil society has played a key role within the health system, including advocating for equitable and quality health care services.… (more)

▼ Introduction: Historically in South Africa, civil society has played a key role within the health system, including advocating for equitable and quality health care services. The purpose of this research is to explore the implementation of a pilot health systems strengthening intervention in primary health facilities in Khayelitsha, South Africa. The study is built on Treatment Action Campaign, a civil society organization, which has recently implemented a health system monitoring tool within health care facilities in Khayelitsha. Specifically, this study considers the functioning and potential impact of the monitoring tool introduced as a community accountability mechanism at the local level. The development and implementation of the monitoring tool can also be seen as part of a policy implementation process. Methods: Using an action research approach, the researcher engaged with implementing actors in the development and implementation of the monitoring tool. Qualitative methods were used to explore: the understandings of various stakeholders about the tool, their interests or concerns, potential positions, power and influence on its implementation. Quantitative data allowed for the ability to track potential improvements in clinic performance in terms of operational research. The challenges during tool development and implementation and how these were overcome were also explored. Results: Analysis of the stakeholders demonstrated how actors exerted their power in various ways to influence the development and implementation of the tool. Results suggest it can be an empowering process for members of civil society and there is a role for civil society in improving health system performance. Findings have highlighted the need for civil society organization monitoring tools to be not only methodologically sound but, more importantly, accepted by the activist. If carefully considered and driven by civil society itself, rather than imposed, there does seem to be some tentative examples of service delivery improvement and scope for their engagement. Conclusions: The findings offer relevant and useful insights for understanding how this tool acts as an accountability mechanism at a local level within Khayelitsha sub-district. Such findings may have implications for further adaptations to the tool, potential scale-up by Treatment Action Campaign and for other low and middle income contexts. Advisors/Committee Members: Gilson, Lucy (advisor), Ashmore, John (advisor).

Subjects/Keywords: Public Health

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APA (6^th Edition):

Barker, J. (2015). Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/15506

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Barker, Jessica. “Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa.” 2015. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/15506.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Barker, Jessica. “Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa.” 2015. Web. 06 Mar 2021.

Vancouver:

Barker J. Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/15506.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Barker J. Civil society's role in health system monitoring and strengthening : evidence from Khayelitsha, South Africa. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/15506

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

10. Okello, Dickson R O. Trust and motivation in the health sector : a systematic review.

Degree: Image, Public Health and Family Medicine, 2014, University of Cape Town

URL: http://hdl.handle.net/11427/13978

► Supporting improved performance of health workers is vital in health system strengthening. There are several factors that have been identified as playing key roles in… (more)

Subjects/Keywords: Health Systems

8 more images…

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Okello, D. R. O. (2014). Trust and motivation in the health sector : a systematic review. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/13978

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Okello, Dickson R O. “Trust and motivation in the health sector : a systematic review.” 2014. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/13978.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Okello, Dickson R O. “Trust and motivation in the health sector : a systematic review.” 2014. Web. 06 Mar 2021.

Vancouver:

Okello DRO. Trust and motivation in the health sector : a systematic review. [Internet] [Thesis]. University of Cape Town; 2014. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/13978.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Okello DRO. Trust and motivation in the health sector : a systematic review. [Thesis]. University of Cape Town; 2014. Available from: http://hdl.handle.net/11427/13978

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

11. Shawa, Remmy Malama. Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers.

Degree: Image, Public Health and Family Medicine, 2014, University of Cape Town

URL: http://hdl.handle.net/11427/6027

Includes abstract. Includes bibliographical references. Advisors/Committee Members: Stern, Erin (advisor), Gilson, Lucy (advisor).

Subjects/Keywords: Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Shawa, R. M. (2014). Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/6027

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Shawa, Remmy Malama. “Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers.” 2014. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/6027.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Shawa, Remmy Malama. “Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers.” 2014. Web. 06 Mar 2021.

Vancouver:

Shawa RM. Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers. [Internet] [Thesis]. University of Cape Town; 2014. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/6027.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Shawa RM. Exploring experiences of HIV counsellors towards the HIV counselling and testing policy in Zambia’s public urban health centers. [Thesis]. University of Cape Town; 2014. Available from: http://hdl.handle.net/11427/6027

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

12. Zeelie, Andrea. Closing the gap: a review of factors affecting quality improvement interventions at the primary care level.

Degree: Image, Health Economics Unit, 2012, University of Cape Town

URL: http://hdl.handle.net/11427/14364

► Objective: The aim of this review is to analyse quality improvement interventions at the primary care level. Quality improvement interventions attempt to close the gap… (more)

Subjects/Keywords: Health Economics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Zeelie, A. (2012). Closing the gap: a review of factors affecting quality improvement interventions at the primary care level. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/14364

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zeelie, Andrea. “Closing the gap: a review of factors affecting quality improvement interventions at the primary care level.” 2012. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/14364.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zeelie, Andrea. “Closing the gap: a review of factors affecting quality improvement interventions at the primary care level.” 2012. Web. 06 Mar 2021.

Vancouver:

Zeelie A. Closing the gap: a review of factors affecting quality improvement interventions at the primary care level. [Internet] [Thesis]. University of Cape Town; 2012. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/14364.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zeelie A. Closing the gap: a review of factors affecting quality improvement interventions at the primary care level. [Thesis]. University of Cape Town; 2012. Available from: http://hdl.handle.net/11427/14364

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

13. Okungu, Vincent Robert. Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs.

Degree: Image, Health Economics Unit, 2010, University of Cape Town

URL: http://hdl.handle.net/11427/9452

► This study intends to give new insights into community perceptions on policy changes in 1st-line treatment for uncomplicated malaria in Kenya and the contributions of… (more)

Subjects/Keywords: Health Economics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Okungu, V. R. (2010). Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/9452

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Okungu, Vincent Robert. “Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs.” 2010. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/9452.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Okungu, Vincent Robert. “Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs.” 2010. Web. 06 Mar 2021.

Vancouver:

Okungu VR. Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs. [Internet] [Thesis]. University of Cape Town; 2010. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/9452.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Okungu VR. Public responses to policy changes in 1st line treatment for uncomplicated for malaria in Kenya and the potential influence of policy communication in the uptake of malaria drugs. [Thesis]. University of Cape Town; 2010. Available from: http://hdl.handle.net/11427/9452

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cape Town

14. Thomas, Stephen. Managing actors in South African health financing reform : testing a conceptual framework.

Degree: Image, Health Economics Unit, 2003, University of Cape Town

URL: http://hdl.handle.net/11427/9350

► Health ﬁnancing reforms, especially those aimed at improving equity, are prone to opposition. Those driving health reforms frequently ﬁnd themselves pitted against vested interests. The… (more)

▼ Health ﬁnancing reforms, especially those aimed at improving equity, are prone to opposition. Those driving health reforms frequently ﬁnd themselves pitted against vested interests. The thesis explores how best a reform driver might manage other actors in the reform process to achieve key goals. This involves creating and testing a conceptual framework. A review of the international health care reform literature identiﬁes key gaps in knowledge. Additional bodies of theory, mainly from economics, are selected for review on the basis of their potential insight into relationships between reform drivers and actors. Their ﬁndings are compared and contrasted and taken forward into a conceptual framework. This is then tested against four case studies of health ﬁnancing reform in South Africa: geographic resource allocation, health insurance and the removal of user fees, largely between 1994 and 1999, and the reform of the Conditional Grant for Tertiary hospitals, from 2000 to 2002. Two different approaches are used for testing the conceptual framework. First, key themes about managing actors are drawn from actor interviews in three case studies of health ﬁnancing reform. With the second, more deductive, approach reform drivers in – an additional case study were questioned on every element of the conceptual framework to see whether it provided an adequate description and understanding of how reform processes occurred. These two very different approaches acted as a check against each other but produced similar ﬁndings. The thesis suggests that an awareness of actor characteristics (such as resources, constraints, reputation and interests) can help a reform driver better manage reform development to achieve desired change. Reform drivers should build up teams of actors that can at the very least bring power, technical skills and specialist knowledge to the reform effort. Team building will also require careful consideration of the different forms of motivation appropriate to each actor. Ideally reform drivers should avoid opposing actors. Yet the prevailing context may indicate this is not possible. In such case reform drivers should limit information exchange, present and discuss reforms at a conceptual level, undermine technically any counter-reform design and choose carefully in which arena to ﬁght. Advisors/Committee Members: Gilson, Lucy (advisor), McIntyre, Di (advisor).

Subjects/Keywords: Public Health

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Thomas, S. (2003). Managing actors in South African health financing reform : testing a conceptual framework. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/9350

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Thomas, Stephen. “Managing actors in South African health financing reform : testing a conceptual framework.” 2003. Thesis, University of Cape Town. Accessed March 06, 2021. http://hdl.handle.net/11427/9350.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Thomas, Stephen. “Managing actors in South African health financing reform : testing a conceptual framework.” 2003. Web. 06 Mar 2021.

Vancouver:

Thomas S. Managing actors in South African health financing reform : testing a conceptual framework. [Internet] [Thesis]. University of Cape Town; 2003. [cited 2021 Mar 06]. Available from: http://hdl.handle.net/11427/9350.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Thomas S. Managing actors in South African health financing reform : testing a conceptual framework. [Thesis]. University of Cape Town; 2003. Available from: http://hdl.handle.net/11427/9350

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations