We are toothless and hanging, but optimistic”
Sub county managers’ experiences of rapid devolution in coastal Kenya
Bibliographic Data
| ID | 15396757 |
|---|---|
| Authors | Mary Nyikuri (0000-0002-3338-7526, Kenya Medical Research Institute, corresponding author), Mary M Nyikuri, Benjamin Tsofa (0000-0003-1000-1771, Kenya Medical Research Institute), Philip Okoth (Kenya Medical Research Institute), Edwine W Barasa, Edwine Barasa (0000-0001-5793-7177, University of Oxford), Sassy Molyneux (0000-0001-9522-416X, University of Oxford) |
| Year | 2017 |
| Volume | 16 |
| Issue | 1 |
| Pages | 113-113 |
| Publication date | 2017-06-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal for Equity in Health (JOURNAL) |
| Journal identifiers | ISSN: 1475-9276 • E-ISSN: 1475-9276 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/s12939-017-0607-x |
| PMID | 28911332 |
| OpenAlex | W2660186100 |
| Language | EN |
| Citations received | 10 |
| References cited | 30 |
Our study illustrates the importance in accelerated devolution contexts for: 1) mid-level managers to adopt new ways of working and engagement with higher and lower levels in the system; 2) clear lines of communication during reforms to these actors and 3) anticipating and managing the effect of change on intangible software issues such as trust and motivation. More broadly, we show the value of examining organisational change from the perspective of key actors within the system, and highlight the importance in times of rapid change of drawing upon and working with those already in the system. These actors have valuable tacit knowledge, but tapping into and building on this knowledge to enable positive response in times of health system shocks requires greater attention to sustained software capacity building within the health system
Accountability · Business · Corporate governance · Devolution (biology · Government (linguistics · Health services research · Political science · Public health · Public relations · Qualitative research · Service (business · Service delivery framework · Social policy · Sociology · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Public Administration · Public-Private Partnership Projects · Marketing
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The autonomy of public health facilities in decentralised contexts
Political economy analysis of sub-national health sector planning and budgeting
Prolonged health worker strikes in Kenya- perspectives and experiences of frontline health managers and local communities in Kilifi County
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How has the concept of health system software been used in health policy and systems research? A scoping review
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Priority setting for health in the context of devolution in Kenya
Shocks, stress and everyday health system resilience
Good Health at Low Cost 25 years on
Adaptive Fit Versus Robust Transformation
Organizational Restructuring and Middle Manager Sensemaking.
Building the Field of Health Policy and Systems Research
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It makes me want to run away to Saudi Arabia
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| Unique citing works | 10 |
|---|---|
| Citations per year | 1,25 |
| Citation span | 2018 - 2025 (8) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |