The District Health System must become a learning health system
DOI:
https://doi.org/10.7196/SAMJ.2024.v114i6.2097Keywords:
District health system, Learning health systemsAbstract
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References
Barron P, Sankar U. Developments towards a district health system. In: Ntuli A, ed. South African Health Review. Durban: Health Systems Trust, 2000:221-230.
World Health Organization. Report of the Interregional Meeting on Strengthening District Health Systems Based on Primary Health Care, Harare, Zimbabwe, 3 - 7 August 1987. Geneva: World Health Organization, 1987. https://apps.who.int/iris/bitstream/handle/10665/61829/WHO_SHS_DHS_87.13. pdf?sequence=1 (accessed 10 January 2024).
DeMaeseneerJ,WillemsS,DeSutterA,vandeGeuchteI,BillingsM.Primaryhealthcareasastrategyfor achieving equitable care: A literature review commissioned by the Health Systems Knowledge Network. HSKN, 2007. https://biblio.ugent.be/publication/396406/file/1041490 (accessed 10 January 2024).
South Africa. National Health Act No. 61 of 2003.
Vallabhjee K, Gilson L, Davies M-A, et al. Reflections on the health system response to COVID-19 in
the Western Cape Province. S Afr Health Rev 2021;1:173-187.
Barron P, Mahomed H, Masilela TC, Vallabhjee K, Schneider H. District Health System performance
in South Africa: Are current monitoring systems optimal? S Afr Med J 2023;113(12):1515-1521.
https://doi.org/10.7196/SAMJ.2023.v113i12.1614
McCoy D, Engelbrecht B. Establishing the district health system. In: Nicholas C, Antoinette N, eds. South African Health Review. Durban: Health Systems Trust, 1999:131-146.
Engelbrecht B, Gilson L. Governance, leadership and management. In: Matsoso MP, Chikte U, Makubalo L, Pillay Y, Fryatt R, eds. The South African Health Reforms 2015 - 2020. Johannesburg: Trackstar Trading, 2022:291-312.
Gilson L, Elloker S, Olckers P, Lehmann U. Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care. Health Res Policy Systems 2014;12:1-3. https://doi.org/10.1186/1478-4505-12-30
Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the Sustainable Development Goals era: Time for a revolution. Lancet Glob Health 2018;6(11):e1196-1252. https://doi.org/10.1016/ S2214-109X(18)30386-3
SheikhK,AbimbolaS,eds.Learninghealthsystems:Pathwaystoprogress.FlagshipreportoftheAlliance for Health Policy and Systems Research. Geneva: World Health Organization, 2021. https://ahpsr.who. int/publications/i/item/learning-health-systems-pathways-to-progress (accessed 10 January 2024).
Fiol CM, Lyles MA. Organizational learning. Acad Manage Review 1985;10(4):803-813. https://doi. org/10.5465/amr.1985.4279103
KawongaM,BlaauwD,FonnS.Theinfluenceofhealthsystemorganizationalstructureandcultureon integration of health services: The example of HIV service monitoring in South Africa. Health Policy Plan 2016;31(9):1270-1280. https://doi.org/10.1093/heapol/czw061
Choonara S, Goudge J, Nxumalo N, Eyles J. Significance of informal (on-the-job) learning and leadership development in health systems: Lessons from a district finance team in South Africa. BMJ Glob Health 2017;2(1). https://doi.org/10.1136%2Fbmjgh-2016-000138
Wolvaardt G, Johnson S, Cameron D, Botha B, Kornik S. Challenges and constraints at district management level. In: English R, Padara A, eds. South African Health Review. Durban: Health Systems Trust, 2013:81-92.
Nxumalo N, Gilson L, Goudge J, et al. Accountability mechanisms and the value of relationships: Experiences of front-line managers at subnational level in Kenya and South Africa. BMJ Glob Health 2018;3(4):1-14. https://doi.org/10.1136%2Fbmjgh-2018-000842
Mukinda FK, van Belle S, George A, Schneider H. The crowded space of local accountability for maternal, newborn and child health: A case study of the South African health system. Health Policy Plan 2020;35(3):279-290. https://doi.org/10.1093/heapol/czz162
Schneider H, George A, Mukinda F, Tabana H. District governance and improved maternal, neonatal and child health in South Africa: Pathways of change. Health Syst Reform 2020;6(1):e1669943. https:// doi.org/10.1080/23288604.2019.1669943
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