Title |
Advancing the application of systems thinking in health: a realist evaluation of a capacity building programme for district managers in Tumkur, India
|
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Published in |
Health Research Policy and Systems, August 2014
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DOI | 10.1186/1478-4505-12-42 |
Pubmed ID | |
Authors |
Nuggehalli Srinivas Prashanth, Bruno Marchal, Narayanan Devadasan, Guy Kegels, Bart Criel |
Abstract |
Health systems interventions, such as capacity-building of health workers, are implemented across districts in order to improve performance of healthcare organisations. However, such interventions often work in some settings and not in others. Local health systems could be visualised as complex adaptive systems that respond variously to inputs of capacity building interventions, depending on their local conditions and several individual, institutional, and environmental factors. We aim at demonstrating how the realist evaluation approach advances complex systems thinking in healthcare evaluation by applying the approach to understand organisational change within local health systems in the Tumkur district of southern India. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 3 | 27% |
Canada | 1 | 9% |
Unknown | 7 | 64% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 91% |
Scientists | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 2% |
South Africa | 2 | 1% |
Uganda | 1 | <1% |
Australia | 1 | <1% |
India | 1 | <1% |
Denmark | 1 | <1% |
Unknown | 136 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 25 | 17% |
Student > Ph. D. Student | 19 | 13% |
Student > Master | 19 | 13% |
Student > Doctoral Student | 14 | 10% |
Other | 8 | 6% |
Other | 25 | 17% |
Unknown | 35 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 34 | 23% |
Social Sciences | 25 | 17% |
Nursing and Health Professions | 12 | 8% |
Business, Management and Accounting | 9 | 6% |
Psychology | 5 | 3% |
Other | 23 | 16% |
Unknown | 37 | 26% |