Browsing by Author "Gilson, Lucy L."

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    “Not just a journal club – it’s where the magic happens”: Knowledge mobilization through co-production for health system development in the Western Cape province, South Africa
    (Kerman University of Medical Sciences, 2022) Brady, Leanne; Gilson, Lucy L.; George, Asha
    The field of Health Policy and Systems Research (HPSR) views researchers as active participants in processes of knowledge mobilization, learning and action. Yet few studies examine how such processes are institutionalized or consider their health system or wider impacts. This paper aims to contribute insights by presenting a South African experience: the Western Cape (WC) HPSR Journal Club (JC). The paper draws on collective reflection by its authorial team, who are managerial and academic JC participants; reflective discussions with a wider range of people; and external evaluation reports. The analysis has been validated through rounds of collective engagement among authors, and through comparison with the wider sets of data, documentation and international literature.
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    Organizational change and everyday health system resilience: Lessons from Cape Town, South Africa
    (Elsevier, 2020) Gilson, Lucy L.; Lehmann, Uta; Ellokor, Soraya
    This paper reports a study from Cape Town, South Africa, that tested an existing framework of everyday health system resilience (EHSR) in examining how a local health system responded to the chronic stress of large-scale organizational change. Over two years (2017–18), through cycles of action-learning involving local managers and researchers, the authorial team tracked the stress experienced, the response strategies implemented and their consequences. The paper considers how a set of micro-governance interventions and mid-level leadership practices supported responses to stress whilst nurturing organizational resilience capacities. Data collection involved observation, in-depth interviews and analysis of meeting minutes and secondary data. Data analysis included iterative synthesis and validation processes.