Expressions of actor power in implementation: A qualitative case study of a health service intervention in South Africa

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dc.contributor.authorSchneider, Helen
dc.contributor.authorMukinda, Fidele
dc.contributor.authorTabana, Hanani
dc.date.accessioned2021-08-31T09:08:06Z
dc.date.available2021-08-31T09:08:06Z
dc.date.issued2021
dc.description.abstractImplementation frameworks and theories acknowledge the role of power as a factor in the adoption (or not) of interventions in health services. Despite this recognition, there is a paucity of evidence on how interventions at the front line of health systems confront or shape existing power relations. This paper reports on a study of actor power in the implementation of an intervention to improve maternal, neonatal and child health care quality and outcomes in a rural district of South Africa.A retrospective qualitative case study based on interviews with 34 actors in three ‘implementation units’ – a district hospital and surrounding primary health care services – of the district, selected as purposefully representing full, moderate and low implementation of the intervention some three years after it was first introduced. Data are analysed using Veneklasen and Miller’s typology of the forms of power – namely ‘power over’, ‘power to’, ‘power within’ and ‘power with’.en_US
dc.identifier.citationSchneider, H. (1828). Expressions of actor power in implementation: A qualitative case study of a health service intervention in South Africa. 1–22.en_US
dc.identifier.issn2693-5015
dc.identifier.uri10.21203/rs.3.rs-720836/v1
dc.identifier.urihttp://hdl.handle.net/10566/6547
dc.language.isoenen_US
dc.publisherResearch Squareen_US
dc.subjectPoweren_US
dc.subjectImplementationen_US
dc.subjectHealth service interventionen_US
dc.subjectSouth Africaen_US
dc.titleExpressions of actor power in implementation: A qualitative case study of a health service intervention in South Africaen_US
dc.typeArticleen_US

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