Gilson, Lucy L.Lehmann, UtaEllokor, Soraya2021-01-112021-01-112020Lehmann, U. et al. (2020). Organizational change and everyday health system resilience: Lessons from Cape Town, South Africa. Social Science and Medicine ,266,1134071873-534710.1016/j.socscimed.2020.113407http://hdl.handle.net/10566/5626This 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.enSouth AfricaHealth systemOrganizational frameworkChronic stressOrganizational resilienceArticle