What is it about?
How to bring the detailed management of health services into the hands the people actually doing the work. Specifically looking at the transition towards 'malaria elimination' strategies in Southern Africa.
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Why is it important?
Many health system strategies fall apart at the 'last mile' - where practical impediments make implementation very difficult. But often local staff and community members can find work-arounds if given the authority and resources. This in turn requires appropriate ways of authorising such actions and managing accountability for clinical practice, funds and other resources.
Perspectives
It's a somewhat academic presentation of some very practical inventiveness, skilled facilitation and persistence by a number of people - OD practitioners, health professionals, community leaders.
Prof Jonathan R Gosling
Exeter University
Read the Original
This page is a summary of: Strengthening Management, Community Engagement, and Sustainability of the Subnational Response to Accelerate Malaria Elimination in Namibia, American Journal of Tropical Medicine and Hygiene, June 2022, American Society of Tropical Medicine and Hygiene,
DOI: 10.4269/ajtmh.21-1195.
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Contributors
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