Expressions of actor power in implementation: a qualitative case study of a health service intervention in south africa

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SUMMARY

    The exercise of power in health systems is often taken to mean the dynamics of coercion and resistance, such as between managers and workers, and the governance mechanisms that address the assymetries of power. In their review on the role of power in health systems, Sriram et_al point out that "understanding and activating power is …. critical to strengthening health systems and improving health outcomes", but also understudied. Despite the growing recognition of power as a construct in implementation frameworks, research seldom documents how organisational interventions in the front line of health systems shape or . . .

     

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