ArticleFrontiers in public health2014
Evaluation of capacity-building program of district health managers in India: a contextualized theoretical framework.
Article in Frontiers in public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Defining and assessing context in healthcare implementation studies: a systematic review.BMC health services research · 2020Pooled it
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- Healthcare managers' perspectives on direct health facility financing in Tanzania.PLOS global public health · 2025Article
- Public Health Strategies in the Face of Crisis: A Comprehensive Review of the Zika Outbreak in India.Cureus · 2024Review
- Protocol of the Nutritional, Psychosocial, and Environmental Determinants of Neurodevelopment and Child Mental Health (COINCIDE) study.Wellcome open research · 2024Article
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- Re-engineering primary healthcare in Kerala.Public health action · 2023Article
- Dimensions of Health Care Management Professionalization: A Scoping Review.Medical journal of the Islamic Republic of Iran · 2023Article
- Role of multiresolution vulnerability indices in COVID-19 spread in India: a Bayesian model-based analysis.BMJ open · 2022Observational
- How to work with intangible software in public health systems: some experiences from India.Health research policy and systems · 2022Article
- Bottom-up innovation for health management capacity development: a qualitative case study in a South African health district.BMC public health · 2021Article
- Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.BMC family practice · 2020Article
- An assessment of a 'training-of-trainers programme for clinic committees' in a South African district: a qualitative exploratory study.BMC health services research · 2020Review
- How Does District Health Management Emerge Within a Complex Health System? Insights for Capacity Strengthening in Ghana.Frontiers in public health · 2020Article
- Building the capacity of users and producers of evidence in health policy and systems research for better control of endemic diseases in Nigeria: a situational analysis.Globalization and health · 2019Article
- Leading from all levels: building supply chain leadership capacity in Equateur Province, Democratic Republic of Congo.BMJ global health · 2019Review
- Exploring the Functioning of Decision Space: A Review of the Available Health Systems Literature.International journal of health policy and management · 2017Review
- Building a competent health manager at district level: a grounded theory study from Eastern Uganda.BMC health services research · 2016Article
- Improving access to medicines for non-communicable diseases in rural India: a mixed methods study protocol using quasi-experimental design.BMC health services research · 2016Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Performance of local health services managers at district level is crucial to ensure that health services are of good quality and cater to the health needs of the population in the area. In many low- and middle-income countries, health services managers are poorly equipped with public health management capacities needed for planning and managing their local health system. In the south Indian Tumkur district, a consortium of five non-governmental organizations partnered with the state government to organize a capacity-building program for health managers. The program consisted of a mix of periodic contact classes, mentoring and assignments and was spread over 30 months. In this paper, we develop a theoretical framework in the form of a refined program theory to understand how such a capacity-building program could bring about organizational change. A well-formulated program theory enables an understanding of how interventions could bring about improvements and an evaluation of the intervention. In the refined program theory of the intervention, we identified various factors at individual, institutional, and environmental levels that could interact with the hypothesized mechanisms of organizational change, such as staff's perceived self-efficacy and commitment to their organizations. Based on this program theory, we formulated context-mechanism-outcome configurations that can be used to evaluate the intervention and, more specifically, to understand what worked, for whom and under what conditions. We discuss the application of program theory development in conducting a realist evaluation. Realist evaluation embraces principles of systems thinking by providing a method for understanding how elements of the system interact with one another in producing a given outcome.
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