ArticleHealth policy and planning2020
Shocks, stress and everyday health system resilience: experiences from the Kenyan coast.
Article in Health policy and planning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A management perspective on resilience in healthcare: a framework and avenues for future research.BMC health services research · 2023Pooled it
- Hospitals during economic crisis: a systematic review based on resilience system capacities framework.BMC health services research · 2022Pooled it
- Toward a theory-led meta-framework for implementing health system resilience analysis studies: a systematic review and critical interpretive synthesis.BMC public health · 2022Pooled it
- Mapping the conceptualisation, contributing factors and interventions of moral distress among healthcare providers in Africa: a scoping review.BMJ global health · 2026Article
- Hospital system resilience in the face of armed conflicts; a cross sectional study from two regions in Lebanon.BMC health services research · 2026Observational
- Understanding the role of 'software' in health system capacity for non-communicable disease response: hypertension care in rural Coastal Kenya.Health policy and planning · 2026Article
- How to formulate high-quality lessons learned: a rapid review.Global health action · 2025Review
- Challenges of healthcare quality in Kenya's tertiary hospitals: assessing the contribution and constraints of asset leasing financing mechanism.BMC health services research · 2025Article
- Article
- How has the concept of health system software been used in health policy and systems research? A scoping review.Health policy and planning · 2025Article
- Exploring the inherent resilience of health districts in a context of chronic armed conflict: a case study in Eastern Democratic Republic of the Congo.Health research policy and systems · 2024Article
- Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies.BMJ quality & safety · 2024Article
- A community-based ambulance model: lessons for emergency medical services and everyday health systems resilience from South Africa.Health policy and planning · 2024Article
- Understanding the factors that shape vaccination ecosystem resilience: a qualitative assessment of international expert experiences and perspectives.BMJ public health · 2024Article
- Public-Private engagement and health systems resilience in times of health worker strikes: a Ghanaian case study.Health policy and planning · 2024Article
- Concept analysis of health system resilience.Health research policy and systems · 2024Review
- Resilience of hospitals in an age of disruptions: a systematic literature review on resources and capabilities.Health systems (Basingstoke, England) · 2024Review
- How Is Health System Resilience Being Assessed? A Scoping Review.International journal of health policy and management · 2024Article
- Mentorship to strengthen health system leadership: A case study of the Walungu rural health zone in the eastern Democratic Republic of Congo.PLOS global public health · 2024Article
- A resilience view on health system resilience: a scoping review of empirical studies and reviews.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Health systems are faced with a wide variety of challenges. As complex adaptive systems, they respond differently and sometimes in unexpected ways to these challenges. We set out to examine the challenges experienced by the health system at a sub-national level in Kenya, a country that has recently undergone rapid devolution, using an 'everyday resilience' lens. We focussed on chronic stressors, rather than acute shocks in examining the responses and organizational capacities underpinning those responses, with a view to contributing to the understanding of health system resilience. We drew on learning and experiences gained through working with managers using a learning site approach over the years. We also collected in-depth qualitative data through informal observations, reflective meetings and in-depth interviews with middle-level managers (sub-county and hospital) and peripheral facility managers (n = 29). We analysed the data using a framework approach. Health managers reported a wide range of health system stressors related to resource scarcity, lack of clarity in roles and political interference, reduced autonomy and human resource management. The health managers adopted absorptive, adaptive and transformative strategies but with mixed effects on system functioning. Everyday resilience seemed to emerge from strategies enacted by managers drawing on a varying combination of organizational capacities depending on the stressor and context.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.