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Decentralisation of the Health System Derailed by Organisational Inertia in Machinga, Malawi

Publish Year: 1403
Type: Journal paper
Language: English
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JR_HPM-13-1_049

Index date: 6 August 2024

Decentralisation of the Health System Derailed by Organisational Inertia in Machinga, Malawi abstract

Background Managing the transition of a health system (HS) from a centralised to a decentralised model has been touted as a panacea to the complex challenges in developing countries like Malawi. However, recent studies have demonstrated that decentralisation of the HS has had mixed effects in service provision with more dominant negative outcomes than positive results. The aim of this study was to develop a substantive grounded theory (GT) that elaborates on how activities of central decision-makers and local healthcare mangers shape the process of shifting the HS to a decentralised model in Machinga, Malawi.Methods The study was qualitative in nature and employed the Straussian version of GT. Some participants were interviewed twice, and a total of 36 semi-structured interviews were conducted with 25 purposively selected participants using an interview guide. The interviews were conducted at the headquarters of the Ministry of Health (MoH) and other ministries and agencies, and in Machinga District. Data were analysed using open, axial, and selective coding processes of the GT methodology; and the conditional matrix and paradigm model were used as data analysis tools.Results The findings of this study revealed seven different activities, forming two opposing and interactional sub-processes of enabling and impeding patterns that derailed the decentralisation drive. The study generated a GT labelled “decentralisation of the HS derailed by organisational inertia,” which elaborates that decentralisation of the HS produced mixed results with more predominant negative outcomes than positive effects due to resistance at the upper organisational echelons and members of the District Health Management Team (DHMT).Conclusion This article concludes that organisational inertia at the personal and strategic levels of leadership entrusted with decentralising the HS in Malawi, contributed immensely to the derailment of shifting the HS from the centralised to the decentralised model of health service provision.

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Decentralisation of the Health System Derailed by Organisational Inertia in Machinga, Malawi authors

Sandram Erixy Naluso

Graduate School of Business and Leadership Studies, University of KwaZulu-Natal, Durban, South Africa

MacDonald Isaac Kanyangale

Graduate School of Business and Leadership Studies, University of KwaZulu-Natal, Durban, South Africa

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Karmel E. Decentralising Government: What You Need to Know. Democracy ...
Mudalige PW. The discussion of theory and practice on decentralization ...
Dick-Sagoe C. Decentralization for improving the provision of public services ...
Khan SA. Decentralisation and the Limits to Service Delivery: Evidence ...
Panda B, Thakur HP. Decentralization and health system performance - ...
Bossert TJ. Decision space and capacities in the decentralization of ...
Liwanag HJ, Wyss K. Optimising decentralisation for the health sector ...
Sumah AM, Baatiema L. Decentralization and management of human resource ...
Roman TE. Exploring Decision Space: A Case Study of Two ...
Seshadri SR, Parab S, Kotte S, Latha N, Subbiah K. ...
Mohammed J, North N, Ashton T. Decentralization of health services ...
Liwanag HJ, Wyss K. What conditions enable decentralization to improve ...
Kigume R, Maluka S. Decentralization and health services delivery in ...
Bulthuis SE, Kok MC, Amon S, et al. How district ...
Brennan E, Abimbola S. Understanding and progressing health system decentralization ...
Abimbola S, Baatiema L, Bigdeli M. The impacts of decentralization ...
Reed JC. Health systems flattening - the failed promises of ...
Alonso-Garbayo A, Raven J, Theobald S, Ssengooba F, Nattimba M, ...
Inkoom DKB, Gyapong AY. Decentralization in Africa: local government and ...
Roman TE, Cleary S, McIntyre D. Exploring the functioning of ...
Dwicaksono A, Fox AM. Does decentralization improve health system performance ...
Zaidi SA, Bigdeli M, Langlois EV, et al. Health systems ...
Regmi K, Naidoo J, Greer A, Pilkington P. Understanding the ...
Hudson B, Hunter D, Peckham S. Policy failure and the ...
Khuluza F, Haefele-Abah C. The availability, prices and affordability of ...
Mweninguwe R. Stealing Money from Sick People. Deutsch Development and ...
Wiesche M, Jurisch M, Yetton P, Krcmar H. Grounded theory ...
Zon H, Pavlova M, Drabo KM, Groot W. Municipal health ...
World Health Organization (WHO). Decentralization: Health Laws and Universal Health ...
Goel RK, Mazhar U, Nelson MA, Ram R. Different forms ...
Bossert T. Analyzing the decentralization of health systems in developing ...
Chiweza AL. A Review of the Malawi Decentralization Process: Lessons ...
Malawi Government. Local Government Act. Malawi Government; ۱۹۹۸. p. ۱-۵۰ ...
Mbeye J. Formulation of Decentralization Policies: The Case of Malawi. ...
Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory ...
Partington D. Building grounded theories of management action. Br J ...
Ndoro TT. Differentiating Engagement of Opportunity Identification: A Grounded Theory ...
Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. ...
Chell E, Pittaway L. A study of entrepreneurship in the ...
Rizzo A, Fulford H. Understanding small business strategy: a grounded ...
Bossert T. Analyzing the decentralization of health systems in developing ...
Khaw KW, Alnoor A, Al-Abrrow H, Tiberius V, Ganesan Y, ...
Amarantou V, Kazakopoulou S, Chatzoglou P, Chatzoudes D. Factors affecting ...
Pearse N. Balancing Leadership Patterns to Promote Sense of Community ...
Pearse N. Effective strategic leadership: balancing roles during church transitions. ...
Super S, Klerkx LWA, Hermens N, Koelen MA. A multilevel ...
Bacud SA. Henri Fayol’s principles of management and its effect ...
Liwanag HJ, Wyss K. Optimising decentralization for the health sector ...
Jagero N, Kwandayi HH, Longwe A. Challenges of decentralization in ...
Bracken J. The Important Difference between Change and Transition. Quality ...
Amegashie-Viglo S. Decentralization as a strategy for development. Research on ...
Organisation of African Unity. Abuja Declaration on HIV/AIDS, Tuberculosis and ...
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