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Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa
Despite national governments striving for responsive health systems and the implementation of mechanisms and interventions to foster citizen feedback and participation in health, current evidence does not adequately address these mechanisms and interventions in low-income and middle-income countries...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2021
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| _version_ | 1867613267310936065 |
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| access_status_str | Open Access |
| author | Sutherns, Tamaryn |
| author2 | Olivier, Jill |
| author_browse | Olivier, Jill Sutherns, Tamaryn |
| author_facet | Olivier, Jill Sutherns, Tamaryn |
| author_sort | Sutherns, Tamaryn |
| collection | Thesis |
| description | Despite national governments striving for responsive health systems and the implementation of mechanisms and interventions to foster citizen feedback and participation in health, current evidence does not adequately address these mechanisms and interventions in low-income and middle-income countries (LMICs). This mixed method descriptive and exploratory study ‘maps' types of health system responsiveness mechanisms and their functionality in the South African health system, with a focus on the Western Cape Province, based on the available descriptive evidence. Multiple forms of data are scrutinized and synthesized to provide a deeper, contextual understanding of ´formal´ mechanisms that are constituted or mandated into South African and Western Cape policies and guidelines. This research shows that while national, provincial and district policies make strong provisions for health system responsiveness, including mechanisms to foster citizen feedback, in reality, implementation is not standardised and sometimes non-functional. Many of these mechanisms also currently exist in isolation, failing to feed into an overarching strategy of health system responsiveness, where feedback mechanisms may complement one another and lead to quality improvement in the health system. While there are cases for effective and well-functioning mechanisms for receiving and responding to citizen feedback, government on all levels is often hampered by resources and other constraints. These findings have implications for health researchers as well as national and provincial policymakers, seeking to enhance health system functioning. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/33035 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:25.185Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/33035 Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa Sutherns, Tamaryn Olivier, Jill Health Systems Specialization Despite national governments striving for responsive health systems and the implementation of mechanisms and interventions to foster citizen feedback and participation in health, current evidence does not adequately address these mechanisms and interventions in low-income and middle-income countries (LMICs). This mixed method descriptive and exploratory study ‘maps' types of health system responsiveness mechanisms and their functionality in the South African health system, with a focus on the Western Cape Province, based on the available descriptive evidence. Multiple forms of data are scrutinized and synthesized to provide a deeper, contextual understanding of ´formal´ mechanisms that are constituted or mandated into South African and Western Cape policies and guidelines. This research shows that while national, provincial and district policies make strong provisions for health system responsiveness, including mechanisms to foster citizen feedback, in reality, implementation is not standardised and sometimes non-functional. Many of these mechanisms also currently exist in isolation, failing to feed into an overarching strategy of health system responsiveness, where feedback mechanisms may complement one another and lead to quality improvement in the health system. While there are cases for effective and well-functioning mechanisms for receiving and responding to citizen feedback, government on all levels is often hampered by resources and other constraints. These findings have implications for health researchers as well as national and provincial policymakers, seeking to enhance health system functioning. 2021-03-01T18:35:29Z 2021-03-01T18:35:29Z 2020 2021-03-01T13:35:09Z Master Thesis Masters MPH http://hdl.handle.net/11427/33035 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences |
| spellingShingle | Health Systems Specialization Sutherns, Tamaryn Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| thesis_degree_str | Master's |
| title | Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| title_full | Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| title_fullStr | Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| title_full_unstemmed | Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| title_short | Exploring mechanisms for receiving and responding to citizen feedback in LMIC health system: a mixed methods evidence mapping of the Western Cape Province of South Africa |
| title_sort | exploring mechanisms for receiving and responding to citizen feedback in lmic health system a mixed methods evidence mapping of the western cape province of south africa |
| topic | Health Systems Specialization |
| url | http://hdl.handle.net/11427/33035 |
| work_keys_str_mv | AT suthernstamaryn exploringmechanismsforreceivingandrespondingtocitizenfeedbackinlmichealthsystemamixedmethodsevidencemappingofthewesterncapeprovinceofsouthafrica |