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Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis
Effective leadership and management has been identified as a critical foundation to enable health systems to respond adequately to their population needs. The changing nature of low-and middleincome countries' health systems in the midst of resource scarcity and a high disease burden, has placed lea...
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| Format: | Thesis |
| Language: | Eng |
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Department of Public Health and Family Medicine
2024
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| _version_ | 1867613577257418752 |
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| access_status_str | Open Access |
| author | Kiarie, Grace |
| author2 | Orgill, Marsha |
| author_browse | Kiarie, Grace Orgill, Marsha |
| author_facet | Orgill, Marsha Kiarie, Grace |
| author_sort | Kiarie, Grace |
| collection | Thesis |
| description | Effective leadership and management has been identified as a critical foundation to enable health systems to respond adequately to their population needs. The changing nature of low-and middleincome countries' health systems in the midst of resource scarcity and a high disease burden, has placed learning as a key factor for health system reform and transformation, with workplace based learning (WPBL) as contributing to this learning process. This qualitative evidence synthesis (QES) used the ‘best fit' framework approach to synthesize evidence on WPBL, to identify and analyse how WPBL works to support and impact (or not) leadership and management development in the district health system. Findings from qualitative studies, mixed-methods and quantitative studies were synthesized and conclusions drawn from the data. The QES sought to answer the research question: ‘What forms of workplace based learning support leadership and management development and how does it impact district health leadership and management strengthening?' Four electronic databases were used to search for empirical studies and published grey literature. Twenty-four articles were included in the synthesis. The findings reveal that over the last decade, WPBL has received consideration as an approach for leadership and management development. However, while the WPBL interventions differed in the type and nature of the intervention, as well as the length of delivery of each intervention, there was no evidence that pointed to which strategy had a greater influence than others on strengthening district health leadership and management. Furthermore, the synthesis demonstrates the need for a focus on sustainability and institutionalization of interventions, including the need to integrate WPBL interventions in health systems, and offering elements of WPBL through national or regional institutions while ensuring flexibility of WPBL design and delivery. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/39618 |
| institution | University of Cape Town (South Africa) |
| language | Eng |
| last_indexed | 2026-06-10T12:38:21.602Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| 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:11427/39618 Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis Kiarie, Grace Orgill, Marsha Gilson Lucy Public Health and Family Medicine Effective leadership and management has been identified as a critical foundation to enable health systems to respond adequately to their population needs. The changing nature of low-and middleincome countries' health systems in the midst of resource scarcity and a high disease burden, has placed learning as a key factor for health system reform and transformation, with workplace based learning (WPBL) as contributing to this learning process. This qualitative evidence synthesis (QES) used the ‘best fit' framework approach to synthesize evidence on WPBL, to identify and analyse how WPBL works to support and impact (or not) leadership and management development in the district health system. Findings from qualitative studies, mixed-methods and quantitative studies were synthesized and conclusions drawn from the data. The QES sought to answer the research question: ‘What forms of workplace based learning support leadership and management development and how does it impact district health leadership and management strengthening?' Four electronic databases were used to search for empirical studies and published grey literature. Twenty-four articles were included in the synthesis. The findings reveal that over the last decade, WPBL has received consideration as an approach for leadership and management development. However, while the WPBL interventions differed in the type and nature of the intervention, as well as the length of delivery of each intervention, there was no evidence that pointed to which strategy had a greater influence than others on strengthening district health leadership and management. Furthermore, the synthesis demonstrates the need for a focus on sustainability and institutionalization of interventions, including the need to integrate WPBL interventions in health systems, and offering elements of WPBL through national or regional institutions while ensuring flexibility of WPBL design and delivery. 2024-05-14T13:05:28Z 2024-05-14T13:05:28Z 2023 2024-05-07T13:26:26Z Thesis / Dissertation Masters MPH http://hdl.handle.net/11427/39618 Eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences |
| spellingShingle | Public Health and Family Medicine Kiarie, Grace Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| thesis_degree_str | Master's |
| title | Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| title_full | Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| title_fullStr | Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| title_full_unstemmed | Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| title_short | Workplace based learning in district health leadership and management strengthening: A qualitative evidence synthesis |
| title_sort | workplace based learning in district health leadership and management strengthening a qualitative evidence synthesis |
| topic | Public Health and Family Medicine |
| url | http://hdl.handle.net/11427/39618 |
| work_keys_str_mv | AT kiariegrace workplacebasedlearningindistricthealthleadershipandmanagementstrengtheningaqualitativeevidencesynthesis |