How do we reframe health #Performance_management within complex #adaptive_systems?
▻https://redasadki.me/2023/10/16/how-do-we-reframe-health-performance-management-within-complex-adaptive-sy
We need a conceptual framework that situates health performance management within complex adaptive systems. This is a summary of an important paper by #Tom_Newton-Lewis et al. It describes such a conceptual framework that identifies the factors that determine the appropriate balance between directive and enabling approaches to performance management in a given context. Existing performance management approaches in many low- and middle-income country health systems are largely directive, aiming to control behaviour using targets, performance monitoring, incentives, and answerability to hierarchies. Health systems are complex and adaptive: performance outcomes arise from interactions between many interconnected system actors and their ability to adapt to pressures for change. In my view, (...)
#Global_health #Learning #Research #complexity #global_health #HRH #Human_resources_for_health #LMICs #systems_theory
