Impact of organizational change on the delivery of reproductive services: a review of the literature

T Ensor, J Ronoh

Research output: Contribution to journalLiterature review

11 Citations (Scopus)

Abstract

In order to understand the impact of specific maternal health interventions, it is necessary to understand the likely effect of the health system structure. An important aspect of this structure is the organizational culture. Many systems in low-income countries have been based on a centrally planned and financed system. In recent years a series of organizational changes have been introduced into many systems and these substantially alter the way in which the system operates and impacts on reproductive health care provision. The main changes reviewed in this paper are: (i) decentralization, (ii) privatization and (iii) integration and sector wide approaches. Each of these changes is seen to have important implications for reproductive health. In each case it is clear that the nature of the impact depends crucially on the way it is implemented. Quantifying the impact of these changes remains extremely difficult given the many different ways they can be introduced and the many confounding factors that affect the overall impact. The literature does, however, point to a number of key issues that impinge on the way in which change is likely to affect reproductive health initiatives. Copyright (c) 2005 John Wiley & Sons, Ltd.

Original languageEnglish
Pages (from-to)209-225
Number of pages17
JournalInternational Journal of Health Planning and Management
Volume20
DOIs
Publication statusPublished - 2005

Keywords

  • maternal health
  • reproductive health decentralization
  • privatization
  • sector-wide approach
  • integration
  • MIDDLE-INCOME COUNTRIES
  • HEALTH-SERVICES
  • SECTOR
  • DECENTRALIZATION
  • GHANA
  • CARE
  • PHILIPPINES
  • INTEGRATION
  • EXPERIENCE
  • UGANDA

Cite this

Impact of organizational change on the delivery of reproductive services: a review of the literature. / Ensor, T ; Ronoh, J .

In: International Journal of Health Planning and Management, Vol. 20, 2005, p. 209-225.

Research output: Contribution to journalLiterature review

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abstract = "In order to understand the impact of specific maternal health interventions, it is necessary to understand the likely effect of the health system structure. An important aspect of this structure is the organizational culture. Many systems in low-income countries have been based on a centrally planned and financed system. In recent years a series of organizational changes have been introduced into many systems and these substantially alter the way in which the system operates and impacts on reproductive health care provision. The main changes reviewed in this paper are: (i) decentralization, (ii) privatization and (iii) integration and sector wide approaches. Each of these changes is seen to have important implications for reproductive health. In each case it is clear that the nature of the impact depends crucially on the way it is implemented. Quantifying the impact of these changes remains extremely difficult given the many different ways they can be introduced and the many confounding factors that affect the overall impact. The literature does, however, point to a number of key issues that impinge on the way in which change is likely to affect reproductive health initiatives. Copyright (c) 2005 John Wiley & Sons, Ltd.",
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AB - In order to understand the impact of specific maternal health interventions, it is necessary to understand the likely effect of the health system structure. An important aspect of this structure is the organizational culture. Many systems in low-income countries have been based on a centrally planned and financed system. In recent years a series of organizational changes have been introduced into many systems and these substantially alter the way in which the system operates and impacts on reproductive health care provision. The main changes reviewed in this paper are: (i) decentralization, (ii) privatization and (iii) integration and sector wide approaches. Each of these changes is seen to have important implications for reproductive health. In each case it is clear that the nature of the impact depends crucially on the way it is implemented. Quantifying the impact of these changes remains extremely difficult given the many different ways they can be introduced and the many confounding factors that affect the overall impact. The literature does, however, point to a number of key issues that impinge on the way in which change is likely to affect reproductive health initiatives. Copyright (c) 2005 John Wiley & Sons, Ltd.

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KW - DECENTRALIZATION

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KW - CARE

KW - PHILIPPINES

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