Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme

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dc.contributor.authorJobson, Geoffrey A
dc.contributor.authorGrobbelaar, Cornelis J
dc.contributor.authorMabitsi, Moyahabo
dc.contributor.authorRailton, Jean
dc.contributor.authorPeters, Remco P H
dc.contributor.authorMcIntyre, James A
dc.contributor.authorStruthers, Helen E
dc.date.accessioned2021-10-08T07:04:11Z
dc.date.available2021-10-08T07:04:11Z
dc.date.issued2017
dc.description.abstractAbstract Background The involvement of Global Health Initiatives (GHIs) in delivering health services in low and middle income countries (LMICs) depends on effective collaborative working at scales from the local to the international, and a single GHI is effectively constructed of multiple collaborations. Research is needed focusing on how collaboration functions in GHIs at the level of health service management. Here, collaboration between local implementing agencies and departments of health involves distinct power dynamics and tensions. Using qualitative data from an evaluation of a health partnership in South Africa, this article examines how organisational power dynamics affected the operation of the partnership across five dimensions of collaboration: governance, administration, organisational autonomy, mutuality, and norms of trust and reciprocity. Results Managing the tension between the power to provide resources held by the implementing agency and the local Departments’ of Health power to access the populations in need of these resources proved critical to ensuring that the collaboration achieved its aims and shaped the way that each domain of collaboration functioned in the partnership. Conclusions These findings suggest that it is important for public health practitioners to critically examine the ways in which collaboration functions across the scales in which they work and to pay particular attention to how local power dynamics between partner organisations affect programme implementation.
dc.identifier.apacitationJobson, G. A., Grobbelaar, C. J., Mabitsi, M., Railton, J., Peters, R. P. H., McIntyre, J. A., & Struthers, H. E. (2017). Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme. <i>Globalization and Health</i>, 13(1), 174 - 177. http://hdl.handle.net/11427/34446en_ZA
dc.identifier.chicagocitationJobson, Geoffrey A, Cornelis J Grobbelaar, Moyahabo Mabitsi, Jean Railton, Remco P H Peters, James A McIntyre, and Helen E Struthers "Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme." <i>Globalization and Health</i> 13, 1. (2017): 174 - 177. http://hdl.handle.net/11427/34446en_ZA
dc.identifier.citationJobson, G.A., Grobbelaar, C.J., Mabitsi, M., Railton, J., Peters, R.P.H., McIntyre, J.A. & Struthers, H.E. 2017. Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme. <i>Globalization and Health.</i> 13(1):174 - 177. http://hdl.handle.net/11427/34446en_ZA
dc.identifier.issn1744-8603
dc.identifier.ris TY - Journal Article AU - Jobson, Geoffrey A AU - Grobbelaar, Cornelis J AU - Mabitsi, Moyahabo AU - Railton, Jean AU - Peters, Remco P H AU - McIntyre, James A AU - Struthers, Helen E AB - Abstract Background The involvement of Global Health Initiatives (GHIs) in delivering health services in low and middle income countries (LMICs) depends on effective collaborative working at scales from the local to the international, and a single GHI is effectively constructed of multiple collaborations. Research is needed focusing on how collaboration functions in GHIs at the level of health service management. Here, collaboration between local implementing agencies and departments of health involves distinct power dynamics and tensions. Using qualitative data from an evaluation of a health partnership in South Africa, this article examines how organisational power dynamics affected the operation of the partnership across five dimensions of collaboration: governance, administration, organisational autonomy, mutuality, and norms of trust and reciprocity. Results Managing the tension between the power to provide resources held by the implementing agency and the local Departments’ of Health power to access the populations in need of these resources proved critical to ensuring that the collaboration achieved its aims and shaped the way that each domain of collaboration functioned in the partnership. Conclusions These findings suggest that it is important for public health practitioners to critically examine the ways in which collaboration functions across the scales in which they work and to pay particular attention to how local power dynamics between partner organisations affect programme implementation. DA - 2017 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Globalization and Health LK - https://open.uct.ac.za PY - 2017 SM - 1744-8603 T1 - Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme TI - Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme UR - http://hdl.handle.net/11427/34446 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34446
dc.identifier.vancouvercitationJobson GA, Grobbelaar CJ, Mabitsi M, Railton J, Peters RPH, McIntyre JA, et al. Delivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme. Globalization and Health. 2017;13(1):174 - 177. http://hdl.handle.net/11427/34446.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceGlobalization and Health
dc.source.journalissue1
dc.source.journalvolume13
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12992-016-0228-y
dc.subject.otherCollaboration
dc.subject.otherGlobal health initiatives
dc.subject.otherHIV
dc.subject.otherHealth partnerships
dc.subject.otherHealth systems strengthening
dc.subject.otherSouth Africa
dc.subject.otherCooperative Behavior
dc.subject.otherDelivery of Health Care
dc.subject.otherGlobal Health
dc.subject.otherHIV Infections
dc.subject.otherHumans
dc.subject.otherPublic-Private Sector Partnerships
dc.subject.otherQualitative Research
dc.subject.otherSouth Africa
dc.titleDelivering HIV services in partnership: factors affecting collaborative working in a South African HIV programme
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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