Prashanth NS successfully defended his PhD thesis on April 21st, 2015  at  Universite Catholique de Louvain in Brussels,  entitled “Capacity building and performance in local health systems – A realist evaluation of a local health system strengthening intervention in Tumkur, India”. His promoters were Prof. Dr. Jean Macq, Universite Catholique de Louvain in Brussels and Bart Criel, Institute of Tropical Medicine, Antwerp.

How do capacity building programmes work in local health systems?

A realist evaluation of a local health system strengthening intervention in Tumkur, India

In countries such as India, local health systems struggle to utilise their resources optimally and to deliver quality health services in an effective manner. While the reasons for these are many, poor health management capacity has been postulated to contribute to this problem. Understanding how public health organisations can move towards change through capacity building interventions is crucial to strengthening health systems. By studying a capacity building intervention of health managers in Tumkur district of southern India using a realist evaluation approach, we advance the understanding of how these interventions could contribute to organisational change. We find that capacity building programmes need to go much beyond transfer of knowledge and skills in order to effect organisational change and identify several individual and institutional factors and various alignments within decentralising local health systems that are crucial to achieving change. We conclude that human resources management strategies in Karnataka ought to invest in altering workplace conditions and organisational culture through restructuring the current health bureaucracy so that committed health managers could better utilise change opportunities presented by capacity building programmes.

Admissions open for 2022!

In this Certificate course in Implementation Research Methods (eIR) course, There is a need to understand implementation in the real-world context. There are many evidence-based interventions to improve health that have not been effectively delivered. The research agenda especially in the context of maternal and child health, non-communicable diseases, etc. has been shifting and needs to shift from understanding the problem to actually intervening and testing solutions in health care systems. This Certificate course in Implementation Research Methods (eIR) course will improve the capacity of researchers to answer implementation research questions.

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