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

Abstract

BackgroundThe 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.ResultsManaging 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.ConclusionsThese 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.

Collaborative Governance In Public Service In Indonesia: A Systematic Mapping Study

“…(RQ 1) What sectors in public services have implemented collaborative governance? (Zubair et al, 2017), (Ward et al, 2018), (Thiarai et al, 2019), (Scott & Gilson, 2017), (Bekker et al, 2018), (Moscou & Kohler, 2017), (Kamugumya & Olivier, 2016), (Kim, 2015), (Jobson et al, 2017), (Rensburg et al, 2018), (Gifford et al, 2017), (Broom et al, 2016), (Bordier et al, 2018), (Addison et al, 2016), (Nóbrega et al, 2018) (Webster & Cheyne, 2017), (Supromin & Choonhakhlai, 2017), (Papamichail et al, 2018), (Galli et al, 2019), (Fathimath, 2017), (Choi & Robertson, 2018), (Brinks, 2018), (Vilkė et al, 2018).…”

“…( (Webster & Cheyne, 2017), (Ward et al, 2018), (Thiarai et al, 2019), (Tefera et al, 2019), (Supromin & Choonhakhlai, 2017), (Scott & Gilson, 2017), (Pettersson, 2017), (Papamichail et al, 2018), (Moscou & Kohler, 2017), (Kim, 2015), (Jobson et al, 2017), (Gifford et al, 2017), (Fathimath, 2017), (Wijs et al, 2016), (Brinks, 2018), (Vilkė et al, 2018), (Bekker et al, 2018).…”

Deficiencies in accessibility to point-of-care (POC) diagnostics in PMTCT services in rural primary health care clinics in Zambia: Implementation Science perspective

“…Nevertheless, the importance of external funding partnerships was mentioned as critical enablers to implementation. However, both negative and positive effects of such partnerships have been reported elsewhere [29]. It is therefore important for national level implementers to be mindful when collaborating with stakeholders on global initiatives to ensure successful multi-sectoral collaboration.…”

Stigma and HIV prevention in transgender persons engaging paid sexual activity in Bogotá

“…En el ámbito del VIH, la mentoría (mentoring) en el lugar de trabajo constituye una herramienta poderosa que aumenta la confianza y la autoestima, disminuye el estrés y los conflictos y mejora la satisfacción con la vida laboral. Más allá del conocimiento científico y técnico, el apoyo psicosocial entre compañeros ha sido reconocido como un aspecto crítico de las relaciones de mentoría al interior del equipo de trabajo dentro del contexto del VIH 27 .…”