Health Systems Resilience: A Systems Analysis is a project which seeks to apply a systems dynamics approach to understand, predict and identify mechanisms that influence the resilience of health systems in contexts of adversity. A series of three case studies were planned during the course of the project. This case study focuses on a chronic health systems failure in one province in South Africa – Eastern Cape, in OR Tambo District. The Eastern Cape can be characterized as being in a state of ‘chronic emergency’ on technical, health systems, and socio-political levels. Among the five Districts in the Eastern Cape, OR Tambo stands out as the worst performing District, especially in the area of maternal mortality.
Lembani, M.; de Pinho, H.; Delobelle, P.; Zarowsky, C.; Mathole, T.; Ager, A. A Case Study of Maternal Health Service Provision in OR Tambo District, Eastern Cape, in the Context of Chronic Poor Health Performance. (2015) 17 pp.