This study focuses on a chronic health systems failure in one province in South Africa – Eastern Cape, in OR Tambo District
‘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 3 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 5 Districts in the Eastern Cape, OR Tambo stands out as the worst performing District, especially in the area of maternal mortality.
This research is supported by the Department for International Development’s ReBUILD Programme which is led by Liverpool School of Tropical Medicine
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.