Skip to main content
. 2018 Sep 18;8(1):18–27. doi: 10.15171/ijhpm.2018.92

Table 1. Inputs Into the Multi-level CHW Programme Governance Framework .

Specific Contribution to Assumptions and Principles Contribution to Framework Design and Tasks
Empirical Observations From the South African Experience
Case studies and cross case analysis of provincial implementation
Participant observer in national policy processes
Programmes are path dependent and show sub-national variation
Governance as distributed and negotiated
Importance of local relationships
The practice of governance is multifaceted combining analytic, technical, managerial and political roles
Provides the overall structure and content of the framework
Conceptual/Theoretical Inputs
Sub-functions approaches Importance of fundamental values (eg, participation, transparency) Framing of specific tasks:
Direction/policy
Programme structure and systems design
Information/intelligence
Partnerships
Inter-sectoral action
Systems of accountability
Polycentric, state-society approaches Decision-making and power distributed between state and non-state and community players Network/collaborative/horizontal relationships
Multi-level governance Governance (and power) as distributed, vertically and horizontally
Implementation as non-linear, iterative, and negotiated
Governance as a negotiated process of co-production at all levels
Programme design as bottom-up/top-down requiring systems of feedback and adaptive learning

Abbreviation: CHW, community health worker.