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.