Marsha Orgill

ORCID: 0000-0003-3831-6249
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About
Contact & Profiles
Research Areas
  • Health Policy Implementation Science
  • Global Maternal and Child Health
  • Community Health and Development
  • Global Public Health Policies and Epidemiology
  • Interprofessional Education and Collaboration
  • Primary Care and Health Outcomes
  • Data-Driven Disease Surveillance
  • Ethics in Clinical Research
  • Healthcare Policy and Management
  • HIV/AIDS Impact and Responses
  • HIV/AIDS Research and Interventions
  • Healthcare Systems and Reforms
  • School Health and Nursing Education
  • Electronic Health Records Systems
  • Public Health and Nutrition
  • Public Health Policies and Education
  • Satellite Image Processing and Photogrammetry
  • Organizational Change and Leadership
  • Public-Private Partnership Projects
  • Child and Adolescent Health
  • Poverty, Education, and Child Welfare
  • Global Health Workforce Issues
  • Atmospheric and Environmental Gas Dynamics
  • Early Childhood Education and Development
  • Healthcare innovation and challenges

Texas A&M University – Corpus Christi
2025

University of Cape Town
2012-2024

Children’s Institute
2024

King University
2020

University of the Western Cape
2013

University of Leeds
2013

Great Lakes University of Kisumu
2013

University of Ghana
2013

Institute of Development Studies
2013

The importance of health policy and systems research analysis (HPSR+A) is widely recognized. Universities are central to strengthening sustaining the HPSR+A capacity as they teach next generation decision-makers professionals. However, little known about universities, specifically, develop field. In this article, we report results self- assessments by seven universities within five African countries, conducted through Consortium for Health Policy Systems Analysis in Africa (CHEPSAA).

10.1093/heapol/czt065 article EN cc-by-nc Health Policy and Planning 2013-09-14

Whole-system interventions are those that entail system wide changes in goals, service delivery arrangements and relationships between actors, requiring approaches to implementation go beyond projects or programmes. Drawing on concepts from complexity theory, this paper describes the catalysts of a whole-system intervention North West Province South Africa. This province was an early adopter national primary health care (PHC) strategy included establishment PHC outreach teams based...

10.1186/s12913-014-0609-y article EN cc-by BMC Health Services Research 2014-11-28

Alcohol is a major contributor to the Non-Communicable Disease burden in South Africa. In 2000, 7.1% of all deaths and 7% total disability-adjusted life years were ascribed alcohol-related harm country. Regulations proposed restrict alcohol advertising Africa present an evidence-based upstream intervention. Research on policy formulation low- middle-income countries limited. This study aims describe explore process 2013 draft Control Marketing Alcoholic Beverages Bill between March 2011 May...

10.1093/heapol/czy049 article EN public-domain Health Policy and Planning 2018-05-16

Community health systems (CHSs) have historically been approached from multiple perspectives, with different purposes and methodological disciplinary orientations. The terrain is, on the one hand, vast diverse. On other under banner of universal coverage (UHC) Sustainable Development Goals (SDGs), a streamlined version 'community health' is increasingly being consolidated in global donor communities. With view to informing debate practice, this paper seeks synthesise approaches CHS into set...

10.34172/ijhpm.2021.73 article EN cc-by International Journal of Health Policy and Management 2021-07-07

This study contributes to a neglected aspect of health policy analysis: formulation processes. Context is central the cycle, yet influence crises on underrepresented in literature low- and middle-income countries (LMICs). paper analyses detailed case how COVID-19 crisis influenced processes for regulation alcohol South Africa, as part control measures, 2020 2021. It provides picture context, specifically considering extent which position power actors, content. Qualitative data were collected...

10.1093/heapol/czae055 article EN cc-by Health Policy and Planning 2024-06-27

Abstract Background As part of health system strengthening in South Africa (2012–2017) a new district manager, taking bottom-up approach, developed suite innovations to improve the processes monthly management team meetings, and practices managers NGO partners attending them. Understanding capacity as property rather than only individuals, research explored mechanisms triggered context produce outputs, including initial sensemaking by subsequent sensegiving how these homegrown interacted...

10.1186/s12889-021-10546-w article EN cc-by BMC Public Health 2021-03-24

# Background South Africa, like many other countries is currently piloting National Health Insurance (NHI) reforms aimed at achieving Universal Coverage (UHC). Existing health policy implementation experience has demonstrated that new policies have sometimes generated unexpected and negative outcomes without necessarily explaining how these came about. Policies are not always implemented as envisioned, hence the importance of understanding nature implementation. Methods Qualitative data were...

10.29392/joghr.3.e2019069 article EN cc-by Journal of Global Health Reports 2019-12-28

In 2012 the South African National Department of Health (SA NDoH) set out, using a top down process, to implement several innovations in eleven health districts order test reforms strengthen district system. The process disseminating began and senior managers were expected drive implementation. research explored, from bottom up perspective, how efforts by government disseminate diffuse experienced level why some dissemination more enabling than others. A multiple case study design comprising...

10.1186/s12939-019-0952-z article EN cc-by International Journal for Equity in Health 2019-03-29

The importance of health policy and systems research analysis (HPSR+A) has been increasingly recognised, but it is still unclear how most effectively to strengthen the capacity different organisations involved in this field. Universities are particularly crucial expansive literature on development little offer unique needs HPSR+A activity within universities, often overlooks pivotal contribution assessments strengthening.The Consortium for Health Policy Systems Analysis Africa 2011-2015...

10.1186/1478-4505-12-59 article EN cc-by Health Research Policy and Systems 2014-10-08

# Background South Africa, like many other countries is currently piloting National Health Insurance (NHI) reforms aimed at achieving Universal Coverage (UHC). Existing health policy implementation experience has demonstrated that new policies have sometimes generated unexpected and negative outcomes without necessarily explaining how these came about. Policies are not always implemented as envisioned, hence the importance of understanding nature implementation. Methods Qualitative data were...

10.29392/001c.12185 article EN cc-by Journal of Global Health Reports 2019-12-27

Abstract Background HIV diagnosis in South Africa is based on a point-of-care testing (PoCT) algorithm with paper-based record-keeping. Aggregated data are reported routinely. To facilitate improved case-based surveillance, the Western Cape Province implemented unique pilot intervention to digitise PoCT results, at an individual level, and generate electronic register using newly developed Provincial Health Data Centre (PHDC). We describe (phased) present evaluation of operational...

10.1186/s12913-020-05517-7 article EN cc-by BMC Health Services Research 2020-08-06

The need for leadership within district health systems is critical the effective delivery of services and inter-sectoral collaboration health. Leadership capacity development (LCD) has not, however, been prioritized systems, systemic (i.e. roles, structures processes) that needed to develop managers who can lead not always in place. This paper aims contribute understanding how build such capacity, considering a relevant bottom-up innovation. We observed, period 2013-15, emergent...

10.1093/heapol/czae099 article EN cc-by Health Policy and Planning 2024-10-30

Performance based financing was introduced to Kilifi county in Kenya 2015. This study investigates how and why political bureaucratic actors at the local level influenced extent which PBF politically prioritised sub-national level.The employed a single-case design. The Shiffman Smith priority setting framework with adaptations proposed by Walt Gilson applied. Data collected through document review (n=19) in-depth interviews (n=8). Framework analysis used analyse data generate findings.In...

10.34172/ijhpm.2023.6909 article EN cc-by International Journal of Health Policy and Management 2023-01-18

Abstract Early childhood has increasingly been acknowledged as a vital time for all children. Inclusive and quality education is part of the United Nations Sustainable Development Goals, with further specification that children have access to pre‐primary education. As early (ECE) expanded worldwide, so concerns about ECE provision, including whether its pedagogy culturally meaningful contextually appropriate. While these issues are much debated in themselves, often missing key stakeholder...

10.1002/berj.3940 article EN cc-by British Educational Research Journal 2023-12-07

Health and health care in South Africa, 2nd edition HCJ Van Rensburg (Ed.) Schaik, Pretoria, 2012, ISBN 9780627030130 In Africa today we are seeing large-scale public sector r...

10.1080/0376835x.2012.730976 article EN Development Southern Africa 2012-11-05

Abstract Background As part of health system strengthening in South Africa (2012- 2017) a new district manager, taking bottom-up approach to developing managerial capacity, developed suite innovations improve the processes and practices managers NGO partners monthly management team meetings. Using systems perspective on capacity development, research explored initial sensemaking by how these homegrown interacted with existing social norms, mechanisms for change that were triggered emergent...

10.21203/rs.3.rs-63511/v1 preprint EN cc-by Research Square (Research Square) 2020-08-28
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