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Table 4 Summary of senior, middle and frontline manager positions on the MRU in the three units

From: Expressions of actor power in implementation: a qualitative case study of a health service intervention in South Africa

 

Position on MRU

Full implementing unit

Senior managers

All supportive, and all active drivers

Middle managers

All supportive, one PHC LAMa as key champion

Frontline managers

All supportive, paediatric OMa as key champion

Moderate implementing unit

Senior managers

All (reportedly) supportive, but one main driver (nursing manager)

Middle managers

All supportive, one PHC LAM as champion

Frontline managers

All supportive, maternity OM as champion

Low implementing unit

Senior managers

Senior managers (reportedly) disengaged

Middle managers

One hospital middle manager (senior dietitian) supportive, PHC LAMs (reportedly) disengaged

Frontline managers

One frontline hospital OM supportive, another actively resistant; PHC OM neutral

  1. aLAM local area manager, OM operational manager