Skip to main content
SpringerLink
Log in
Book cover

Perspectives of Knowledge Management in Urban Health pp 115–128Cite as

The Development of a Framework to Evaluate the Management of HIV/AIDS Programmes in Rural and Urban South Africa

  • Chapter
  • First Online:

  • 663 Accesses

Part of the book series: Healthcare Delivery in the Information Age ((Healthcare Delivery Inform. Age,volume 1))

Abstract

Nearly 40 million people worldwide are living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS), with just 12% of those who urgently need treatment receiving it. South Africa has one of the highest cases of HIV infections in the world. Intervention efforts have not kept pace with the spread of HIV/AIDS, and a knowledge divide has been identified as a major factor in this. An initial empirical investigation suggests that HIV/AIDS organisations are working individually to address the problems, but there is no overall coordination between them, no system to share knowledge, and the organisations compete for the same funds. The result of this could be wasted resources and a systematic and systemic approach may assist in achieving better results. As mentioned above, a knowledge divide has been identified, and knowledge sharing between HIV/AIDS organisations is at best unplanned and at worse simply does not happen. Given these things, knowledge management would appear to be able to offer some ways forward. Combining systems thinking with knowledge management offers a powerful approach to addressing these issues. By using a hierarchy of systems complexity it may be possible to identify where approaches and possible solutions to problems have been incorrectly specified because they are addressing the wrong level. In this context, the right level refers to approaches of information technology, information systems and knowledge management. This chapter explains the background to HIV/AIDS in South Africa and the issues involved in addressing the management of HIV/AIDS programmes. The chapter outlines how these may be approached by using the concepts of knowledge management, systems thinking and the seven wastes of lean.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Agbola, F., Damoense, M., and Saini, Y. (2004) ‘South Africa: Impact of HIV/AIDS on Food Demand.’ International Journal of Social Economics 31, (7) 721–731

    Article  Google Scholar 

  • Barnett, T., and Whiteside, A. (2006) AIDS in the Twenty-First Century: Disease and Globalization. New York: Palgrave Macmillan

    Google Scholar 

  • Bailey, C. (2003) ‘Using Knowledge Management to Make Health Systems Work.’ Bulletin of the World Health Organization 81, (11) 777

    Google Scholar 

  • Boulding, K. (1956) ‘General Systems Thinking: The Skeleton of Science.’ Management Science 2, (3) 197–208

    Article  Google Scholar 

  • Boulding, K. (1964) ‘General Systems as a Point of View.’ In Views on General Systems Theory. ed. by Mesarovic, A. New York: John Wiley

    Google Scholar 

  • Caldwell, C., Brexler, J., and Gillem, T. (2005) Lean-Six Sigma for Healthcare: A Senior Leader Guide to Improving Cost and Throughput. Milwaukee: ASQ Quality Press

    Google Scholar 

  • Caceres, C., Gomez, E., Garcia, F., Chausa, P., Guzman, J., Del Pozo, F., and Gatell, J. (2005) ‘A Home Integral Telecare System for HIV/AIDS Patients.’ Studies in Health Technology and Informatics 114, 23–29

    PubMed  Google Scholar 

  • Checkland, P. (1971) ‘A Systems Map of the Universe.’ Journal of Systems Engineering 2, (2) 107–114

    Google Scholar 

  • Clarke, S., and Lehaney, B. (2000) ‘Mixing Methodologies for Information Systems Development and Strategy: A Higher Education Case Study.’ Journal of the Operational Research Society 51, (5) 542–556

    Google Scholar 

  • Correa, F., Gill, M. and Redin, L. (2005) ‘Benefits Connecting RFID and Lean Principles in Health Care.’ Working Paper 05-44, Business Economics Series 10

    Google Scholar 

  • Davenport, T. and Prusak, L. (1998) Working Knowledge: How Organizations Manage What They Know. Boston: Harvard Business School Press

    Google Scholar 

  • Gillespie, S.R., Kadiyala, S and Greener, R. (2007) Is Poverty or Wealth Driving HIV Transmission. AIDS Vol. 21, Suppl. 7, S5–S16

    Article  PubMed  Google Scholar 

  • Gupta, B., Iyer, L., and Aronson, J. (2000) ‘Knowledge Management: Practices and Challenges.’ Industrial Management & Data Systems 100, (1) 17–21

    Article  Google Scholar 

  • Isandla Institute (2007) HIV/AIDS and Sustainable Human Settlements Development in South Africa: An Introductory Guide for Municipal Practitioners [online] available from www.isandla.org.za [7 March 2009]

  • Jackson, M. C. and P. Keys (1984). ‘Towards a System of Systems Methodologies.’ Journal of the Operational Research Society 35, (6) 473–486

    Google Scholar 

  • Jimmerson, C., Weber, D. and Sobek, D. (2003) The REVIEW Workbook: Applying the Principles of the Toyota Production System to Healthcare. MT: New Rider Productions

    Google Scholar 

  • Jimmerson, C., Weber, D. and Sobek, D. (2005) ‘Reducing Waste and Errors: Piloting Lean Principles at Intermountain Healthcare.’ Joint Commission Journal on Quality and Patient Safety 31, (5) 249–257

    PubMed  Google Scholar 

  • Jones, D. and Mitchell, A. (2006) Lean Thinking in the NHS. London: NHS Confederation

    Google Scholar 

  • Jordan, J. (1968) Themes in Speculative Psychology. London: Tavistock Publications

    Google Scholar 

  • Lehaney, B., Clarke, S., Coakes, E., and Jack, G. (2004) Beyond Knowledge Management. Hershey: Idea Group Publishing

    Google Scholar 

  • McCarron, B. (2006) Introduction to Lean Thinking [online] available from www.cipfanetworks.net/fileupload/upload/Lean_briefing1912007311331.pdf [7 January 2009]

  • Milton, N. (2004) ‘Knowledge Management (KM) Guidance Notes No. 5.’ BOND-Networking for International Development. [online] available from http://www.bond.org.uk/pubs/guidance/5km.pdf [7 July 2008]

  • Mingers, J. (1997) ‘Systems Topologies in the Light of Autopoiesis: A Reconceptualisation of Boulding’s Hierachy, and A Typology of Self-Referential Systems.’ Systems Research and Behavioural Science 14, (5) 303–314

    Article  Google Scholar 

  • Ohno, T. (1988) The Toyota Production System: Beyond Large-Scale Production. Portland: Productivity Press

    Google Scholar 

  • Sassman, R., Lehaney, B. and Marshall, I. (2008) ‘A Knowledge Management Framework for Assisting Organisations to Evaluate their Own (Non-clinical) Approaches to the Dissemination of Knowledge about HIV/AIDS Intervention Programmes in South Africa.’ In Proceedings of the PICMET Conference ‘Technology Management for a Sustainable Economy.’ Held 27–31 July 2008 in Cape Town, South Africa.

    Google Scholar 

  • Savary, L., and Crawford-Mason, C. (2006) The Nun and the Bureaucrat: How They Found an Unlikely Cure for America’s Sick Hospitals. Washington: CC-M Productions

    Google Scholar 

  • Senge, P. (1990) The Fifth Discipline: The Art and Practice of The Learning Organisation. New York: Doubleday

    Google Scholar 

  • Shisana, O., Rehle, T., Simbayi, L., Parker, W., Bhana, A., Zuma, K., Connoly, C., Jooste, S., and Pillay, V., (2005) South African National HIV Prevalence, Incidence, Behaviour and Communication Survey 2005. Cape Town: HSRC Press

    Google Scholar 

  • Simwa, R., and Pokhariyal, G. (2003) ‘A Dynamic Model for Stage-Specific HIV Incidences with Application to Sub-Saharan Africa.’ Applied Mathematics and Computation 146, (1) 93–104

    Article  Google Scholar 

  • Skyttner, L. (2005) General Systems Theory: Problems, Perspectives and Practice. Singapore: World Scientific Publishing Co. Ltd

    Google Scholar 

  • UN-HABITAT (2006) State of the World’s Cities Report 2006/7 [online] available from http://www.unhabitat.org [7 May 2009]

  • UNAIDS (2000) Guidelines for Studies of the Social and Economic Impact of HIV/AIDS [online] available from http://data.unaids.org/Publications/IRC-pub01/JC326-Guidelines_en.pdf [7 July 2008]

  • UNAIDS (2004) Report on the Global AIDS Epidemic [online] available from http://www.unaids.org/bangkok2004/gar2004_html/GAR2004_00_en.htm [2 October 2008]

  • UNAIDS (2006) Report on the AIDS Epidemic Update [online] available from http://www.unaids.org/en/HIV_data/2006GlobalReport/default.asp [7 July 2008]

  • UNAIDS (2008) Report on the Global AIDS Epidemic [online] available from http://www.unaids.org/en/KnowledgeCentre/HIVData/GlobalReport/2008/default.asp [7 May 2009]

  • Wickramasinghe, N., Gupta, J., Sharma, S. (2004) Creating Knowledge-based Healthcare Organizations. London: Idea Group Publishing

    Book  Google Scholar 

  • WHO (2007) Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Report, April 2007

    Google Scholar 

  • Womack, J., Roos, D., and Jones, D. (1990) The Machine That Changed The World. New York: Macmillan

    Google Scholar 

  • Womack, J., and Jones, D. (2003) Lean Thinking: Banish Waste and Create Wealth in Your Corporation. New York: Simon and Schuster

    Google Scholar 

  • Xia, X. (2003) ‘Estimation of HIV/AIDS Parameters.’ Automatica 39, (11) 1983–1988

    Article  Google Scholar 

  • Zolfo, M., Arnould, L., Huyst, V., and Lynen, L. (2005) ‘Telemedicine for HIV/AIDS Care in Low Resource Settings.’ Studies in Health Technology and Informatics 114, 18–22

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Knowledge Management for Healthcare (KARMAH) Research Subgroup, Coventry University, Coventry, UK

    Rochelle Sassman

  2. Biomedical Computing and Engineering Technologies (BIOCORE) Applied Research Group, Coventry University, Priory Street, CV1 5FB, Coventry, UK

    Rochelle Sassman

Authors
  1. Rochelle Sassman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brian Lehaney
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rajeev K. Bali
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Raouf N. G. Naguib
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ian M. Marshall
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rochelle Sassman .

Editor information

Editors and Affiliations

  1. Johns Hopkins Urban Health Institute, E. Monument St. 2013, Baltimore, 21205, Maryland, USA

    Michael Christopher Gibbons

  2. Health Design and Technology Institute (, Knowledge Management for Healthcare (KAR, Coventry University, Puma Way, Coventry, CV1 2TT, United Kingdom

    Rajeev Bali

  3. , RMIT University, School of Business Information Technolog, GPO Box 2476, Melbourne VIC, 3001, Australia

    Nilmini Wickramasinghe

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Sassman, R., Lehaney, B., Bali, R.K., Naguib, R.N.G., Marshall, I.M. (2010). The Development of a Framework to Evaluate the Management of HIV/AIDS Programmes in Rural and Urban South Africa. In: Gibbons, M., Bali, R., Wickramasinghe, N. (eds) Perspectives of Knowledge Management in Urban Health. Healthcare Delivery in the Information Age, vol 1. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5644-6_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-5644-6_7

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-5643-9

  • Online ISBN: 978-1-4419-5644-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation