Stage | Organisational action that occurred | Factors for or against working together | |
---|---|---|---|
Facilitators | Barriers | ||
Unfreeze | Policy-makers introduce rPHC and the HP policy and launch the new reform | • Health promoters know communities well | • Limited re-alignment of HPPs for new roles:  ◦ job descriptions  ◦ re-training |
Change | HPPs and CHWs/WBOTs experiment on how to work together on the ground | • HPPs as forerunners of the CHW programme | • Role overlap • More attention and resources towards CHWs • Anxiety and trepidation among HPPs |
Refreeze | Some HPPs institutionalise new change into their practice culture | • HPPs train CHWs • Working at part of one WBOT | • Two cadres, and their management structures, working in parallel |