The Implementation Illusion: Why Public Health Programmes Appear Successful on Paper but Fail in Practice
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| Format: | Recurso digital |
| Sprache: | Englisch |
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2025
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| _version_ | 1866901099166826496 |
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| author | Mkhize, Dr Bonginkosi Theresa |
| author_facet | Mkhize, Dr Bonginkosi Theresa |
| contents | <p>Public health programmes are frequently reported as successfully implemented based on compliance with plans, indicators, and reporting requirements. However, these claims of success often mask persistent gaps between policy intent and lived practice. This paper examines the phenomenon of the “implementation illusion,” where formal measures of success fail to reflect frontline realities and uneven outcomes. By interrogating how implementation success is defined, measured, and communicated, the paper highlights why programmes can appear effective on paper while failing to deliver meaningful impact in practice. The analysis offers system-level insights relevant to policymakers, programme managers, and researchers concerned with implementation failure and institutional learning in public health systems.</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18015319 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | The Implementation Illusion: Why Public Health Programmes Appear Successful on Paper but Fail in Practice Mkhize, Dr Bonginkosi Theresa health care policy implementation failure public health program Policy–practice gap Implementation illusion Health systems Institutional learning <p>Public health programmes are frequently reported as successfully implemented based on compliance with plans, indicators, and reporting requirements. However, these claims of success often mask persistent gaps between policy intent and lived practice. This paper examines the phenomenon of the “implementation illusion,” where formal measures of success fail to reflect frontline realities and uneven outcomes. By interrogating how implementation success is defined, measured, and communicated, the paper highlights why programmes can appear effective on paper while failing to deliver meaningful impact in practice. The analysis offers system-level insights relevant to policymakers, programme managers, and researchers concerned with implementation failure and institutional learning in public health systems.</p> |
| title | The Implementation Illusion: Why Public Health Programmes Appear Successful on Paper but Fail in Practice |
| topic | health care policy implementation failure public health program Policy–practice gap Implementation illusion Health systems Institutional learning |
| url | https://doi.org/10.5281/zenodo.18015319 |