Borrowing from the ideas of colleagues working with thethe combination of absorptive, adaptive and transformative strategies that actors in systems adopt in responding to strain.ultimately implies changing the system so that it can continue to change in the face of multiple, future, unpredictable challenges.
In South Africa there are examples of new forms of collaborating across organisations to work towards shared goals. There are also new ways ofto support learning and enable mutual accountability among colleagues in primary care settings. Similarly, during the COVID-19 pandemic, the Western Cape Department of Health in South Africa introduced the concept of. These daily hour-long meetings allowed for key issues to be presented and discussed. They included managers from all levels of the health system - including the private health sector - as well as managers from other sectors of government. As the pandemic receded, they happened less frequently.