title: Developing management systems with cross-cultural fit: assessing international differences in operational systems.
abstract: Experiences in the Yunnan Maternal and Child Health Project, a 6-year CAN 6 million dollars bilateral initiative implemented in 10 counties (population 2.4 million) in Yunnan, China, are used to illustrate management approaches that successfully bridge cross-cultural differences in operational systems between donor and recipient countries. Donor institutions, local implementing agencies, and partner executing organizations each operate within specific assumptions about how governance structures, financial and administrative systems, human resource infrastructure, communications systems, and monitoring and reporting mechanisms function. These 'system domains' vary across cultures and countries, and become more evident as projects deal with capacity constraints, concerns about accountability, and rapid socioeconomic and political change during implementation. Management teams must be able to identify areas of poor fit among operational systems and respond appropriately. An assessment tool is offered, which management partners can use, as a basis for joint reflections on potential risks, identification of mitigation strategies, and establishing operational systems that are a fit for the funder as well as for partner agencies responsible for executing the project.
authors.affiliation: School of Nursing, Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada nancy.edwards@uottawa.ca
authors.forename: Nancy
authors.initials: N
authors.lastname: Edwards
authors.forename: Susan
authors.initials: S
authors.lastname: Roelofs
mesh_terms: D002170:Canada; D002681:China; D003469:Culture; D006293:Health Promotion / Q000458:organization & administration*; D007391:International Cooperation; D009313:National Health Programs; D019982:Organizational Case Studies