Department of
Sociology
Center for
Innovation
Rather than being just a theoretical treatise, the second chapter outlines an epic case study of how these theoretical ideas were applied to rebuild the health care system in rural Nicaragua after a major natural disaster in 1998 (Hurricane Mitch). Each subsequent chapter provides lessons for public health program managers as well as new social science theory. Among other practical issues considered are how to establish a scion, create effective coordination within it, and best practices for safe motherhood and child survival programs. Besides making contributions to the literature on modes of coordination, the findings indicate alternative ways of thinking about social capital and its effectiveness in changing human behavior, the role of organizational change and the importance of adaptiveness. Although this is a case study, an explanation is provided as to why its findings have considerable generalizability.
Updated 5 April 2023
Center for Innovation
Department of Sociology
University of Maryland
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