S12: Building Culture, Capability, and Change in Health Systems
Friday 21 November 2025 | 13:05-14:35
Format: Presentation
Stream: Change
Part One: Youth-Centered Design: Empowering Nigerian Youth for Advocacy and Co-Creation in Transforming Public Healthcare Systems
This session showcases the innovative youth-centered design methodology employed by the WeNaija Community Impact Cohort to transform healthcare systems through advocacy and community-driven solutions. Adapted from the principles of human-centered design, this approach equips youth with skills to identify and address healthcare challenges in their communities. Participants are trained in advocacy, Gemba walks/analysis, and co-creation processes to ensure interventions are locally relevant and sustainable. Through capacity-building and collaborative efforts, the cohort has tackled issues like maternal health, substance abuse, and the utilization of primary health centers, achieving measurable outcomes and systemic improvements.
Delegates will gain actionable insights into implementing youth-centered design approaches in diverse settings, enabling youth to lead transformative health initiatives globally.
Oghenefejiro Chinye-Nwoko Nigeria Solidarity Support Fund; Nigeria
Part Two: Leading Change: The North Metropolitan Health Service Junior Medical Officer (JMO) Manifesto
Health care organisations share in the responsibility of preventing burnout, which can be achieved by supporting clinical practice, developing leadership, fostering engagement, growing a sense of community and meaningful work. Like many Australian health organisations, our organisation, a leading quaternary 850 bed health service provider (HSP) in Western Australia (WA), were facing unprecedented vacancies, increased absenteeism, and burnout amongst their JMOs. Our organisation collaborated with JMOs to create and implement the JMO Manifesto in January of 2023. This initiative consisted of five strategic imperatives that addressed key workplace issues affecting JMOs. Led by the Executive Clinical Services team, the JMO Manifesto was an investment in building JMO wellbeing, trust and engagement through innovative means. Eighteen months in, we remain the top-ranking public health service provider by JMOs in the state, voted by JMOs facing no vacancies. The JMO Manifesto highlights the importance of successful change implementation.
George Eskander Government of Western Australia, Department of Health; Australia
Part Three: Achieving CQI Excellence with Peak Performance: Elevating Primary Healthcare Through Capability, Consistency and Culture Change
Primary Health Care (PHC) policy reform, accreditation and continuing professional development place an emphasis on change management and quality improvement across the Australian PHC sector.
Primary Health Networks (PHNs) fulfil a key role in the Australian healthcare system: commissioning services, promoting collaboration and integration, building capacity and capability. The PHN National Improvement Network Collaborative (NINCo) leads CQI capability development, encouraging consistency of approach and embedding a culture of excellence.
NINCo has equipped PHN staff with the knowledge and tools, to support general practice and allied health providers adopt a CQI approach to improvement, innovation and integration, and practice sustainability.
Sector leaders:
- Showcase their approach to capacity and capability building to strengthen the PHC system and elevate the use of CQI methodology.
- Outline challenges of building capacity and capability at scale in a complex and dynamic PHC system discuss next steps and opportunities to best integrate CQI across the PHC sector.
Learning objectives After this session, participants will be able to:
- Describe the role of the PHN in supporting change and driving improvement in the Australian PHC system.
- Explore the structured approaches adopted by NINCo and partners to enhance CQI capability, consistency and culture change.
- Consider next steps and further opportunities to enhance quality and CQI capability in the PHC system.
- Reflect on learnings and consider opportunities to enhance change and CQI capacity and capability building in your own.
Matt Carrodus Gold Coast Primary Health Network; Australia
Paresh Dawda Prestantia Health; Australia