Systems thinking for health systems strengthening
Editors: Don de Savigny; Taghreed Adam
World Health Organization 2009 - ISBN: 978 924 156389 5
Available online
English PDF [112p.] at: http://whqlibdoc.who.int/publications/2009/9789241563895_eng.pdf
Spanish PDF [115p.] at: http://www.who.int/alliance-hpsr/AllianceHPSR_flagship_report_Spanish.pdf
The Alliance for Health Policy and Systems Research is pleased to announce the launch of its latest Flagship Report, Systems Thinking
for Health Systems Strengthening, on Tuesday 17 November 2009 at the Global Forum for Health Research in
This latest flagship report from the
In its "Ten steps to systems thinking," the report shows how we can better capture the wisdom of diverse health system stakeholders in designing solutions to system problems. It suggests ways to more realistically forecast how health systems might respond to system-strengthening interventions, while also exploring potential synergies and dangers among those interventions.
Health systems strengthening is rising on political agendas worldwide. This Report will deepen understanding and stimulate fresh thinking among stewards of health systems, health systems researchers, and development partners.
Health system strengthening often seems a distant, even abstract aim. However, at a time when economic downturn, a new influenza pandemic, and climate change add to our collective challenges, the need for robust health systems is more acute than ever.
“….Systems thinking: To understand and appreciate the relationships within systems, several recent projects have adopted systems thinking to tackle complex health problems and risk factors – in tobacco control, obesity and tuberculosis. On a broader level, however, systems thinking has huge and untapped potential, first in deciphering the complexity of an entire health system, and then in applying this understanding to design and evaluate interventions that improve health and health equity.
Systems thinking can provide a way forward for operating more successfully and effectively in complex, real-world settings. It can open powerful pathways to identifying and resolving health system challenges, and as such is a crucial ingredient for any health system strengthening effort….”
Content:
Preface
Executive Summary
Chapter 1 - Systems thinking for health systems strengthening: An introduction
Chapter 2 - Systems thinking: What it is and what it means for health systems
Bringing the system into focus with a systems thinking lens
Systems thinking: A paradigm shift
System stakeholder networks
Another view of interventions
Intervening at high leverage points in the system
Implications of systems thinking for designing and evaluating health interventions
Chapter 3 - Systems thinking: Applying a systems perspective to design and evaluate health systems interventions .
Systems thinking: A case illustration
Ten Steps to Systems Thinking
Part I: The intervention design
Part II: The evaluation design .
Chapter 4 - Systems thinking for health systems: Challenges and opportunities in real-world settings
Part I - Select challenges in applying a systems perspective
1. Aligning policies, priorities and perspectives among donors and national policy-makers
2. Managing and coordinating partnerships and expectations among system stakeholders
3. Implementing and fostering ownership of interventions at the national and sub-national level
4. Building capacity at the country level to apply a systems analytic perspective
Part II: Innovative approaches to applying the systems perspective
1. Convening multiple constituencies to conceptualize, design and evaluate different strategies
2. Applying the whole systems view
3. Developing knowledge translation processes
4. Encouraging an increased national understanding of health systems research and increased global support for strengthening capacity in health systems research
Chapter 5 - Systems thinking for health systems strengthening: Moving forward
The growing focus on health systems
Schools of thought and experience
Moving forward
Wrapping up
* * *
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