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Advancing the application of systems thinking in health

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Systems thinking provides an understanding of the complexity of health systems, which is fundamental for strengthening the design, implementation and evaluation of health systems interventions, policies and strategies. The primary objective of this Series is to support the shift from abstract concepts to actual applications and experiences of systems thinking in health, particularly in LMIC. The Series Editor declares no conflict of interest. The Series was coordinated by the Alliance for Health Policy and Systems research, World Health Organization. The publication of the Series and the associated capacity building and dissemination activities were carried out with the aid of a grant from the International Development Research Centre, Ottawa, Canada. Peer review was independently carried out by the Journal. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the views, decisions or policies of the World Health Organization or the International Development Research Centre.

Taghreed Adam

  1. Research

    Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts

    This paper explores the evolution of schemes for rural finance in China as a case study of the long and complex process of health system development. It argues that the evolution of these schemes has been the ...

    Xiulan Zhang, Gerald Bloom, Xiaoxin Xu, Lin Chen, Xiaoyun Liang and Sara J Wolcott

    Health Research Policy and Systems 2014 12:44

    Published on: 26 August 2014

  2. Research

    Advancing the application of systems thinking in health: understanding the growing complexity governing immunization services in Kerala, India

    Governing immunization services in a way that achieves and maintains desired population coverage levels is complex as it involves interactions of multiple actors and contexts. In one of the Indian states, Kera...

    Joe Varghese, V Raman Kutty, Ligia Paina and Taghreed Adam

    Health Research Policy and Systems 2014 12:47

    Published on: 26 August 2014

  3. Research

    Advancing the application of systems thinking in health: sustainability evaluation as learning and sense-making in a complex urban health system in Northern Bangladesh

    Starting in 1999, Concern Worldwide Inc. (Concern) worked with two Bangladeshi municipal health departments to support delivery of maternal and child health preventive services. A mid-term evaluation identifie...

    Eric G Sarriot, Michelle Kouletio, Shamim Jahan Dr, Izaz Rasul and AKM Musha

    Health Research Policy and Systems 2014 12:45

    Published on: 26 August 2014

  4. Research

    Advancing the application of systems thinking in health: advice seeking behavior among primary health care physicians in Pakistan

    Using measles and tuberculosis as case examples, with a systems thinking approach, this study examines the human advice-seeking behavior of primary health care (PHC) physicians in a rural district of Pakistan....

    Asmat U Malik, Cameron D Willis, Saima Hamid, Anar Ulikpan and Peter S Hill

    Health Research Policy and Systems 2014 12:43

    Published on: 26 August 2014

  5. Research

    Advancing the application of systems thinking in health: analysing the contextual and social network factors influencing the use of sustainability indicators in a health system – a comparative study in Nepal and Somaliland

    Health systems strengthening is becoming a key component of development agendas for low-income countries worldwide. Systems thinking emphasizes the role of diverse stakeholders in designing solutions to system...

    Karl Blanchet, Jennifer Palmer, Raju Palanchowke, Dorothy Boggs, Ali Jama and Susan Girois

    Health Research Policy and Systems 2014 12:46

    Published on: 26 August 2014

  6. Research

    Advancing the application of systems thinking in health: a realist evaluation of a capacity building programme for district managers in Tumkur, India

    Health systems interventions, such as capacity-building of health workers, are implemented across districts in order to improve performance of healthcare organisations. However, such interventions often work i...

    Nuggehalli Srinivas Prashanth, Bruno Marchal, Narayanan Devadasan, Guy Kegels and Bart Criel

    Health Research Policy and Systems 2014 12:42

    Published on: 26 August 2014

  7. Research

    Advancing the application of systems thinking in health: understanding the dynamics of neonatal mortality in Uganda

    Of the three million newborns that die each year, Uganda ranks fifth highest in neonatal mortality rates, with 43,000 neonatal deaths each year. Despite child survival and safe motherhood programmes towards re...

    Agnes Semwanga Rwashana, Sarah Nakubulwa, Margaret Nakakeeto-Kijjambu and Taghreed Adam

    Health Research Policy and Systems 2014 12:36

    Published on: 8 August 2014

  8. Research

    Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

    Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and r...

    Irene A Agyepong, Geneieve C Aryeetey, Justice Nonvignon, Francis Asenso-Boadi, Helen Dzikunu, Edward Antwi, Daniel Ankrah, Charles Adjei-Acquah, Reuben Esena, Moses Aikins and Daniel K Arhinful

    Health Research Policy and Systems 2014 12:35

    Published on: 5 August 2014

  9. Research

    Advancing the application of systems thinking in health: realist evaluation of the Leadership Development Programme for district manager decision-making in Ghana

    Although there is widespread agreement that strong district manager decision-making improves health systems, understanding about how the design and implementation of capacity-strengthening interventions work i...

    Aku Kwamie, Han van Dijk and Irene Akua Agyepong

    Health Research Policy and Systems 2014 12:29

    Published on: 16 June 2014

  10. Research

    Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care

    New forms of leadership are required to bring about the fundamental health system changes demanded by primary health care (PHC). Using theory about complex adaptive systems and policy implementation, this pape...

    Lucy Gilson, Soraya Elloker, Patti Olckers and Uta Lehmann

    Health Research Policy and Systems 2014 12:30

    Published on: 16 June 2014

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