Work

Application of system thinking concepts in health system strengthening in low‐income settings: a proposed conceptual framework for the evaluation of a complex health system intervention: the case of the BHOMA intervention in Z ambia

Year: 2014

Type: article

Abstract: BACKGROUND: The current drive to strengthen health systems provides an opportunity to develop new strategies that will enable countries to achieve targets for millennium development goals. In this paper, we present a proposed framework for evaluating a new health system strengthening intervention in Zambia known as Better Health Outcomes through Mentoring and Assessment. APPROACH: We briefly describe the intervention design and focus on the proposed evaluation approach through the lens of systems thinking. DISCUSSION: In this paper, we present a proposed framework to evaluate a complex health system intervention applying systems thinking concepts. We hope that lessons learnt from this process will help to adapt the intervention and limit unintended negative consequences while promoting positive effects. Emphasis will be paid to interaction and interdependence between health system building blocks, context and the community.

Source: Journal of Evaluation in Clinical Practice

DOI: 10.1111/jep.12160

Authors: Wilbroad Mutale, Dina Balabanova, Namwinga Chintu, Margaret Tembo Mwanamwenge, Helen Ayles

Institutions: University of Zambia, London School of Hygiene & Tropical Medicine, Faculty of Public Health, Zambart

Language: English

Topic: Evaluation and Performance Assessment

Subfield: Management Science and Operations Research

Field: Decision Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,430