Application of Systems Thinking in Health: Opportunities for Translating Theory into Practice; Comment on “Constraints to Applying Systems Thinking Concepts in Health Systems: A Regional Perspective from Surveying Stakeholders in Eastern Mediterranean Countries”

Malik, Asmat Ullah

doi:10.15171/ijhpm.2015.69

Application of Systems Thinking in Health: Opportunities for Translating Theory into Practice; Comment on “Constraints to Applying Systems Thinking Concepts in Health Systems: A Regional Perspective from Surveying Stakeholders in Eastern Mediterranean Countries”

Document Type : Commentary

Author

Asmat Ullah Malik

Integrated Health Services, Islamabad, Pakistan

10.15171/ijhpm.2015.69

Abstract

Systems thinking is not a new concept to health system strengthening; however, one question remains unanswered: How policy-makers, system designers and consultants with a system thinking philosophy should act (have acted) as potential change agents in actually gaining opportunities to introduce systems thinking? Development of Comprehensive Multi-Year Plans (cMYPs) for Immunization System is one such opportunity because almost all Low- and Middle-Income Countries (LMICs) develop and implement cMYPs every five years. Without building upon examples and showing practical application, the discussions and deliberations on systems thinking may fade away with passage of time. There are opportunities that exist around us in our existing health systems that we can benefit from starting with an incremental approach and generating evidence for longer lasting system-wide changes.

Keywords

Main Subjects

Health System Reform

References

El-Jardali F, Adam T, Ataya N, Jamal D, Jaafar M. Constraints to applying systems thinking concepts in health systems: A regional perspective from surveying stakeholders in Eastern Mediterranean countries. Int J Health Policy Manag 2014; 3: 399-407. doi: 10.15171/ijhpm.2014.124

Savigny DD, Adam T. Systems thinking for health systems strengthening. Geneva: Alliance for Health Policy and Systems Research, World Health Organization; 2009.

Peters D. The application of systems thinking in health: why use systems thinking? Health Res Policy Syst 2014; 12: 51. doi: 10.1186/1478-4505-12-51

Adam T. Advancing the application of systems thinking in health. Health Res Policy Syst 2014; 12: 50. doi: 10.1186/1478-4505-12-50

Payne S. Critical systems thinking: a challenge or dilemma in its practice? Systems Practice 1992; 5: 237-49. doi: 10.1007/BF01059842

Zafar S, Shaikh BT. 'Only systems thinking can improve family planning program in Pakistan': A descriptive qualitative study. Int J Health Policy Manag 2014; 3: 393-8. doi: 10.15171/ijhpm.2014.119

Best A, Clark P, Leischow S, Trochim W. Greater than the sum: systems thinking in tobacco control. Tobacco control monograph no. 18. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute; 2007.

Grindle MS, Thomas JW. Setting Agendas: Circumstancs, Process, and Reform. Public Choices and Policy Change: The Political Economy of Reform in Developing Countries. Baltimore: The Johns Hopkins University Press; 1991. p. 70-94.

Gilson L, Mills A. Health sector reforms in sub-Saharan Africa: lessons of the last 10 years. Health Policy 1995; 32: 215-43. Doi: 10.1016/0168-8510(95)00737-D

Mwabu G. Health care reform in Kenya: a review of the process. Health Policy 1995; 32: 245-55. doi: 10.1016/0168-8510(95)00738-E

Dalil S, Newbrander W, Loevinsohn B, Naeem AJ, Griffin J, Salama P, et al. Aid effectiveness in rebuilding the Afghan health system: A reflection. Glob Public Health 2014; 9: S124-36. doi: 10.1080/17441692.2014.918162

World Health Organization (WHO). Everybody business: strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva: WHO; 2007.