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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
Author(s) -
Mutale Wilbroad,
Balabanova Dina,
Chintu Namwinga,
Mwanamwenge Margaret Tembo,
Ayles Helen
Publication year - 2016
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12160
Subject(s) - intervention (counseling) , systems thinking , context (archaeology) , process (computing) , conceptual framework , process management , knowledge management , unintended consequences , management science , computer science , medicine , risk analysis (engineering) , engineering ethics , psychology , nursing , sociology , business , engineering , political science , artificial intelligence , paleontology , social science , law , biology , operating system
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 Z ambia known as B etter H ealth O utcomes through M entoring and A ssessment. 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.