Health Systems: How to make innovations contagious?
description
Transcript of Health Systems: How to make innovations contagious?
Health Systems:How to make innovations contagious?
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk
Karl BlanchetSeptember 2012
IAPB 9th GA, India
Research needs
(Blanchet et al. 2012)
How do we look at systems?
How do we look at systems?
• Paradigm shifts–Connected–Unique–Embedded–Fluid
Connected• The whole system (de Savigny, 2010)
• Social Network Analysis (Borgatti, 2010)
Study in Ghana 2011 (Blanchet and James, 2011 and 2012)
Connected
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk2006
Connected
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk2010
Unique• No standard model • Diversity• Measuring – Performance (equity, efficiency...?)– Sustainability (Sustainability Analysis
Process)– Resilience
EmbeddedPolitics
Social
HS
Eye HS
Eye Health Systems Assessment (EHSA)
• Guideline• Country reports– Ghana – Sierra Leone
Fluid• Flows and Dynamics• Complex adaptive system• Diffusion of innovations Theory
(Rogers, 1985)
Attributes of innovationsRelative advanta
ge(5=very
high relative
advantage)
Compatibility
(5=very highly
compatible- 1=very
incompatible)
Complexity
(5=not complex –
1=very highly
complex)
Triability
(5=very highly
triable – 1=very highly
untriable)
Observability
(5=very highly
observable – 1=very highly
unobservable)
Total(max =
25)
Continue?
Facility-based Consultations
5 5 5 1 3 19 Yes
Cataract surgery
5 5 2 1 5 18 Yes
Outreach activities
5 2 2 1 3 13 No
School health
5 2 1 1 1 10 No
Blanchet and James, Submitted
HSR: What for?
Health Systems Dashboard
Thank you
Thank you to our Donors:Swiss Red Cross
CBMHandicap International
Sightsavers
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk