Understanding pathways of integrating severe acute malnutrition interventions into national health systems in low-income countries : applying systems thinking to study the complexity of health systems

The study explored pathways of integrating severe acute malnutrition interventions into health systems using a theory-driven approach to understand how and why integration progressed in given contexts. Different methodologies under the realist paradigm provided increasing insights into complexity. A scoping study explored integration concepts and attributes, policies and evidence. Using a framework approach, causal loop analysis and agent-based modelling, case studies described the extent of integration and identified factors and system dynamics that influenced its speed and outcome. The refined theory reinforced the finding that understanding integration and considering the complexity of the health system gave health actors a common vision and strengthened their capacity to adapt and implement the integration policy in their context. Subsequent research and operational guidance applying systems thinking may contribute to improved comprehensive child healthcare and health outcome.

Jaar van publicatie:2017

Toegankelijkheid:Closed