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Health Systems: How to make innovations contagious?. Karl Blanchet September 2012 IAPB 9 th GA, India. Improving health worldwide. www.iceh.org.uk www.lshtm.ac.uk. Research needs. (Blanchet et al. 2012). How do we look at systems?. How do we look at systems?. Paradigm shifts
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Health Systems:How to make innovations contagious? Karl Blanchet September 2012 IAPB 9th GA, India Improving health worldwide www.iceh.org.uk www.lshtm.ac.uk
Research needs (Blanchet et al. 2012)
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 worldwide 2006 www.iceh.org.uk www.lshtm.ac.uk
Connected Improving health worldwide 2010 www.iceh.org.uk www.lshtm.ac.uk
Unique • No standard model • Diversity • Measuring • Performance (equity, efficiency...?) • Sustainability (Sustainability Analysis Process) • Resilience
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 innovations Blanchet and James, Submitted
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