health systems: how to make innovations contagious?
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
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Health Systems:How to make innovations contagious?
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk
Karl BlanchetSeptember 2012
IAPB 9th GA, India
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Research needs
(Blanchet et al. 2012)
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How do we look at systems?
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How do we look at systems?
• Paradigm shifts–Connected–Unique–Embedded–Fluid
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Connected• The whole system (de Savigny, 2010)
• Social Network Analysis (Borgatti, 2010)
Study in Ghana 2011 (Blanchet and James, 2011 and 2012)
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Connected
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk2006
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Connected
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk2010
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Unique• No standard model • Diversity• Measuring – Performance (equity, efficiency...?)– Sustainability (Sustainability Analysis
Process)– Resilience
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EmbeddedPolitics
Social
HS
Eye HS
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Eye Health Systems Assessment (EHSA)
• Guideline• Country reports– Ghana – Sierra Leone
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Fluid• Flows and Dynamics• Complex adaptive system• Diffusion of innovations Theory
(Rogers, 1985)
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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
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HSR: What for?
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Health Systems Dashboard
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Thank you
Thank you to our Donors:Swiss Red Cross
CBMHandicap International
Sightsavers
Improving health worldwidewww.iceh.org.uk www.lshtm.ac.uk