Flagship Reports


Systems Thinking for Health Systems Strengthening

The Report offers a fresh and practical approach to strengthening health systems through “systems thinking”. It can be considered a primer on this topic, offering simple yet profound explanations of complex issues from designing system- oriented interventions to evaluating their effects. As investments in health are increasingly directed to health system strengthening, this Report helps to understand better not only what works but what works for whom and under what circumstances.

The Report was launched at the Global Forum for Health Research in Havana, Cuba in November 2009, supported by a range of promotional materials, including a six-page brief for policy-makers. More than one hundred people attended the launch, with hundreds of copies disseminated during the event. Since then, the Alliance Secretariat has received several requests for presentations on the topic and strong demand to collaborate on moving this kind of “thinking” forward. The Report has already been cited in instrumental publications and high impact journals and “systems thinking” is indeed becoming a widely accepted approach in both understanding and strengthening health systems.

The Secretariat has responded to the demand the Report has created with the following stream of work.

New activities since the launch of the Report

Blogs on Systems Thinking in connection with the Alliance work

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