Integrated health system strengthening can generate rapid population impacts that can be replicated: lessons from Rwanda to Madagascar

Bonds, Matthew H.; Rich, Michael

doi:10.1136/bmjgh-2018-000976

Cited by 5 publications

(4 citation statements)

References 9 publications

(9 reference statements)

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“…We have supported antenatal care, postnatal care and family planning, child health including immunization and nutrition services, early child development, outbreak surveillance, cervical cancer screening, and HIV and TB services, often with great care for how workflows are integrated across programs over time. A growing number of our partners have documented remarkable health outcomes improvements through an approach to health system strengthening that integrates services across disease-centric programs and levels of the health system (Bonds & Rich, 2018 ). We now take part in a coalition that advocates for scientific and policy bodies to rethink the design of community health systems with respect to e.g.…”

Section: Reflections On Human-centered Design At Medic Mobilementioning

confidence: 99%

Human-centered design for global health equity

Holeman

Kane

2019

Information Technology for Development

181

131

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As digital technologies play a growing role in healthcare, human-centered design is gaining traction in global health. Amid concern that this trend offers little more than buzzwords, our paper clarifies how humancentered design matters for global health equity. First, we contextualize how the design discipline differs from conventional approaches to research and innovation in global health, by emphasizing craft skills and iterative methods that reframe the relationship between design and implementation. Second, while there is no definitive agreement about what the 'human' part means, it often implies stakeholder participation, augmenting human skills, and attention to human values. Finally, we consider the practical relevance of human-centered design by reflecting on our experiences accompanying health workers through over seventy digital health initiatives. In light of this material, we describe humancentered design as a flexible yet disciplined approach to innovation that prioritizes people's needs and concrete experiences in the design of complex systems.

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Section: Reflections On Human-centered Design At Medic Mobilementioning

confidence: 99%

Human-centered design for global health equity

Holeman

Kane

2019

Information Technology for Development

181

131

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“…The focus on implementation science has generated rigorous evidence on the impact of health system strengthening interventions. 12,13,15,16 PIVOT therefore also collaborates with a network of researchers to create a broad field-based research agenda for sustainability. 7,17 Two examples demonstrate how the process of learning through monitoring, evaluation and research is contributing to flexibility and extending the reach of the health system in Ifanadiana, as well on prioritizing patientcenteredness:…”

Section: Learning For Adaptationmentioning

confidence: 99%

Networks of Care in Rural Madagascar for Achieving Universal Health Coverage in Ifanadiana District

Cordier

Kalaris

Rakotonanahary

et al. 2020

Health Systems & Reform

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“…Similarly, under-five and neonatal mortality dropped by nearly 20 percent and 35 percent respectively in the first two years of the HSS intervention in one district of Madagascar (2014)(2015)(2016), significantly faster than the average national rates observed for any country during the MDGs. Although baseline characteristics were similar in terms of per capita income and under-five mortality rates, each intervention happened in very different political and economic contexts (Bonds and Rich 2018). During 2005-2010, Rwanda experienced a virtuous cycle of political stability, international investment, and foreign aid.…”

Section: Beyond Rcts For the Sustainable Development Goals Era: Obser...mentioning

confidence: 99%

“…Madagascar, however, has been pol it ic al ly unstable for most of the past 50 years, with a steadily declining economy and health system investments that were the lowest in the world in 2014. Together, the two experiences provide a natural test of the extent to which integrated HSS interventions can have population-level impacts that can be replicated in different contexts (Bonds and Rich 2018).…”

Section: Beyond Rcts For the Sustainable Development Goals Era: Obser...mentioning

confidence: 99%

Randomized Control Trials in the Field of Development

2020

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In October 2019, Abhijit Banerjee, Esther Duflo, and Michael Kremer jointly won the 51st Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel "for their experimental approach to alleviating global poverty." But what is the exact scope of their experimental method, known as randomized control trials (RCTs)? Which sorts of questions are RCTs able to address and which do they fail to answer? This book provides answers to these questions, explaining how RCTs work, what they can achieve, why they sometimes fail, how they can be improved and why other methods are both useful and necessary. Chapters contributed by leading specialists in the field present a full and coherent picture of the main strengths and weaknesses of RCTs in the field of development. Looking beyond the epistemological, political, and ethical differences underlying many of the disagreements surrounding RCTs, it explores the implementation of RCTs on the ground, outside of their ideal theoretical conditions and reveals some unsuspected uses and effects, their disruptive potential, but also their political uses. The contributions uncover the implicit worldview that many RCTs draw on and disseminate, and probe the gap between the method's narrow scope and its success, while also proposing improvements and alternatives. This book warns against the potential dangers of their excessive use, arguing that the best use for RCTs is not necessarily that which immediately springs to mind, and offering opportunity to come to an informed and reasoned judgement on RCTs and what they can bring to development.

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Integrated health system strengthening can generate rapid population impacts that can be replicated: lessons from Rwanda to Madagascar

Cited by 5 publications

References 9 publications

Human-centered design for global health equity

Human-centered design for global health equity

Networks of Care in Rural Madagascar for Achieving Universal Health Coverage in Ifanadiana District

Randomized Control Trials in the Field of Development

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