The Study Systems Thinking in Practice

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The study Systems thinking in practice: The current status of the six WHO building blocks for health system strengthening in three BHOMA intervention districts of Zambia: A baseline qualitative study (Mutale, W., Bond, V., Mwanamwenger, M. T., Mlewa, S., Balabanova, D., Spicer, N., et al., 2013) focused its research efforts on narrowing down the various issues associated with healthcare system in place within Zambia. Where other countries have been able to meet the deadlines associated with millennial developmental goals given by the United Nations, Zambia has consistently fallen behind. Mutale et al. (2013) set out to determine the assorted reasons why Zambia is not able to meet these same deadlines by employing a qualitative study which uses internal as well as external health care information to draw conclusions.
In order to perform this task Mutale et al. (2013) built a survey that would be used over a three month period and given to “30 key informants and 18 [Focus Group Discussions]” (Mutale et al., 2013, p.293). Furthermore, in order to eliminate any biases three separate districts were used, “one rural, one semirural and one urban” (Mutale et al., 2013, p.293). To establish a control for the surveys and to ensure relevancy the surveys were distributed to other similar healthcare facilities prior to being given to the Zambian environment. The composition of the survey was six basic categories of: service delivery, health human resources, medical supplies, governance, health information and finance. These categories defined some of the most basic systematic elements that would cause issues to both the community as well as the healthcare system in place. This would also provide the perfect framework for a qualitative...

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...hink that the results could have taken a true stance or direction on the issues at hand in order to outline a future plan. Instead, the research went a passive route saying “it was clear that the success or failure reported in one building block accounted for success or failure reported in other building blocks” (Mutale et al., 2013, p.298). As an alternative to the chicken or the egg argument I would have liked to have seen a starting point to work forward to improve the situation.

Works Cited

Mutale, W., Bond, V., Mwanamwenger, M. T., Mlewa, S., Balabanova, D., Spicer, N., et al. (2013). The current status of the six WHO building blocks for health system strengthening in three BHOMA intervention districts of Zambia: A baseline qualitative study. BMC Health Services Research, 13(1), 291-299.
An overview of NVIVO 10 (2013). NVIVO 10. QSR International, 1, 1-2.

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