This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Leach presented on a pathways approach.
1. The STEPS Centre’s pathways approach in thinking about dynamic health systems Melissa Leach Introductory presentation to conference on ‘Beyond Scaling Up’, 23 May 2010
2. How can we identify and build pathways to sustainability – that link technology and environment with reduced poverty and social injustice – in a complex, dynamic world?
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5. ‘ system’ environment System: Social, institutional, ecological and technological elements interacting In dynamic ways A STEPS systems perspective
6. Dimensions of framing: -Scale and boundaries (e.g. local, national) -Key elements and relationships (e.g. are informal drugs sellers in or out?) -Dynamics in play (e.g. attention to which shocks and stresses) - outputs, goals - perspectives - interests, values (what is the health system delivering and for whom? Narrow vs. broader ideas of wellbeing) - notions of relevant expertise (e.g. biomedical knowledge, or also traditional?) Systems are framed – understood and represented – in diverse ways
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Editor's Notes
STEPS Centre – not a small agenda Want to share with you elements of our pathways approach and why we think it is important in relation to two of the so-called ‘crises’ arou d which policy and public imaginations alike are mobilising.
Start with a basic problem….
Start with a basic problem….
World endlessly complex and dynamic, but useful for analytical and practical purposes to think in terms of systems
Narratives of crisis are part and parcel of this. Could look at the so-called ‘financial crisis’
Narratives of crisis are part and parcel of this. Could equally look at the so-called ‘financial crisis’
Narratives of crisis are part and parcel of this. Could equally look at the so-called ‘financial crisis’
