Geneva Health Forum Archive

Browse and download abstracts, posters, documents and videos from past editions of the GHF

GHF2014 – PS16 – Unpacking Health Systems Through System Thinking

Unpacking Health Systems Through System Thinking
Dr. Taghreed Adam, MD, Alliance for Health Policy and Systems Research (HSR), Health Systems and Innovation (HIS), World Health Organization, Switzerland
Evaluating Systems-Thinking for District Managers : Ghana
Ms. Aku Kwamie, Researcher, Health Policy, Planning and Management, University of Ghana School of Public Health, Ghana
Understanding the Growing Complexity of Governing Immunization Services in Kerala, India
Dr. Joe Varghese, Post Doctoral Research Fellow, NCD Lifespan Training Program, Centre for Chronic Diseases Control
Dual Practice in Uganda: the Evolution and Management of a Complex Phenomenon
Dr. Ligia Paina Bergman, Department of International Health, Johns Hopkins University School of Public Health, United States
Exploring Primary Care: System Dynamics in USA and Romania
Mrs. Andrada Tomoaia-Cotisel, PhD Candidate, Health Services Research & Policy, London School of Hygiene and Tropical Medicine, United States
Learning from Evidence: Advice-Seeking Behaviour Among Primary Health Care Physicians in Pakistan
Dr. Asmat Malik, Director Research and Development, Department of Research and Development, Integrated Health Services, Pakistan

PS16_Taghreed_AdamDr. Taghreed Adam

Taghreed Adam is a Pediatrician and Health Economist. Having joined WHO in 1999, she focused on methodological and analytical developments in the areas of costing and the economic evaluation of health interventions. Her main research contributions include the multi-country evaluation of IMCI and the WHO-CHOICE project on cost-effectiveness analysis.  Dr Adam joined the Alliance for Health Policy and Systems Research in February 2008. She leads various projects, notably research to advance the methods and application of “systems thinking” concepts in strengthening health systems of low-income and middle-income countries; and the Alliance’ portfolio on capacity strengthening of health policy and systems researchers. Before joining WHO, she worked with the Egyptian Ministry of Health in their Health Sector Reform Project, particularly in the development of a universal health insurance package for the Egyptian population.

AkuKwamieMs. Aku Kwamie

Aku Kwamie is a health systems researcher based at the University of Ghana School of Public Health. Her current area of research is district level governance. Ms Kwamie also has research interests in management and leadership, accountability, decentralisation, complexity science, and maternal and newborn health. She has worked internationally in community health settings in Ghana, Nigeria, Togo, Lesotho, and Canada. Ms Kwamie holds degrees from the University of Toronto and King's College London. She is currently completing her doctoral thesis.

PS16_Joe_VargheseDr. Joe Varghese

I am a NIH D43 Research Fellow associated with Centre for Chronic Disease Control, New Delhi and Rollin School of Public Health, Emory University, Atlanta. I have master and doctoral degree in public health from Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram and currently, undergoing MSc in Global Health Policy (Distance Learning), London School of Hygiene and Tropical Medicine, University of London. I have over 12 years of involvement in public health at the national level as a health system researcher, policy expert and program manager.  I am associated with Jan Swasthya Abhiyan, the Indian affiliate of People’s Health Movement. My research and publications are related to Panchayat Raj Institutions and health sector, sex ratio at birth of Delhi hospitals, public health ethics, analytical frameworks for public health policies & programs and immunization & health governance. My current interest and researches are in the area of policy priorities for NCD prevention and control, population level behaviour change interventions, complexity of public health governance and in the development and application of System Thinking frameworks for public health.

Ligia Paina 2014Dr. Ligia Paina Bergman

Ligia Paina is an Assistant Scientist in the International Health Department of the Johns Hopkins University Bloomberg School of Public Health (JHSPH). Her research interests include health workforce policy, complex adaptive systems, and research and organizational capacity development in low and middle income countries.

Ligia's experience in global health is focused on health systems strengthening and health systems research.  As a Research Assistant at Johns Hopkins University, she has contributed to the design, management, and analysis of qualitative, quantitative, and mixed methods research studies. Prior to joining Johns Hopkins, Ligia worked as a Health System Advisor in the Office of Health, Infectious Diseases, and Nutrition at the U. S. Agency for International Development.

Ligia holds a PhD and a MHS in International Health - Health Systems from the Johns Hopkins University Bloomberg School of Public Health.

PS16_Andrada_Tomoaia_CotiselMrs. Andrada Tomoaia-Cotisel

My long-term career goal is to improve population health via improving health systems (HS).  My PhD dissertation explores the impact of primary care structures on patients’ risk of hospitalization.  The purpose of my research is to make a robust assessment of the dynamic interactions of these health system components and resulting outcomes.  My first job in public health (PH) was studying the effect of exertional heat illness on Marine Corps recruits with Sickle Cell trait.  I saw the importance of PH in identifying and protecting vulnerable populations. As an undergraduate intern at the World Health Organization in Geneva, I observed the complex interactions between NGOs and national health ministries that characterize effective health systems. I observed the paramount role HS plays in PH. After graduation, as an unpaid, uninsured, USAID intern, I got sick.  I sought care from a local community health center. Grateful for their help, I soon found myself working at one such organization.  There, I witnessed up close how changes in the local health service delivery system, such as interdisciplinary preventive care, could result in higher quality care for patients and improve cost-effectiveness. I saw how HS improvement happens and made it my long term goal to participate, whether my career takes me in research, policy or practice – hopefully all of the above!

AsmatMalikDr. Asmat Malik

Dr. Asmat Ullah Malik, a medical doctor and health policy and systems analyst has an extensive experience of working in health system in Pakistan. He is currently heading the Research and Development Division of Integrated Health Services, Islamabad, Pakistan. His key research interests are in health policy, its translation into national health systems and programs and testing innovative strategies for strengthening health service delivery. He was awarded Rockefeller Foundation Bursary Award for his research work presented at Health Systems in Asia Conference held in Singapore in 2013. He was also awarded an Australian Development Scholarship by the Government of Australia for PhD in Health Policy and Systems (2007-2013). He was winner of ‘Emerging Voices’ essay competition organized by Institute of Tropical Medicine (ITM), Antwerp, Belgium in 2010.


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