Community health systems as complex adaptive systems: Ontology and praxis lessons from an urban health experience with demonstrated sustainability

Systemic Practice and Action Research

Volumn 28, Issue 3, 2015, Pages 255-272

  Sarriot, Eric ^a   Kouletio, Michelle ^b  

^a ICF INTERNATIONAL   (United States)

^b Formerly with Concern Worldwide Inc ^*  (Benin)

Author keywords

Community health; Complex adaptive systems; Complexity; Health systems strengthening; Sustainability

Indexed keywords

EID: 84905296901     PISSN: 1094429X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11213-014-9329-9     Document Type: Article

References (49)

1. Axelrod R, Cohen MD (2001) Harnessing complexity: organizational implications of a scientific frontier. Simon and Schuster, New York
2. Baser H, Morgan P (2008) Capacity, change, and performance: study report (Rep. No. 59B). European Centre for Development Policy Management, Maastricht
3. Bossel H (1999) Indicators for sustainable development: theory, method, applications. A report to the Balaton Group. International Institute for Sustainable Development, Winnipeg
4. Brinkerhoff DW, Morgan P (2010) Capacity and capacity development: coping with complexity. Public Adm Dev 30(1):2–10
5. Davis R, Luna J, Rodriguez-Lainz A, Sarriot E (2009) The rapid household survey: how to obtain reliable data on health at the local level. ICF Macro, Calverton MD, Public Health Institute, Oakland CA
6. de Savigny D, Adam T (2009) Systems thinking for health systems strengthening. Alliance for Health Policy and Systems Research, World Health Organization, Geneva
7. Easterly W (2006) The White Man’s Burden: why the West’s efforts to aid the rest Have done so much ill and so little good. Oxford University Press, Oxford
8. Gasparatos A, El-Haram M, Horner M (2007) The argument against a reductionist approach for assessing sustainability. In: Horner M, Hardcastle C, Price A, Bebbington J (eds) International conference on whole life urban sustainability and its assessment. Glasgow
9. Geyer R (2011) Can complexity move UK policy beyond ‘evidence-based policy making’ and the “audit culture”? applying a ‘complexity cascade’ to education and health policy. Polit Stud 60(1):20–43
10. Geyer R, Rihani S (2010) Complexity and public policy: a new approach to 21st century politics. Policy and Society, Routledge
11. Gruen RL, Elliott JH, Nolan ML, Lawton PD, Parkhill A, McLaren CJ, Lavis JN (2008) Sustainability science: an integrated approach for health-programme planning. The Lancet 372:1579–1589
12. Hafner T, Shiffman J (2013) The emergence of global attention to health systems strengthening. Health Policy Plan 28:41–50
13. Harrison LE, Huntington SP (2000) Culture matters: how values shape human progress. Basic Books, New York
14. Heng H (2008) The conflict between complex systems and reductionism. JAMA 300(13):1580–1581
15. Hodgins S (2014) Achieving better maternal and newborn outcomes: coherent strategy and pragmatic, tailored implementation. Glob Health Sci Pract Advance Access. doi:10.9745/GHSP-D-13-00030
16. Jackson M (2003) Systems thinking: creative holism for managers. John Wiley & Sons, Chichester
17. Jackson MC (2006) Creative holism: a critical systems approach to complex problem situations. Syst Res Behav Sci 23(5):647–657
18. Janovsky K, Peters D (2006). http://www.who.int/management/Making%20HSWork%205.pdfImproving Health Services and Strengthening Health Systems: Adopting and Implementing Innovative Strategies (Rep. No. Working Paper No. 5). Department of Health Policy, Development and Services, WHO
19. Jian G (2007) Unpacking unintended consequences in planned organizational change: a process model. Manag Commun Q 21:5–28
20. Lafond AK (1995) Improving the quality of investment in health: lessons on sustainability. Health Policy Plan 10:63–76
21. Meadows D (1998) Indicators and information systems for sustainable development. A report to the Balaton Group. The Sustainable Institute, Hartland Four Courners
22. Miller JH, Page SE (2007) Complex adaptive systems: an introduction to computational models of social life. Princeton University Press, Princeton
23. Mitchell M (2011) Complexity: a guided tour. Oxford University Press, Oxford
24. Morin E (2005) Introduction à la pensée complexe. Éditions du Seuil
25. Ostrom E, Janssen MA, Anderies JM (2007) Going beyond panaceas. Proc Natl Acad Sci USA 104:15176–15178
26. Paina L, Peters DH (2011) Understanding pathways for scaling up health services through the lens of complex adaptive systems. Health Policy Plan 26:1–9
27. Patton MQ (1990) Qualitative evaluation and research methods, 2nd edn. Sage Publications Inc, Newbury Park
28. Peters D, Paina L, Bennett S (2012) Expecting the unexpected: applying the Develop-Distort Dilemma to maximize positive market impacts in health. Health Policy Plan 27:iv44–iv53
29. Phelan SE (2001) What is complexity science, really? Emergence 3:120–136
30. Pyle D and Hossain J (2004) USAID—Municipality—Concern Worldwide Bangladesh Child Survival Partnership Program. Final Evaluation Report. Saidpur and Parbatipur Municipalities, Rajshahi Division, Bangladesh. 1 Oct 2000–30 Sept 2004 Washington, DC: Cooperative Agreement No. FAO-A-00-98-00077-00
31. Ramalingam B (2013) Aid on the edge of chaos. Rethinking international cooperation in a complex world. University Press, Oxford
32. Ramalingam B, Jones H, Reba T, Young J (2008) Exploring the science of complexity: ideas and implications for development and humanitarian efforts, 2nd edn. Overseas Development Institute, London
33. Richardson KA, Cilliers P (2001) Special editors' introduction: What is complexity science? a view from different directions. Emergence 3(1):5–23
34. Richardson KA, Gregory JW, Midgley G (2007) Editorial introduction to the special double issue on complexity thinking and systems theory. Emergence 9:1–2(vi–viii)
35. Rihani S (2002a) Complex systems theory and development practice: understanding non-linear realities. Zed Books, London
36. Rihani S (2002b) Implications of adopting a complexity framework for development. Prog Dev Stud 2:133–143
37. Sarriot EG (2009) Black Swans. Grey Swans, Sustainability. CEDARS discussion paper. ICF Macro, Calverton, MD. http://cedarscenter.com/resources.cfm
38. Sarriot EG, Jahan S (2010) Sustainability of the Saidpur and Parbatipur Urban Health Model (Bangladesh) Five Years After the End of Concern’s Child Survival Project. Final Evaluation Report. Concern Worlwide Inc, New York, NY
39. Sarriot EG, Winch PJ, Ryan LJ, Bowie J, Kouletio M, Swedberg E et al (2004) A methodological approach and framework for sustainability assessment in NGO-implemented primary health care programs. Int J Health Plann Manag 19:23–41
40. Sarriot EG, Ricca J, Yourkavitch J, Ryan L (2009) Taking the long view: a practical guide to sustainability planning and measurement in community-oriented health programming. Macro International, Calverton, MD
41. Sarriot EG, Swedberg E, Ricca J (2010) Pro-sustainability choices and child deaths averted: from project experience to investment strategy. Health Policy Plan 1–12
42. Sarriot EJ, Kouletio M, Jahan S, Rasul I, Musha A (2014) Advancing the application of systems thinking in health: sustainability evaluation as learning and sense-making in a complex urban health system in Northern Bangladesh. Health Research Policy and Systems (in press)
43. Swanson CR, Cattaneo A, Bradley E et al (2012) Rethinking health systems strengthening:key systems thinking tools and strategies for transformational change. Health Policy Plan 27:54–61
44. The Rolling Stones (1968) You Can’t Always Get What You Want. [Let It Bleed]. London
45. Tian Q (2008) Sustainability as an Emergent Property of Human-Environment Systems (CHES). A framework for studying sustainability of CHES. Santa Fe Institute Workshop
46. Ubels J, Acquaye-Baddoo N, Fowler A (2010) Capacity development in practice. Earthscan, London
47. Williams B, Hummelbrunner R (2010) Systems concepts in action: a practitioner’s toolkit. Stanford University Press, Stanford
48. Williams B, Imam I (2007) Systems concepts in evaluation. EdgePress of Inverness, Point Reyes
49. Wolpert DH, Macready WG (1995) No free lunch theorems for search, Technical Report SFI-TR-95-02-010 Santa Fe Institute