Background Health systems interventions, such as capacity-building of health workers, are
implemented across districts in order to improve performance of healthcare organisations …

Performance of local health services managers at district level is crucial to ensure that health
services are of good quality and cater to the health needs of the population in the area. In …

Background Although there is widespread agreement that strong district manager decision-
making improves health systems, understanding about how the design and implementation …

Abstract Background Starting in 1999, Concern Worldwide Inc.(Concern) worked with two
Bangladeshi municipal health departments to support delivery of maternal and child health …

Many developing countries are looking to scale-up what works through major systems
strengthening investments. With leadership, conviction and commitment, systems thinking …

Highlighting the growing significance of systems thinking in health: introducing a new global
series The past two decades have witnessed an increased recognition among global health …

'We need new ways of thinking and of working in order to accommodate the complexity of
the challenges in and urgent need for health system innovation and change.'(Herbert and …

Background Realist evaluation offers an interesting approach to evaluation of interventions
in complex settings, but has been little applied in health care. We report on a realist case …

Background Systems thinking is an approach that views systems with a holistic lens,
focusing on how components of systems are interconnected. Specifically, the application of …

Background Governing immunization services in a way that achieves and maintains desired
population coverage levels is complex as it involves interactions of multiple actors and …