In search of health system strengthening algorithms

In the Daily Maverick of 16 October 2018, Mark Heywood wrote: “The greatest tragedy, though, is that when it comes to the cause of the (South African) health system’s sickness we have the diagnosis, we have the knowledge, we even have the resources. We also have a mountain of barely considered expert reports suggesting solutions. But we don`t have an algorithm between the problem and the solution”. This, our pursuit of the “HOW”, the algorithms between the problems and the solutions, was a shared quest with those at the 5th Global Symposium on Health Systems Research, held in Liverpool, UK in October this year.

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Muddling through meanings: doing discourse analysis in health policy research (part 2)

Discourse analysis offers a way of analysing ideas, ideologies, power relationships and contexts; of considering the role of language, rhetoric, narratives and framing to get a better understanding of the policy processes. But how does one conceptulise a discourse analysis study and choose the right methodological approach?

In this final part of their two-part blog, Ida Okeyo, Sudha Ramani and Eleanor Whyle share some lessons.

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Muddling through meanings: doing discourse analysis in health policy research (part 1)

Policy documents are not a collection of “self-evident truths”. Instead, their content reflects a complex interplay of ideas, ideologies, power relationships and contexts. A deeper analysis of these documents, possible through discourse analysis, is necessary to illuminate the role of these factors in the policy process.

In the first of this two-part blog, Ida Okeyo, Sudha Ramani, and Eleanor Whyle, health policy analysis fellows under the programme of the Alliance for Health Policy and Systems Research to strengthen health policy analysis capacity in low- and middle-income countries, discuss their understanding of discourse analysis concepts for health policy research.

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The Life Esidimeni tragedy: a post-apartheid violation of health and human rights

The Life Healthcare Esidimeni tragedy is one of the most significant violations of health and human rights in post-apartheid South Africa.

The CHESAI collective held a session to engage more deeply with the Life Esidimeni tragedy in order to generate some health systems lessons. In addition to mapping out a timeline of events, we discussed and reviewed some of the transcripts of the 2017/8 hearings. This blog reflects our key collective thoughts.

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