1) Health Policy and Planning (Oxford University Press) in
collaboration with the 2020 Health Systems Research global conference
and The Alliance for Health Policy & Systems Research November 2020
https://academic.oup.com/heapol/article/35/Supplement_2/ii150/5959269
Abstract: Human Centered Design (HCD) can support complex health
system interventions by navigating thorny implementation problems that
often derail population health efforts. However, its emphasis on
product development and process change with fixed end points has left
it as an approach lacking explanatory power and reproducible
measurement. We demonstrate that when informed by theory, the
tremendous innovation potential of HCD can be harnessed in a trust
building framework to drive sustainability, mediate implementation
problems, frame measurement constructs and ultimately improve
population level health outcomes.
2) Systems Research and Behavioral Science November 2020 “Trust is the
engine of change: : A conceptual model for trust building in health
systems” https://onlinelibrary.wiley.com/doi/full/10.1002/sres.2766
Abstract: We examine trust at the theory level as an engine driving
sustainable change. We propose a new measurable dimension of the trust
construct: reciprocity. Cooperative reciprocal relationships are its
building blocks, enabling stakeholders to ‘try out’ interactions with
less risk, calibrating level of effort, time and emotional investment
before continuing further. Reciprocity includes three measurable
elements: common goals furthering equitable and healthier communities,
mutual self‐interests and gratitude/indebtedness. We utilize a process
model showing how these building blocks interrelate within a health
systems context to jump‐start and sustain reciprocal relationships.
Process models are valuable in addressing internal dynamics of human
relationships in complex systems as a complement to factor‐ or
variance‐based models. We applied theory by longitudinally tracking
community health volunteers, examining reciprocity in
close‐to‐the‐community health systems. These methods and application
of theory have relevance to environments where institutional
structures are open to multi stakeholder‐driven innovation.
3) Human Centered Design for rapid results: improving quality in close
to the community health systems in four villages in Kenya Feb 21, 2017
BMC Proceedings, page 8
Abstract: Health professionals have struggled to create systems-level
quality improvement to influence household interactions that improve
population health. We show how a Human Centered Design
stakeholder-driven quality improvement process has made rapid change
within a complex system across four Kenyan villages.