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Beyond Scaling Up: A pathways approach
- 1. The STEPS Centre’s pathways approach in thinking about dynamic health systems Melissa Leach Introductory presentation to conference on ‘Beyond Scaling Up’, 23 May 2010
- 2. How can we identify and build pathways to sustainability – that link technology and environment with reduced poverty and social injustice – in a complex, dynamic world?
- 5. ‘ system’ environment System: Social, institutional, ecological and technological elements interacting In dynamic ways A STEPS systems perspective
- 6. Dimensions of framing: -Scale and boundaries (e.g. local, national) -Key elements and relationships (e.g. are informal drugs sellers in or out?) -Dynamics in play (e.g. attention to which shocks and stresses) - outputs, goals - perspectives - interests, values (what is the health system delivering and for whom? Narrow vs. broader ideas of wellbeing) - notions of relevant expertise (e.g. biomedical knowledge, or also traditional?) Systems are framed – understood and represented – in diverse ways
Editor's Notes
- STEPS Centre – not a small agenda Want to share with you elements of our pathways approach and why we think it is important in relation to two of the so-called ‘crises’ arou d which policy and public imaginations alike are mobilising.
- Start with a basic problem….
- Start with a basic problem….
- World endlessly complex and dynamic, but useful for analytical and practical purposes to think in terms of systems
- Narratives of crisis are part and parcel of this. Could look at the so-called ‘financial crisis’
- Narratives of crisis are part and parcel of this. Could equally look at the so-called ‘financial crisis’
- Narratives of crisis are part and parcel of this. Could equally look at the so-called ‘financial crisis’