An introductory discussion on systems thinking leading to discussion on social determinants of health.

1. Systems Thinking
Bien Eli Nillos, MD, MHSS
Course on Social Determinants of Health

2. We remember in PHC
5/18/20122Inequalities and Inequities in Health
Primary health care is essential health care based on practical,
scientifically sound, and socially acceptable methods and technology
made universally accessible to individuals and families in the community
through their full participation and at a cost that the community and
country can afford to maintain at every stage of their development in the
spirit of self-reliance and self-determination.
Health as a Right
Social determinants of
Health
Community Participation

3. But it is not that simple…

4. Three types of complexities (Kahane)
• Dynamic
• Social
• Generative

5. Iceberg model

6. Interrelationship Digraph

7. Problem/Health Issue?
• EFFECT
Variable No. 1
Variable No. 2
Variable No. 3
Variable No. 4
Variable No. 5
Variable No. 6
• CAUSE
• EFFECT • CAUSE

8. Breakout rooms (30 minutes)

9. Let’s Discuss your Digraphs