Systems Thinking In Public Health

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About this course: This course provides an introduction to systems thinking and systems models in public health. Problems in public health and health policy tend to be complex with many actors, institutions and risk factors involved. If an outcome depends on many interacting and adaptive parts and actors the outcome cannot be analyzed or predicted with traditional statistical methods. Systems thinking is a core skill in public health and helps health policymakers build programs and policies that are aware of and prepared for unintended consequences. An important part of systems thinking is the practice to integrate multiple perspectives and synthesize them into a framework or model that…

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When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: This course provides an introduction to systems thinking and systems models in public health. Problems in public health and health policy tend to be complex with many actors, institutions and risk factors involved. If an outcome depends on many interacting and adaptive parts and actors the outcome cannot be analyzed or predicted with traditional statistical methods. Systems thinking is a core skill in public health and helps health policymakers build programs and policies that are aware of and prepared for unintended consequences. An important part of systems thinking is the practice to integrate multiple perspectives and synthesize them into a framework or model that can describe and predict the various ways in which a system might react to policy change. Systems thinking and systems models devise strategies to account for real world complexities. This work was coordinated by the Alliance for Health Policy and Systems Research, the World Health Organization, with the aid of a grant from the International Development Research Centre, Ottawa, Canada. Additional support was provided by the Department for International Development (DFID) through a grant (PO5467) to Future Health Systems research consortium. © World Health Organization 2014 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Johns Hopkins University Bloomberg School of Public Health has a non-exclusive license to use and reproduce the material.

Created by:  Johns Hopkins University
  • Taught by:  David Bishai, MD, PhD, Professor

    Population, Family and Reproductive Health
  • Taught by:  Ligia Paina, PhD, Assistant Scientist

    International Health
Commitment 4 weeks of study, 4-5 hours/week Language English How To Pass Pass all graded assignments to complete the course. User Ratings 4.5 stars Average User Rating 4.5See what learners said 课程作业

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Syllabus


WEEK 1


Introduction to Systems Thinking and Complex Adaptive Systems
This module introduces the basics of systems thinking and the rationale for using a systems approach to solve public health problems in complex adaptive systems.


8 videos, 6 readings expand


  1. Video: Welcome to Systems Thinking in Public Health
  2. 阅读: Syllabus
  3. Video: Video: Introduction to Systems Thinking
  4. 阅读: Module Learning Objectives
  5. Video: Lecture 1A: Why Use Systems Thinking
  6. Video: Lecture 1B: Health Systems Applications of CAS: Health Systems Frameworks and the Problem of Implementation
  7. Video: Lecture 1C: CAS Pathways: The Problem of Scaling Up
  8. Video: Lecture 1D: Where Systems Thinking Helps: Understanding the Types of Problems, Theories, Methods, and Tools
  9. Video: Lecture 2A: Systems Thinking In Practice - Understanding and Engaging with Stakeholders
  10. Video: Lecture 2B: Network Analysis, Participatory Impact Pathways Analysis, and Summary
  11. 讨论提示: Up for Discussion
  12. 阅读: The Application of Systems Thinking in Public Health - David Peters (2014)
  13. 阅读: When solutions of yesterday become problems of today - Agyepong et al 2012
  14. 阅读: Individual‐based Computational Modeling of Smallpox Epidemic Control Strategies - Burke et al (2006)
  15. 阅读: Dynamic spread of happiness in a large social network - Fowler and Christakis (2008)

Graded: Quiz Module 1

WEEK 2


System Conceptualization Using Causal Loop Diagrams
This module will introduce you to the concepts of causal loop diagrams and how they can be used in participatory research. You will also be introduced to the software Vensim that allows you to draw causal loop diagrams.


8 videos, 6 readings expand


  1. Video: Video: System Conceptualization and Mapping
  2. 阅读: Module Learning Objectives
  3. Video: Lecture 3A: System Conceptualization and Mapping: Introduction to Causal Loop Diagrams
  4. Video: Lecture 3B: Causal Loop Diagrams: Basic Components
  5. Video: Lecture 3C: Causal Loop Diagrams: Sources of Data, Strengths, and Weaknesses
  6. Video: Lecture 4A: Introduction to Community-Based Causal Mapping Workshop
  7. Video: Lecture 4B: Community-Based Causal Mapping Workshop Part 1
  8. Video: Lecture 4C: Community-Based Causal Mapping Workshop Part 2
  9. Video: Tutorial 1: Developing causal loop diagrams using Vensim
  10. 讨论提示: Up for Discussion
  11. 阅读: Exploring dual practice and its management in Uganda - Paina et al (2014)
  12. 阅读: Advancing the application of systems thinking in health - Rwashana et al (2014)
  13. 阅读: Vensim User Manual
  14. 阅读: Scriptapedia & Original Scripts for Practice Workshop
  15. 阅读: Simplified Variable Elicitation Script

Graded: Quiz Module 2

WEEK 3


System Dynamics Simulation Using Stock-and-Flow Diagrams
This module will introduce you to the concepts of systems dynamics modeling and will show you how to use Vensim to run a pre-existing system dynamics model.


13 videos, 11 readings expand


  1. Video: Video: System Dynamics Simulation Using Stock-and-Flow Diagrams
  2. 阅读: Module Learning Objectives
  3. Video: Lecture 5A: Using Stock and Flow Principles for Simulation
  4. Video: Lecture 5B: Defining Stocks
  5. Video: Lecture 5C: Flow and Control Variables
  6. Video: Lecture 6A: Case Example: Application of Stock and Flow Diagrams to Public Health
  7. Video: Lecture 6B: Advanced Model of Volume and Quality
  8. Video: Lecture 6C: Advanced Model: Cure and Prevention Model
  9. Video: Tutorial 2: Tutorial on How To Develop Stock-and-Flow Diagrams Using Vensim
  10. 讨论提示: Up for Discussion
  11. 阅读: Vensim Model I - Example Stock and Flow Diagram: Technical Quality
  12. 阅读: Vensim Model II - Example stock and flow diagram: Quality of services
  13. 阅读: Vensim Model III - Performance Based Financing
  14. 阅读: Vensim Model IV - Effect of lobying
  15. 阅读: Advancing the application of systems thinking in public health - Bishai et all (2014)
  16. 阅读: Vensim User Manual (same link as above)
  17. 阅读: ReThink Health Dynamics - Homer et al (2012)
  18. 阅读: Module Learning Objectives
  19. Video: Lecture 7A: Analysis Using Agent-Based Models: Trying Things Out
  20. Video: Lecture 7B: Breakdown of the Agent-Based Approach
  21. Video: Lecture 7C: Case Study of Epidemic Modeling
  22. Video: Tutorial 3A: How to use agent-based models for scenario-building using Netlogo
  23. Video: Tutorial 3B: How to use agent-based models for scenario-building using Netlogo
  24. 讨论提示: Up for Discussion
  25. 阅读: How to do agent-based simulations in the future - Helbing and Balietti (2011)
  26. 阅读: Netlogo User Manual

Graded: Quiz Module 3

WEEK 4


Practical and policy implications
This Module wraps up the course and shows you how systems thinking can contribute to policy making.


6 videos, 1 reading expand


  1. Video: Video: Practical and policy implications
  2. 阅读: Module Learning Objectives
  3. Video: Lecture 8A: How Systems Thinking Can Contribute to Policy Decision Making
  4. Video: Lecture 8B: Systems Thinking in Top-Down Policymaking
  5. Video: Lecture 8C: Systems Thinking in Bottom-Up Policymaking
  6. Video: Lecture 8D: Integration and Summary
  7. 讨论提示: Up for Discussion
  8. Video: Conclusion Video

Graded: Quiz Module 4
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