Publications by authors named "D de Savigny"

Article Synopsis
  • The authors discuss how causal loop diagrams help illustrate the unexpected negative effects of COVID-19 policies on maternal health.
  • They emphasize that these diagrams can provide insights into past outcomes, allowing for a better understanding of the consequences.
  • Additionally, the authors suggest that these tools could be useful for future decision-making to avoid similar negative impacts.
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The manner in which high-impact, life-saving health interventions reach populations in need is a critical dimension of health system performance. Intervention coverage has been a standard metric for such performance. To better understand and address the decay of intervention effectiveness in real-world health systems, the more complex measure of "effective coverage" is required, which includes the health gain the health system could potentially deliver.

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Aim: To describe and analyze the information architecture and information pathways of the road traffic death recording, registration and reporting system in Guilan Province, northernIran.

Methods: We used Business Process Mapping, a qualitative approach. This participatory and iterative approach consists of a document review, key informant interviews, development of a process map and a participatory workshop with key stakeholders to illuminate and validate the findings.

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We aimed to understand the information architecture and degree of integration of mortality surveillance systems in Ghana and Peru. We conducted a cross-sectional study using a combination of document review and unstructured interviews to describe and analyse the sub-systems collecting mortality data. We identified 18 and 16 information subsystems with independent databases capturing death events in Peru and Ghana respectively.

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With the application of a systems thinking lens, we aimed to assess the national COVID-19 response across health systems components in Switzerland, Spain, Iran, and Pakistan. We conducted four case studies on the policy response of national health systems to the early phase of the COVID-19 pandemic. Selected countries include different health system typologies.

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