Paina, Ligia

Understanding pathways for scaling up health services through the lens of complex adaptive systems - 2012

Proposes that interpreting change in health systems through the lens of complex adaptive systems (CAS) provides better models of pathways for scaling up. Describes how phenomena such as path dependence, feedback loops, scale-free networks, emergent behaviour and phase transitions can uncover relevant lessons for the design and implementation of health policy and programmes in the context of scaling up health services.

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