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Lenses and levels: the why, what and how of measuring health system drivers of women's, children's and adolescents' health with a governance focus.

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dc.contributor.author George, Asha
dc.contributor.author LeFevre, Amnesty Elizabeth
dc.contributor.author Jacobs, Tanya
dc.contributor.author Kinney, Mary
dc.contributor.author Buse, Kent
dc.contributor.author Chopra, Mickey
dc.contributor.author Daelmans, Bernadette
dc.contributor.author Haakenstad, Annie
dc.contributor.author Huicho, Luis
dc.contributor.author Khosla, Rajat
dc.contributor.author Rasanathan, Kumanan
dc.contributor.author Sanders, David
dc.contributor.author Singh, Neha S.
dc.contributor.author Tiffin, Nicki
dc.contributor.author Ved, Rajani
dc.contributor.author Zaidi, Shehla Abbas
dc.contributor.author Schneider, Helen
dc.date.accessioned 2019-08-08T15:23:45Z
dc.date.available 2019-08-08T15:23:45Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7130
dc.description.abstract Health systems are critical for health outcomes as they underpin intervention coverage and quality, promote users' rights and intervene on the social determinants of health. Governance is essential for health system endeavours as it mobilises and coordinates a multiplicity of actors and interests to realise common goals. The inherently social, political and contextualised nature of governance, and health systems more broadly, has implications for measurement, including how the health of women, children and adolescents health is viewed and assessed, and for whom. Three common lenses, each with their own views of power dynamics in policy and programme implementation, include a service delivery lens aimed at scaling effective interventions, a societal lens oriented to empowering people with rights to effect change and a systems lens concerned with creating enabling environments for adaptive learning. We illustrate the implications of each lens for the why, what and how of measuring health system drivers across micro, meso and macro health systems levels, through three examples (digital health, maternal and perinatal death surveillance and review, and multisectoral action for adolescent health). Appreciating these underpinnings of measuring health systems and governance drivers of the health of women, children and adolescents is essential for a holistic learning and action agenda that engages a wider range of stakeholders, which includes, but also goes beyond, indicator-based measurement. Without a broadening of approaches to measurement and the types of research partnerships involved, continued investments in the health of women, children and adolescents will fall short. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartof urn:issn:2059-7908
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject measurement en_US
dc.subject health systems en_US
dc.subject epistemology en_US
dc.subject governance en_US
dc.subject power en_US
dc.subject rights en_US
dc.title Lenses and levels: the why, what and how of measuring health system drivers of women's, children's and adolescents' health with a governance focus. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjgh-2018-001316
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05


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