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Figure 2 | Health Research Policy and Systems

Figure 2

From: Advancing the application of systems thinking in health: exploring dual practice and its management in Kampala, Uganda

Figure 2

Causal loop diagram illustrating factors influencing dual practice during the 1970’s and 1980’s. The causal loop illustrates the second period of interest: the health system is challenged by broader contextual events – such as the civil war and the global debt crisis. As demand for dual practice grows, so do opportunities for government providers. The government becomes increasingly suspicious of potential adverse effects and, at first, imposes a ban on dual practice. A balancing loop first results in unintended negative consequences (See Figure 3 for further details).

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