Principle in systems thinkinga | Concern’s management decision (implicit system approach) | Sustainability Framework (explicit method) |
---|---|---|
Consider boundaries of system, nested and overlapping systems | • Making the distinction between the national health system and local urban administrative systems, and focusing capacity building on the MHDs | • Local system and stakeholder mapping |
• Identification of interrelated roles between MOHFW and MHD | ||
Construct reality through multiple perspectives | • Voices from all segments of society included in process | • Visioning and scenario planning |
• Participatory process | • Iterative, evidence based, and | |
 | • participatory review of progress | |
• Gender and equity awareness building through diversity in planning | ||
Value and build on relationships | • Forum creation for relation between MHD – WHC – MOH | • Participatory assessment, bringing diverse stakeholders together |
• WHC as a hub for health promotion | • Mutual accountability through review of progress | |
• Accountability of the municipal government to communities | ||
Iterative learning | • Defining assessment criteria in HICAP and WHC | • Regular measurement of outcomes in multiple dimensions of assessment |
• Involvement of MHD and WHCs in Knowledge, Practice and Coverage Household Health Surveys including disaggregation by wealth quintiles to assess equity | • Cycle of visioning, defining measures, measuring, reviewing, adjusting |