System dynamics approach to immunization healthcare issues in developing countries: a case study of Uganda
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Date
2009
Journal Title
Journal ISSN
Volume Title
Publisher
Health Informatics Journal
Abstract
This article critically examines the challenges associated with demand for immunization,
including the interplay of political, social, economic and technological forces
that infl uence the level of immunization coverage. The article suggests a framework
to capture the complex and dynamic nature of the immunization process
and tests its effectiveness using a case study of Ugandan healthcare provision.
Field study research methods and qualitative system dynamics, a feedback and
control theory based modelling approach, are used to capture the complexity and
dynamic nature of the immunization process, to enhance a deeper understanding
of the immunization organizational environment. A model showing the dynamic
infl uences associated with demand and provision of immunization services, with
the aim of facilitating the decision making process as well as healthcare policy
interventions, is presented.
Description
Keywords
Causal loop diagrams, Healthcare services, Immunization demand, Immunization healthcare, System dynamics, Uganda
Citation
Rwashana, A. S., Williams, D. W., & Neema, S. (2009). System dynamics approach to immunization healthcare issues in developing countries: a case study of Uganda. Health Informatics Journal, 15(2), 95-107. DOI: 10.1177/1460458209102971