Applying learning health systems thinking in codeveloping integrated tuberculosis interventions in the contexts of Covid-19
Bibliographic Data
| ID | 21880320 |
|---|---|
| Authors | André Janse Van Rensburg (0000-0001-8880-2232, University of the Free State, corresponding author), Inge Petersen (0000-0001-8057-8336, University College London), Ajibola Awotiwon (0000-0003-0887-8670, University of Cape Town), M Bachmann (0000-0003-1770-3506, University of East Anglia), Robyn Curran (0000-0003-1337-0011, University of Cape Town), Jamie Murdoch (0000-0002-9021-3629, King's College London), Christy-Joy Ras (0000-0003-2001-172X, University of Cape Town), L Fairall (0000-0002-7460-4670, University of Cape Town) |
| Year | 2022 |
| Volume | 7 |
| Issue | 10 |
| Pages | e009567 |
| Publication date | 2022-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2022-009567 |
| PMID | 36316026 |
| OpenAlex | W4307888454 |
| Language | EN |
| Citations received | 1 |
| References cited | 44 |
The COVID-19 pandemic reversed much of global progress made in combatting tuberculosis, with South Africa experiencing one of the largest impacts on tuberculosis detection. The aim of this paper is to share our experiences in applying learning health systems (LHS) thinking to the codevelopment of an intervention improving an integrated response to COVID-19 and tuberculosis in a South African district. A sequential partially mixed-methods study was undertaken between 2018 and 2021 in the district of Amajuba in KwaZulu-Natal. Here, we report on the formulation of a Theory of Change, codesigning and refining proposed interventions, and piloting and evaluating codesigned interventions in primary healthcare facilities, through an LHS lens. Following the establishment and formalisation of a district Learning Community, diagnostic work and a codevelopment of a theory of change, intervention packages tailored according to pandemic lockdowns were developed, piloted and scaled up. This process illustrates how a community of learning can generate more responsive, localised interventions, and suggests that the establishment of a shared space of research governance can provide a degree of resilience to facilitate adaption to external shocks. Four main lessons have been gleaned from our experience in adopting an LHS approach in a South African district, which are (1) the importance of building and sustaining relationships, (2) the utility of colearning, coproduction and adaptive capacity, (3) the centrality of theory-driven systems strengthening and (4) reflections on LHS as a framework
Business · Coproduction · Corporate governance · Pandemic · Political science · Psychological intervention · Public relations · Systems thinking · Tuberculosis · Computer Science · COVID-19 epidemiological studies · Health Policy Implementation Science · Medicine · Nursing · Psychology · Viral Infections and Outbreaks Research
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| Citations per year | 0.5 |
|---|---|
| Citation span | 2024 - 2024 (1) |
| Highly cited | No |