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Summary

Dynamic systems mapping strengthens public health systems by identifying leverage points for improvement. This approach addresses workforce distress and inequity, enhancing local and national health responses.

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Area of Science:

  • Public Health
  • Systems Science
  • Health Systems Strengthening

Background:

  • Public health systems face unprecedented challenges including pandemics, racism, health inequity, and politicization.
  • Workforce distress, burnout, safety issues, and attrition are prevalent across all levels of the public health system.
  • Public health must demonstrate value and leverage opportunities for learning and system strengthening.

Purpose of the Study:

  • To explore the current state of the public health system.
  • To identify opportunities for strengthening the public health system using dynamic systems mapping.
  • To develop a system-level understanding for aligning strengths, growth areas, and sustainability goals.

Main Methods:

  • Employed dynamic systems mapping, a distinctive systems analysis approach.
  • Conducted focus groups and workshops with diverse public health practitioners.
  • Developed a visual map identifying upstream causes and downstream effects of key system drivers.

Main Results:

  • Highlighted existing and emergent strengths and areas for growth within the public health system.
  • Identified tangible goals for immediate and long-term sustainability of local and regional health.
  • Created a visual map to identify leverage points and develop strategies for maximizing impact.

Conclusions:

  • Dynamic systems mapping is a valuable approach for strengthening public health system responses.
  • The methodology facilitates continuous learning and strategic development for future public health needs.
  • Lessons learned from systems mapping can inform local and national public health system strengthening efforts.