BMJ Global Health
January 2019 – Volume 4 – – Suppl 1
Complex health interventions in complex systems: concepts and methods for evidence-informed health decisions
Complex health interventions in complex systems: improving the process and methods for evidence-informed health decisions (25 January, 2019)
Susan L Norris, Eva A Rehfuess, Helen Smith, Özge Tunçalp, Jeremy M Grimshaw, Nathan P Ford, Anayda Portela
…Purpose and scope of the series
In order to address the challenges and realities of public health and health system interventions and to better meet the needs of decision-makers, in 2016 WHO initiated a project to strengthen its processes and methods for developing guidelines on complex health interventions and interventions delivered in complex systems. The work led to this series of papers which contribute to the broader conceptualisation of complexity and the implications for evidence synthesis and guideline development, whether at the global, national or health systems level. Ultimately, this work is intended to lead to more comprehensive and informative evidence syntheses and trustworthy and impactful guidelines that meet critical health needs for countries and for varied contexts, and to stimulate rigorous primary research on a broad range of policy-relevant questions.
This work is intended for use by both systematic reviewers and guideline developers where a complexity perspective is anticipated to be useful to decision-makers, programme planners and implementers. It will also be used to strengthen the WHO guideline development process and form the basis of more practical support for WHO staff who develop guidelines. This series is of particular relevance to public health and health systems interventions, but is also likely to add value to those clinical/healthcare interventions characterised by complexity…