Background Social innovation(SI)in health holds potential to contribute to health systems strengthening and universal health coverage(UHC).The role of universities in SI has been well described in the context of high-...Background Social innovation(SI)in health holds potential to contribute to health systems strengthening and universal health coverage(UHC).The role of universities in SI has been well described in the context of high-income countries.An evidence gap exits on SI in healthcare delivery in the context of low-and middle-income countries(LMICs)as well as on the engagement of universities from these contexts.There is thus a need to build capacity for research and engagement in SI in healthcare delivery within these universities.The aim of this study was to examine the adoption and implementation of network of university hubs focused on SI in healthcare delivery within five countries across Africa,Asia and Latin America.The objectives were to describe the model,components and implementation process of the hubs;identify the enablers and barriers experienced and draw implications that could be relevant to other LMIC universities interested in SI.Methods A case study design was adopted to study the implementation process of a network of university hubs.Data from documentation,team discussions and post-implementation surveys were collected from 2013 to 2018 and analysed with aid of a modified policy analysis framework.Results/discussion SI university-based hubs serve as cross-disciplinary and cross-sectoral platforms,established to catalyse SI within the local health system through four core activities:research,community-building,storytelling and institutional embedding,and adhering to values of inclusion,assets,co-creation and hope.Hubs were implemented as informal structures,managed by a small core team,in existing department.Enablers of hub implementation and functioning were the availability of strong in-country social networks,legitimacy attained from being part of a global network on SI in health and receiving a capacity building package in the initial stages.Barriers encountered were internal institutional resistance,administrative challenges associated with university bureaucracy and annual funding cycles.Conclusions This case study shows the opportunity that reside within LMIC universities to act as eco-system enablers of SI in healthcare delivery in order to fill the evidence gap on SI and enhance cross-sectoral participation in support of achieving UHC.展开更多
Background:Crowdsourcing is a distributed problem-solving and production mechanism that leverages the collective intelligence of non-expert individuals and networked communities for specific goals.Social innovation(SI...Background:Crowdsourcing is a distributed problem-solving and production mechanism that leverages the collective intelligence of non-expert individuals and networked communities for specific goals.Social innovation(SI)initiatives aim to address health challenges in a sustainable manner,with a potential to strengthen health systems.They are developed by actors from different backgrounds and disciplines.This paper describes the application of crowdsourcing as a research method to explore SI initiatives in health.Methods:The study explored crowdsourcing as a method to identify SI initiatives implemented in Africa,Asia and Latin America.While crowdsourcing has been used in high-income country settings,there is limited knowledge on its use,benefits and challenges in low-and middle-income country(LMIC)settings.From 2014 to 2018,six crowdsourcing contests were conducted at global,regional and national levels.Results:A total of 305 eligible projects were identified;of these 38 SI initiatives in health were identified.We describe the process used to perform a crowdsourcing contest for SI,the outcome of the contests,and the challenges and opportunities when using this mechanism in LMICs.Conclusions:We demonstrate that crowdsourcing is a participatory method,that is able to identify bottom-up or grassroots SI initiatives developed by non-traditional actors.展开更多
Background:Social innovation has been applied increasingly to achieve social goals,including improved healthcare delivery,despite a lack of conceptual clarity and consensus on its definition.Beyond its tangible artefa...Background:Social innovation has been applied increasingly to achieve social goals,including improved healthcare delivery,despite a lack of conceptual clarity and consensus on its definition.Beyond its tangible artefacts to address societal and structural needs,social innovation can best be understood as innovation in social relations,in power dynamics and in governance transformations,and may include institutional and systems transformations.Methods:A scoping review was conducted of empirical studies published in the past 10 years,to identify how social innovation in healthcare has been applied,the enablers and barriers affecting its operation,and gaps in the current literature.A number of disciplinary databases were searched between April and June 2020,including Academic Source Complete,CIHAHL,Business Source Complete Psych INFO,PubMed and Global Health.A 10-year publication time frame was selected and articles limited to English text.Studies for final inclusion was based on a pre-defined criteria.Results:Of the 27 studies included in this review,the majority adopted a case research methodology.展开更多
文摘Background Social innovation(SI)in health holds potential to contribute to health systems strengthening and universal health coverage(UHC).The role of universities in SI has been well described in the context of high-income countries.An evidence gap exits on SI in healthcare delivery in the context of low-and middle-income countries(LMICs)as well as on the engagement of universities from these contexts.There is thus a need to build capacity for research and engagement in SI in healthcare delivery within these universities.The aim of this study was to examine the adoption and implementation of network of university hubs focused on SI in healthcare delivery within five countries across Africa,Asia and Latin America.The objectives were to describe the model,components and implementation process of the hubs;identify the enablers and barriers experienced and draw implications that could be relevant to other LMIC universities interested in SI.Methods A case study design was adopted to study the implementation process of a network of university hubs.Data from documentation,team discussions and post-implementation surveys were collected from 2013 to 2018 and analysed with aid of a modified policy analysis framework.Results/discussion SI university-based hubs serve as cross-disciplinary and cross-sectoral platforms,established to catalyse SI within the local health system through four core activities:research,community-building,storytelling and institutional embedding,and adhering to values of inclusion,assets,co-creation and hope.Hubs were implemented as informal structures,managed by a small core team,in existing department.Enablers of hub implementation and functioning were the availability of strong in-country social networks,legitimacy attained from being part of a global network on SI in health and receiving a capacity building package in the initial stages.Barriers encountered were internal institutional resistance,administrative challenges associated with university bureaucracy and annual funding cycles.Conclusions This case study shows the opportunity that reside within LMIC universities to act as eco-system enablers of SI in healthcare delivery in order to fill the evidence gap on SI and enhance cross-sectoral participation in support of achieving UHC.
文摘Background:Crowdsourcing is a distributed problem-solving and production mechanism that leverages the collective intelligence of non-expert individuals and networked communities for specific goals.Social innovation(SI)initiatives aim to address health challenges in a sustainable manner,with a potential to strengthen health systems.They are developed by actors from different backgrounds and disciplines.This paper describes the application of crowdsourcing as a research method to explore SI initiatives in health.Methods:The study explored crowdsourcing as a method to identify SI initiatives implemented in Africa,Asia and Latin America.While crowdsourcing has been used in high-income country settings,there is limited knowledge on its use,benefits and challenges in low-and middle-income country(LMIC)settings.From 2014 to 2018,six crowdsourcing contests were conducted at global,regional and national levels.Results:A total of 305 eligible projects were identified;of these 38 SI initiatives in health were identified.We describe the process used to perform a crowdsourcing contest for SI,the outcome of the contests,and the challenges and opportunities when using this mechanism in LMICs.Conclusions:We demonstrate that crowdsourcing is a participatory method,that is able to identify bottom-up or grassroots SI initiatives developed by non-traditional actors.
文摘Background:Social innovation has been applied increasingly to achieve social goals,including improved healthcare delivery,despite a lack of conceptual clarity and consensus on its definition.Beyond its tangible artefacts to address societal and structural needs,social innovation can best be understood as innovation in social relations,in power dynamics and in governance transformations,and may include institutional and systems transformations.Methods:A scoping review was conducted of empirical studies published in the past 10 years,to identify how social innovation in healthcare has been applied,the enablers and barriers affecting its operation,and gaps in the current literature.A number of disciplinary databases were searched between April and June 2020,including Academic Source Complete,CIHAHL,Business Source Complete Psych INFO,PubMed and Global Health.A 10-year publication time frame was selected and articles limited to English text.Studies for final inclusion was based on a pre-defined criteria.Results:Of the 27 studies included in this review,the majority adopted a case research methodology.
