What's going on?
This question provides the background information about the health issue or issues that a community is facing. This information is the foundation for determining whether an intervention is needed or wanted. It also provides the information for whether we have the right capacity to address the key issues.
Wicked problems’ such as the prevention of chronic conditions are characterised by high levels of complexity, uncertainty and conflict. These problems are not easily understood nor are they tackled successfully using a reductionist approach, which breaks complex problems into smaller simpler problems. Constructing a systems map is intended to stimulate dialogue between stakeholders and prompt learning about the mix of policies, strategies, programmes and actions necessary to improve health outcomes and reduce health inequities. There are two downloads available here. The first is a resource for how to construct a systems map. The second is a policy brief with a systems map from one of our projects to provide an example.
Readiness to change measure
Just because a health issue is important to address, the community or key organisations may not be ready to make changes for whatever reason. This measure helps partners reflect on whether there is readiness to make changes.
Partnership capacity measure
Another key element about moving forward to address a health issue is whether the partnership has the capacity to address the problem. We need to make sure we have all the right people and resources to develop an effective intervention. This measure helps partners reflect on whether the partnership has the capacity to create and implement and effective intervention to effect change.
Health Equity Assessment Tool (HEAT)
In identifying what is going on in Indigenous communities, it is important to explore health inequities and why they exist. Understanding these inequities helps to direct partnerships in developing effective interventions. The Health Equity Assessment Tool provides a set of questions to encourage partnerships to keep an equity focus and better understand the larger context of health issues. It was created by researchers at the University of Otago, Wellington and is available at the following website: