Section outline

    • week 4 - lecture: WICKED PROBLEMS IN GLOBAL HEALTH AND HOW TO RESOLVE THEM 

      This week will introduce you to aimportant concept: wicked problems. If we are going to respond effectively and appropriately to contemporary global health issues, it is vital that we understand that most global health challenges are wicked. As you progress through the module, you will have the opportunity to apply the concept to some case studies. 

      Aims and objectives

      By the end of this week you will be able to:

      • Define a wicked problem and distinguish it from a tame one;
      • Describe the different elements of a wicked problem;
      • Explain why Covid 19 is a wicked problem;
      • Appreciate the importance of feedback loops and networks to respond to wicked problems;
      • Use a method for responding to a wicked problem. 

      week 4 TASKS

      Task 1: Presentation 


      In this presentation, I introduce you to a concept you may have come across already in the program - wicked problems. Most - if not all - of the world's enduring problems are wicked in the sense that there is no easy, linear solution: poverty, reducing carbon emissions, obesity, inequality, etc. Each has very clear health consequences and responding to them presents a real policy challenge. The most obvious and contemporary example is, of course, the pandemic Covid-19. I explain why Covid-19 is indeed a wicked problem. 

       

      Task 2: Reading  

      van Woezik, A.F.G., Braakman-Jansen, L.M.A., Kulyk, O. et al. Tackling wicked problems in infection prevention and control: a guideline for co-creation with stakeholdersAntimicrob Resist Infect Control 5, 20 (2016).  https://doi.org/10.1186/s13756-016-0119-2 

      This is a really interesting reading but it will take you a bit of time and effort to work through it. It’s highly relevant though as it describes the importance of involving stakeholders in any response to infection prevention. After you’ve read it, watch my short presentation where I talk through some of the key points in the reading. 

       

      Task 3: Video of reading  



      In this video, I talk briefly about what I took to be the main points from the reading by van Woezik et al. 


      Task 4: Presentation by Owen Barder  

      The presentation entitled Development, complexity and evolution is excellent and makes a compelling argument for why so-called feedback loops are essential for resolving wicked problems. You can also view it via Owen's blog here. 

       

      Owen Barder used to be the personal private secretary to Tony Blair, but these days he leads the European arm of the think tank The Centre for Global Development.  

       

      Task 5Video 

      Ted Talk: Got a wicked problem? First, tell me how you make toast 

       

       

      Please watch this Ted Talk by Tom Wujec – it's less than ten minutes, but I think it’s really fascinating. It’s a talk about how people make sense of, and resolve, wicked problems. The point of watching this video is that it shows you how to go about resolving a wicked problem. It gives you a method that you may want to try if you are ever in a position – may be in later life – when you have to work out how to do deal with something complex.  

       

      For now, write down the key points that you take away from the talk. In week 8, you will have an opportunity to try and resolve the wicked problem of flooding from the perspective of multiple different stakeholders.  


      READING

      Required readings 

       

      Additional readings 

      • Gillies, P. (2020) Leadership for Wicked Problems: Coronavirus Edition. Video presentation https://www.youtube.com/watch?v=IkmYSe4-Uvg [This is a very clear summary of why Covid19 is a wicked problem – I took much of the structure and content from this presentation to inform my own presentation. It’s excellent!] 
      • Greenhalgh, T., and Russell, J. (2009)Evidence-based policy making: A critique. Perspectives in Biology and Medicine, Volume 52, Number 2, Spring 2009, pp. 304-318. [Note - the Greenhalgh paper is well worth an hour of your time. If you've ever wondered why problems persist and never seem to get resolved, this paper will make you think!] 
      • Kumlien, A. and Coughlan, P. (2018) Wicked problems and how to solve them. The Conversation. https://theconversation.com/wicked-problems-and-how-to-solve-them-100047  

      • Parkhurst, J. (2016) Appeals to evidence for the resolution of wicked problems: the origins and mechanisms of evidentiary bias. Policy Sci (2016) 49:373–393 

      • Walls, H. (2018) Wicked problems and a ‘wicked’ solution. Globalization and Health 14:34 


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