RH

R. Huizer

info

Please Note

1 records found

An application and critical reflection of a multi-actor system diagram on a complex multi-actor health prevention problem

This thesis examines how a multi-actor system diagram can contribute to strengthening cardiovascular disease (CVD) prevention for women in the Netherlands. The analysis shows that sex-specific risk factors are insufficiently addressed and that responsibility for prevention is fragmented across multiple actors.

Four promising interventions are identified: sex-specific GP training, targeted smoking-cessation outreach, broader eligibility for the Combined Lifestyle Intervention (GLI), and safer physical-activity infrastructure. The system diagrams also reveal feedback loops, coordination failures, and gaps between policy intentions and practical outcomes.

The thesis proposes five recommendations to strengthen accountability for women-specific CVD prevention within existing responsibilities. Overall, the multi-actor system diagram is valuable for identifying systemic problems and leverage points, although it remains a simplified representation of a complex prevention system. ...