- individuals, especially politicians with vision and drive;
- institutions, that can support a process of change and, in particular, learn from experience at home and abroad;
- events, such as political changes or even natural disasters, which those with vision can take advantage of to bring about change; and
- context, which includes the system of political representation, culture, and beliefs.
We will be presenting the initial findings at the Global Forum on Health Systems Research, in Montreux in November, and will be publishing a book in the New Year.For further reading, check out the blog by Tracey Koehlmoos, one of the Bangladesh team members, on the BMJ website.