The Study Systems Thinking in Practice: The Current Status of WHO's Six Building Blocks for Health System Strengthening in Three BHOMA Intervention Districts of Zambia: A Baseline Qualitative Study (Mutale, W., Bond, V., Mwanamwenger, MT, Mlewa, S., Balabanova, D., Spicer, N., et al., 2013) focused on own research efforts on narrowing down the various issues associated with the healthcare system in place in Zambia. Where other countries have been able to meet the deadlines associated with the Millennium Development Goals set by the United Nations, Zambia has consistently fallen behind. Mutale et al. (2013) set out to determine the various reasons why Zambia is unable to meet these same deadlines by employing a qualitative study that uses internal and external health information to draw conclusions. To perform this task Mutale et al. (2013) constructed a survey that would be used over a three-month period and provided to “30 key informants and 18 [focus group discussions]” (Mutale et al., 2013, p.293). Furthermore, in order to eliminate any bias, three separate districts were used, “one rural, one semi-rural and one urban” (Mutale et al., 2013, p.293). To establish oversight over the surveys and ensure their relevance, the surveys were distributed to other similar health facilities before being administered in the Zambian setting. The composition of the survey included six basic categories: service delivery, health human resources, medical supplies, governance, health information and finance. These categories defined some of the most basic systematic elements that would cause problems for both the community and the existing healthcare system. This would also provide the perfect framework for a qualitative analysis… halfway through the paper… thinking that the findings could take a real position or direction on the issues at hand in order to outline a future plan. Instead, the research followed a passive path by stating that “it was clear that success or failure reported in one building block represented success or failure reported in other building blocks” (Mutale et al., 2013, p.298). As an alternative to the chicken or the egg argument, I would have liked to see a starting point from which to work to improve the situation. Works Cited Mutale, W., Bond, V., Mwanamwenger, M.T., Mlewa, S., Balabanova, D., Spicer, N., et al. (2013). The current status of the six building blocks of WHO for health system strengthening in three BHOMA intervention districts of Zambia: a baseline qualitative study. BMC Health Services Research, 13(1), 291-299. An overview of NVIVO 10 (2013). NVIVO 10.QSR International, 1, 1-2.