Regional approaches for enhancing global health security

Katz, Rebecca; Standley, Claire J.

doi:10.1186/s12889-019-6789-y

Cited by 17 publications

(16 citation statements)

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“…The 2005 WHO IHR framework pivots around the notion of due diligence (48), the principle of no-harm, and principles of general international law and international human rights law (47). Notwithstanding the limited efficacy and implementation of these initiatives in the past due to regional politics and vested interests, regional approaches to enhance global health security should be intensified (49). We recommend that regional stockpiling infrastructure and framework should be considered and actively pursued for Asia, Middle East, North and South America, Africa and Asia-Pacific regions and that the public-private partnership models be explored.…”

Section: Regional Stockpilingmentioning

confidence: 99%

At the Epicenter of COVID-19–the Tragic Failure of the Global Supply Chain for Medical Supplies

Bhaskar

Tan

Bogers

et al. 2020

Front. Public Health

101

102

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The tragic failure of the global supply chain in the face of the current coronavirus outbreak has caused acute shortages of essential frontline medical devices and personal protective equipment, crushing fear among frontline health workers and causing fundamental concerns about the sustainability of the health system. Much more coordination, integration, and management of global supply chains will be needed to mitigate the impact of the pandemics. This article describes the pressing need to revisit the governance and resilience of the supply chains that amplified the crisis at pandemic scale. We propose a model that profiles critical stockpiles and improves production efficiency through new technologies such as advanced analytics and blockchain. A new governance system that supports intervention by public-health authorities during critical emergencies is central to our recommendation, both in the face of the current crisis and to be better prepared for potential future crises. These reinforcements offer the potential to minimize the compromise of our healthcare workers and health systems due to infection exposure and build capacity toward preparedness and action for a future outbreak.

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Section: Regional Stockpilingmentioning

confidence: 99%

At the Epicenter of COVID-19–the Tragic Failure of the Global Supply Chain for Medical Supplies

Bhaskar

Tan

Bogers

et al. 2020

Front. Public Health

101

102

View full text Add to dashboard Cite

show abstract

“…COVID-19 demonstrates that health security is a local, regional and global common good, 33 which requires not only an individual action but also a collective response 14 that is possible if there is adequate technical capacity and political will not only at local and national but also at regional and global levels. This thus requires multilevel governance arrangements that coordinate actions at local (subnational), national, regional and global levels.…”

Section: What Should Be Done To Strengthen the Global Health System?mentioning

confidence: 99%

Reimagining global health systems for the 21st century: lessons from the COVID-19 pandemic

et al. 2021

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“…Shen et al 35 examined the spatial accessibility to conty hospitals for conty residents of west China. Moreover Kats et al investigated international health regionalization 24 The purpose of the location-allocation model has been to nd the optimal location of facilities and also to determine optimal referral demands to facilities. Harper et al 25 proposed a common application of the location-allocation model in the health system network regarding geographical considerations.…”

Section: Page 3/18mentioning

confidence: 99%

A Regionalization Model to Increase Equity of Access to Perinatal Care Services

Daniali

Sepehri

Sobhani

et al. 2020

Preprint

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BackgroundReducing neonatal mortality is one of the most important issue in developing countries. One powerful method to reduce the neonatal mortality rate is increase equity in access to health services by regionalization. This study employs national hospitalized birth data from march 2018 to march 2019 to determine the optimal number and location of Perinatal Care Services (PCS) and to manage the referral network of the region.MethodsThis research has examined effective criteria regarding PCS network design. These criteria include the equipment (number of Neonatal Intensive Care Unit (NICU) and ventilator), experts (number of neonatal expert and fellowship), gravity (actual journey of expectant mothers to hospitals), and the type of university manages hospital. Moreover, distances between demands and PCS were transformed into vehicular travel time according to the maximum speed limit in the country road network. There have been annual 315,992 hospitalized birth data. These data provided separately for each city and three types of service requirements according to the gestational age and birth weight, i.e., under 32 weeks or 1500 gram, between 32-34 weeks or 1500-2000 gram, and over 34 weeks or 2000 gram, which receive services of level I, II, and III, respectively. A model builder tool of ARC GIS software was applied to develop a three-level hierarchical location-allocation model to respond to the maximal demand in 30 (level I), 60 (level II), and 120 (level III) minuts of travel time. The developed model was then applied to serve neonates from uncovered cities. Moreover, the alternative PCS were determined for level III services to present more reliable solutions.ResultsObtained results revealed that the total 130, 121, and 86 PCS are needed to respond to demands of level I, II, III, respectively, in 373 different cities. The service level III has not covered 39 cities; hence another model assigned nearest PCS to these cities so that the travel distances from which to allocated centers were determined 173 min on average. ConclusionsRegionalization is an approach to increase spatial accessibility to health services. Finding the optimal location to implement PCS would gradually decrease neonatal mortality and morbidity. It can also reduce expenses of under-used local health centers and give better health care regarding the access to experts. In this way, regional services should be considered as a sustainable health care solution at the policy and decision-making levels of the region, national and universal healthcare network.

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Regional approaches for enhancing global health security

Cited by 17 publications

References 0 publications

At the Epicenter of COVID-19–the Tragic Failure of the Global Supply Chain for Medical Supplies

At the Epicenter of COVID-19–the Tragic Failure of the Global Supply Chain for Medical Supplies

Reimagining global health systems for the 21st century: lessons from the COVID-19 pandemic

A Regionalization Model to Increase Equity of Access to Perinatal Care Services

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