What is a resilient health system? Lessons from Ebola

Kruk, Margaret E; Myers, Michael; Varpilah, S. Tornorlah; Dahn, Bernice

doi:10.1016/s0140-6736(15)60755-3

Cited by 536 publications

(669 citation statements)

References 14 publications

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“…In fact, capacity building is imminent for effective response at reasonable times and times of emergency. In a study by Margaret et al and the Oxfam Institute it was found that capacity building in the field of personnel and equipment play important roles in the health system's resilience [3,21]. Of course, in this study, the lack of capacity building and the shortage of personnel are mentioned as the employee vulnerability in the health system that should be paid attention.…”

Section: Management Weaknessmentioning

confidence: 82%

“…"lack of isolation" and "environmental control". Multiple studies also mentioned availability of specific places such as isolated or quarantined parts to prevent the spread of disease and the effects of healthy people as one of the resilience aspects of self-regulation [19][20][21]. In addition, it seems that in this case, lack of risk perception at different levels in the health system and the weakness of the infrastructure caused lack of having a program for creating readiness and capacity building.…”

Section: Engineering and Environmental Controlmentioning

confidence: 99%

“…Furthermore, training must be followed by a practicing stage, which will ensure the real time readiness of the personnel [21]. Exercises can be discussion-based or operation-based, which ultimately cause finding weaknesses in the program and increasing skill in procedures [21].…”

Section: Not Having Sufficient Training and Trainingmentioning

confidence: 99%

See 2 more Smart Citations

Health Services Vulnerability During the Ebola Outbreak: A Qualitative Report

Amanat

Hosseini

Khankeh

et al. 2017

hdq

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Section: Management Weaknessmentioning

confidence: 82%

Section: Engineering and Environmental Controlmentioning

confidence: 99%

See 1 more Smart Citation

Health Services Vulnerability During the Ebola Outbreak: A Qualitative Report

Amanat

Hosseini

Khankeh

et al. 2017

hdq

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“…There is still a lot of uncertainties and lack of consensus on the best way to build a resilient health system [7]. Some stakeholders have argued that rebuilding efforts should focus on the outputs that are intended such as improved maternal and child health services.…”

Section: Way Forwardmentioning

confidence: 99%

“…The ethical expectation would have been that emergency response efforts lead to a stronger and resilient health system that is not overwhelmed by shocks, but is able to continue to effectively provide services to the population at all times and improve health outcomes [3][4][5][6]. A resilient health system has been defined as one that has the ability to absorb disturbances or shocks, to adapt and respond with the provision of needed services [7]. Liberia is one of the three countries in West Africa that was devastated by the biggest Ebola Virus Disease (EVD) outbreak in global history.…”

Section: Introductionmentioning

confidence: 99%

Setting the Scene for Post-Ebola Health System Recovery and Resilience in Liberia: Lessons Learned and the Way Forward

Zolia¹,

Musa²,

Wesseh³

et al. 2017

Health Syst Policy Res

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Following the devastation caused by the 2014 Ebola outbreak in Liberia there remains much to be done for the health system to fully recover and become resilient against any future public health threat. Liberia is a post-conflict setting having experienced prolonged years of civil conflict that weakened the health system. With the decline in the incidence of new Ebola cases in late 2014 and the progressive draw down of the emergency and humanitarian response resources from early 2015, the government of Liberia moved to set the scene for the health system's recovery and resilience through the development of a comprehensive seven-year Investment Plan for building a resilient health system (2015-2021). The Plan aims to ensure universal health coverage, guarantee health security and improve health outcomes for the population of Liberia, while complementing the National Health Policy and Plan (2011-2021). The plan requires the investment of 1.7 billion US dollars over a period of seven years and realignments that the Government of Liberia alone does not currently have the capacity to undertake without long term external support. This paper describes the experience of Liberia in the development of the Investment Plan for building a resilient health system following the 2014-15 Ebola crisis, the approaches, process and realignments that were undertaken, lessons learned, and the way forward. It aims to provide lessons for countries recovering from crises, on how to manage their system recovery efforts.

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The Sustainable Development Goals: Contextualizing Africa's Economic and Health Landscape

Cerf

2018

Global Challenges

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The sustainable development goals (SDGs) encompass 17 goals with targets and indicators, collectively striving to improve national, regional, continental, and global development. SDG 8 strives for improved and sustainable economic growth. Africa's population is estimated to increase markedly and rapidly over the next few decades. The African demographic dividend presents opportunities to be harnessed, but several socioeconomic challenges exist that may constrain progress for achieving the SDGs. Poverty and inequality are pervasive in Africa and constrain economic and health gains. SDG 3 aims for good health and well‐being for all ages and has 13 targets linked to 26 indicators. Collectively, SDG 3 targets aim to improve health outcomes by reducing mortality, ending epidemics, and preventing diseases to ensure affordable and quality healthcare access for all. The dynamic African health landscape and scarcity of healthcare human capital also present challenges for advancing SDG 3. The implementation of the SDGs presents major and complex challenges but ultimately yields rewards. Advancement across all SDG 3 targets is necessary for the benefit of healthier global citizens.

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What is a resilient health system? Lessons from Ebola

Cited by 536 publications

References 14 publications

Health Services Vulnerability During the Ebola Outbreak: A Qualitative Report

Health Services Vulnerability During the Ebola Outbreak: A Qualitative Report

Setting the Scene for Post-Ebola Health System Recovery and Resilience in Liberia: Lessons Learned and the Way Forward

The Sustainable Development Goals: Contextualizing Africa's Economic and Health Landscape

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