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Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries
Victoria Haldane ,
Chuan De Foo ,
Salma M. Abdalla ,
Anne-Sophie Jung ,
Melisa Tan ,
Shishi Wu ,
Alvin Chua ,
Monica Verma ,
Pami Shrestha ,
Sudhvir Singh ,
Tristana Perez ,
See Mieng Tan ,
Michael Bartos ,
Shunsuke Mabuchi ,
Mathias Bonk ,
Christine McNab ,
George K. Werner ,
Raj Panjabi ,
Anders Nordström ,
Helena Legido-Quigley
May 17 2021
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Abstract
<p class="first" id="d7292845e299">Health systems resilience is key to learning lessons
from country responses to crises
such as coronavirus disease 2019 (COVID-19). In this perspective, we review COVID-19
responses in 28 countries using a new health systems resilience framework. Through
a combination of literature review, national government submissions and interviews
with experts, we conducted a comparative analysis of national responses. We report
on domains addressing governance and financing, health workforce, medical products
and technologies, public health functions, health service delivery and community engagement
to prevent and mitigate the spread of COVID-19. We then synthesize four salient elements
that underlie highly effective national responses and offer recommendations toward
strengthening health systems resilience globally.
</p>