Abstract
Health system resilience begins with measurement of critical capacities ahead of crisis say Margaret E Kruk and colleagues The 2014 west African Ebola epidemic shone a harsh light on the...
Highlights
Health system resilience begins with measurement of critical capacities ahead of crisis say Margaret E Kruk and colleagues
Margaret E Kruk associate professor of global health 1, Emilia J Ling researcher 1, Asaf Bitton assistant professor of healthcare policy 2, Melani Cammett professsor of government 3, Karen Cavanaugh director 4, Mickey Chopra global solutions lead for service delivery 5, Fadi el-Jardali professor of health policy and systems 6, Rose Jallah Macauley country representative 7, Mwihaki Kimura Muraguri independent consultant, Shiro Konuma minister 8, Robert Marten health systems strengthening coordinatior 9, Frederick Martineau research fellow 10, Michael Myers managing director 11, Kumanan Rasanathan senior health specialist 12, Enrique Ruelas senior fellow 13, Agnès Soucat director of health systems 14, Anung Sugihantono director-general of public health 15, Heiko Warnken head of the development for health, social security, and population policy 16
While decades of domestic and international investment had contributed to substantial progress on the Millennium Development Goals,[1 2] national health systems remained weak and were unable to cope with the epidemic
Summary
Before the failure of health systems during the Ebola outbreak is forgotten, we need to consider how to make them more resistant to crises and more flexible in their response. The concept of resilience adds dynamism and urgency to the longstanding work of health system strengthening and gives an opportunity to learn from other sectors. Country experiences as varied as Lebanon, Liberia, and Indonesia demonstrate how resilience can be built after health crises. Proposed measures of health system resilience can improve our assessment of countries’ progress in building resilience and indicate areas for action. We hope implementation of these ideas can energise policymakers and benefit families and communities in times of crisis and beyond
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