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A method for testing health system resilience: Development, application and lessons learned.

Julia Zimmermann1, Philip Haywood2, Marina Karanikolos3

  • 1European Observatory on Health Systems and Policies, London School of Economics and Political Science, London, UK.

Health Policy (Amsterdam, Netherlands)
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Summary

Health system resilience testing identifies weaknesses and strengths. This country-led, mixed-method approach uses shock scenarios and stakeholder workshops to inform policy and improve health system preparedness for diverse global challenges.

Keywords:
Health securityHealth system performance assessmentHealth system resilienceHealth system resilience testingPreparedness planningResilience

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Area of Science:

  • Global Health Security
  • Health Systems Strengthening
  • Disaster Risk Management

Background:

  • Health systems face increasing challenges from diverse shocks like pandemics, economic crises, and extreme weather.
  • Existing emergency preparedness lacks systematic methods to test health system resilience against a wide range of potential disruptions.
  • A robust methodology is needed to evaluate and enhance health system capacity to withstand and recover from crises.

Purpose of the Study:

  • To share practical lessons learned from conducting health system resilience testing exercises.
  • To present a novel methodology for systematically assessing health system resilience.
  • To inform policy and practice for improving health system preparedness.

Main Methods:

  • A mixed-method, country-led resilience testing exercise was developed for policy-making.
  • Specific shock scenarios were used to challenge health systems hypothetically.
  • The Health System Performance Assessment (HSPA) and shock cycle frameworks were employed, culminating in stakeholder workshops.

Main Results:

  • Successful resilience testing exercises involved skilled facilitators and diverse participants across health system functions.
  • Strong support from the Ministry of Health was crucial for effective implementation.
  • The process facilitated the identification of critical structural strengths and weaknesses within the health system.

Conclusions:

  • Resilience testing is an effective tool for identifying health system vulnerabilities and strengths.
  • The methodology provides a structured approach to uncover opportunities for policy intervention.
  • This approach can significantly contribute to enhancing health system preparedness and response capabilities.