Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Aug 1;6(8):431-435.
doi: 10.15171/ijhpm.2017.36.

Governance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework

Karl Blanchet  1 , Sara L Nam  2 , Ben Ramalingam  3 , Francisco Pozo-Martin  1
Affiliations

Governance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework

Karl Blanchet et al. Int J Health Policy Manag. .

Abstract

The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories. In this paper, we see resilience of a health system as its capacity to absorb, adapt and transform when exposed to a shock such as a pandemic, natural disaster or armed conflict and still retain the same control over its structure and functions.

Keywords: Complexity; Governance; Health Systems; Management; Resilience.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Figure 2
Figure 2
See this image and copyright information in PMC

References

    1. Nam SL, Blanchet K. We mustn’t forget other essential health services during the Ebola crisis. BMJ. 2014;349:g6837. doi: 10.1136/bmj.g6837. - DOI - PubMed
    1. Kieny MP, Evans DB, Schmets G, Kadandale S. Health-system resilience: reflections on the Ebola crisis in western Africa. Bull World Health Organ. 2014;92(12):850. doi: 10.2471/BLT.14.149278. - DOI - PMC - PubMed
    1. Cornwall A. Buzzwords and fuzzwords: deconstructing development discourse. Dev Pract. 2007;17(4-5):471–484.
    1. Scoones I. Sustainability. Dev Pract. 2007;17(4-5):589–596.
    1. Gieryn T. Cultural Boundaries of Science: Credibility on the Line. Chicago: Chicago University Press; 1999.

LinkOut - more resources