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
Review
. 2021 Jun;27(6):964-980.
doi: 10.1038/s41591-021-01381-y. Epub 2021 May 17.

Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

Victoria Haldane #  1 , Chuan De Foo #  2 , Salma M Abdalla #  3   4 , Anne-Sophie Jung #  5 , Melisa Tan  2 , Shishi Wu  2 , Alvin Chua  2 , Monica Verma  2 , Pami Shrestha  2 , Sudhvir Singh  4   6 , Tristana Perez  5 , See Mieng Tan  2 , Michael Bartos  4   7 , Shunsuke Mabuchi  4 , Mathias Bonk  4   8 , Christine McNab  4 , George K Werner  4 , Raj Panjabi  4 , Anders Nordström  4 , Helena Legido-Quigley  9   10   11
Affiliations
Review

Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries

Victoria Haldane et al. Nat Med. 2021 Jun.

Abstract

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.

PubMed Disclaimer

References

    1. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int (2021).
    1. Glover, R. E. et al. A framework for identifying and mitigating the equity harms of COVID-19 policy interventions. J. Clin. Epidemiol. 128, 35–48 (2020). - DOI
    1. Baker, M. G., Wilson, N. & Blakely, T. Elimination could be the optimal response strategy for COVID-19 and other emerging pandemic diseases. BMJ 371, m4907 (2020). - DOI
    1. Etienne, C. F. et al. COVID-19: transformative actions for more equitable, resilient, sustainable societies and health systems in the Americas. BMJ Glob. Health 5, e003509 (2020).
    1. El Bcheraoui, C., Weishaar, H., Pozo-Martin, F. & Hanefeld, J. Assessing COVID-19 through the lens of health systems’ preparedness: time for a change. Global Health 16, 112 (2020). - DOI

LinkOut - more resources