Health system preparedness for emerging infectious diseases: a synthesis of the literature

Palagyi, Anna, Marais, Ben J., Abimbola, Seye, Topp, Stephanie M., McBryde, Emma S., and Negin, Joel (2019) Health system preparedness for emerging infectious diseases: a synthesis of the literature. Global Public Health, 14 (12). pp. 1847-1868.

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This review reflects on what the literature to date has taught us about how health systems of low- and middle-income countries (LMICs) respond to emerging infectious disease (EID) outbreaks. These findings are then applied to propose a conceptual framework characterising an EID prepared health system. A narrative synthesis approach was adopted to explore the key elements of LMIC health systems during an EID outbreak. Overarching themes ('core health system constructs') and sub-themes ('elements') relevant to EID preparedness were extracted from 49 peer-reviewed articles. The resulting conceptual framework recognised six core constructs: four focused on material resources and structures (i.e. system 'hardware'), including (i) Surveillance, (ii) Infrastructure and medical supplies, (iii) Workforce, and (iv) Communication mechanisms; and two focused on human and institutional relationships, values and norms (i.e. system 'software'), including (i) Governance, and (ii) Trust. The article reinforces the interconnectedness of the traditional health system building blocks to EID detection, prevention and response, and highlights the critical role of system 'software' (i.e. governance and trust) in enabling LMIC health systems to achieve and maintain EID preparedness. The review provides recommendations for refining a set of indicators for an 'optimised' health system EID preparedness tool to aid health system strengthening efforts.

Item ID: 58297
Item Type: Article (Research - C1)
ISSN: 1744-1706
Keywords: emerging infectious diseases, health systems, low- and middle-income country, health system strengthening
Copyright Information: © 2019 Informa UK Limited, trading as Taylor & Francis Group.
Funders: Department of Foreign Affairs and Trade of the Australian Government (DFAT), National Health and Medical Research Council (NHMRC)
Projects and Grants: DFAT grant number APP1132153, NHMRC APP1139182, NHMRC APP1139631
Date Deposited: 04 Jul 2019 23:28
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 20%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 40%
16 STUDIES IN HUMAN SOCIETY > 1605 Policy and Administration > 160508 Health Policy @ 40%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 40%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 60%
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