Publication: Building Resilient Health Systems: A Proposal for a Resilience Index
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Date
2017-05-23
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BMJ
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Kruk, Margaret E, Emilia J Ling, Asaf Bitton, Melani Cammett, Karen Cavanaugh, Mickey Chopra, Fadi El-Jardali, Rose Jallah Macauley, Mwihaki Kimura Muraguri, Shiro Konuma, Robert Marten, Frederick Martineau, Michael Myers, Kumanan Rasanathan, Enrique Ruelas, Agnès Soucat, Anung Sugihantono, and Heiko Warnken. 2017. Building Resilient Health Systems: A Proposal for a Resilience Index. BMJ 357: J2323.
Abstract
The 2014 west African Ebola epidemic shone a harsh light on the health systems of Guinea, Liberia, and Sierra Leone. While decades of domestic and international investment had contributed to substantial progress on the Millennium Development Goals, national health systems remained weak and were unable to cope with the epidemic. Routine care of the population also deteriorated during the outbreak. Surveillance systems did not function effectively, allowing Ebola to spread within and between the countries. Global institutions were slow to respond to the crisis, squandering an opportunity to stem its course.
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