Resilience of front-line facilities during Covid-19

Evidence from cross-sectional rapid surveys in eight low- and middle-income countries

Datos Bibliográficos

ID15127224
AutoresMichael A Peters (0000-0002-1482-2975, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA, autor de correspondencia), Tashrik Ahmed (0000-0002-1359-8705, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Viviane Azais (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Pablo Amor Fernandez (0000-0003-3484-7317, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Prativa Baral (0000-0001-5966-0861, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Salomé Henriette Paulette Drouard (0000-0002-1520-8088, Global Environment Facility), Salomé Drouard (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Richard Neill (0000-0002-1110-5479, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Kante Bachir (Ministère de la Sante de la Guinea , Blvd de Commerce, Conakry, Guinea), Poidinguem Bassounda (Ministère de la Santé Publique du Tchad , N'Djamena, Chad), Queen Dube (0000-0002-7587-6133, Ministry of Health of Malawi , Capital Hill Circle, Lilongwe, Malawi), Sabrina Flora (Government of Bangladesh Ministry of Health and Family Welfare , Abdul Gani Road, Dhaka 1000, Bangladesh), Edwin Montufar (Ministerio de Salud Pública y Asistencia Social de Guatemala , Avenida 3-45, Cdad. de Guatemala, Guatemala), Charles Nzelu (0000-0003-3464-865X, Federal Ministry of Health of Nigeria , Federal Secretariat Complex, Phase III, Shehu Shagari Way, Central Business District, Abuja, Nigeria), Mahamadi Tassembedo (0000-0001-5961-1998, Ministère de la Santé et de l’Hygiène Publique du Burkina Faso , Ave du Burkina, Koulouba, Ouagadougou, Burkina Faso), Chea Sanford Wesseh (Ministry of Health of Liberia , SKD Blvd, Monrovia, Liberia), Bushra Alam (0009-0002-8648-3009, The World Bank , 1818 H St NW, Washington, DC 20433, USA), Bushra Binte Alam (0000-0002-2584-6059, World Bank), Jean de Dieu Rusatira (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Tawab Hashemi (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Alain-Desire Karibwami (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Virginia Moscosco (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Munirat Ogunlayi (0009-0004-5002-5430, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Tania Ortiz de Zunigalo (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Julie Ruel-Bergeron (The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Julie Ruel‐Bergeron (Global Environment Facility), Isidore Sieleunou (0000-0001-7264-4540, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Peter M Hansen (0000-0001-5828-1616, The Global Financing Facility for Women, Children, and Adolescents , 1818 H St NW, Washington, DC 20433, USA), Gilad Shapira (0000-0002-1138-7269, The World Bank , 1818 H St NW, Washington, DC 20433, USA), Gil Shapira (The World Bank , 1818 H St NW, Washington, DC 20433, USA)
Año2023
Volumen38
Número7
Páginas789-798
Fecha de publicación2023-08-02
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czad032
PMID37256762
OpenAlexW4378838368
IdiomaEN
Citas recibidas5
Referencias citadas31

Responsive primary health-care facilities are the foundation of resilient health systems, yet little is known about facility-level processes that contribute to the continuity of essential services during a crisis. This paper describes the aspects of primary health-care facility resilience to coronavirus disease 2019 (COVID-19) in eight countries. Rapid-cycle phone surveys were conducted with health facility managers in Bangladesh, Burkina Faso, Chad, Guatemala, Guinea, Liberia, Malawi and Nigeria between August 2020 and December 2021. Responses were mapped to a validated health facility resilience framework and coded as binary variables for whether a facility demonstrated capacity in eight areas: removing barriers to accessing services, infection control, workforce, surge capacity, financing, critical infrastructure, risk communications, and medical supplies and equipment. These self-reported capacities were summarized nationally and validated with the ministries of health. The analysis of service volume data determined the outcome: maintenance of essential health services. Of primary health-care facilities, 1,453 were surveyed. Facilities maintained between 84% and 97% of the expected outpatient services, except for Bangladesh, where 69% of the expected outpatient consultations were conducted between March 2020 and December 2021. For Burkina Faso, Chad, Guatemala, Guinea and Nigeria, critical infrastructure was the largest constraint in resilience capabilities (47%, 14%, 51%, 9% and 29% of facilities demonstrated capacity, respectively). Medical supplies and equipment were the largest constraints for Liberia and Malawi (15% and 48% of facilities demonstrating capacity, respectively). In Bangladesh, the largest constraint was workforce and staffing, where 44% of facilities experienced moderate to severe challenges with human resources during the pandemic. The largest constraints in facility resilience during COVID-19 were related to health systems building blocks. These challenges likely existed before the pandemic, suggesting the need for strategic investments and reforms in core capacities of comprehensive primary health-care systems to improve resilience to future shocks

Business · Capacity building · Coronavirus disease 2019 (COVID-19) · Developing country · Disease · Economic growth · Environmental health · Government (linguistics) · Health care · Health facility · Health services · Population · Psychological resilience · Resilience (materials science) · Staffing · Surge Capacity · Workforce · Disaster Response and Management · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing