Assessing the institutional capacities for the resilience of the SUS based on the World Health Organization’s Building Blocks

Bibliographic Data

ID19474347
AuthorsAlessandro Jatobá (0000-0002-7059-6546, Fundação Oswaldo Cruz), Alessandro Araújo JATOBÁ (Fundação Oswaldo Cruz), Paula De Castro Nunes (0000-0002-9117-9805, Fundação Oswaldo Cruz), Paolo Palmieri (0000-0003-3376-2215, Fundação Oswaldo Cruz), Paloma Palmieri (Fundação Oswaldo Cruz), Omara Machado Araujo de Oliveira (0000-0002-8264-0196, Fundação Oswaldo Cruz), Omara Machado (Fundação Oswaldo Cruz), Patricia Simões (0000-0002-8206-5398, Fundação Oswaldo Cruz), Paulo Victor Rodrigues De Carvalho (0000-0002-9276-8193, Fundação Oswaldo Cruz)
Year2026
Volume31
Issue2
Publication date2026-01-01
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-81232026312.21722025en
OpenAlexW7131829860
LanguageEN
References cited9

This study proposes a new version of the Coefficient of Resilience in Public Health (CoReS) to assess the potential of the Brazilian Unified Health Systems (SUS) for resilient performance. We conducted an ecological study using data on the SUS from 2010 to 2022. The indicators analyzed derived from the World Health Organization (WHO)’s Building Blocks framework, whose dimensions are leadership and governance, workforce, information systems, medical products and technologies, service delivery, and financing. Data normalization and the application of a mean coefficient allowed a comparative assessment between the Brazilian capitals. The results show a significant heterogeneity in the capital cities’ resilience capacities. São Paulo scored the highest CoReS (0.78), while Macapá scored the lowest (0.25). The Governance and Information Systems dimensions showed robust performance, while Essential Medical Products and Technologies and Workforce had the worst scores, below 0.25, highlighting the need for intervention in these areas. The CoReS is a promising tool for assessing and improving the resilience of health systems. Data suggest that targeted interventions are urgently needed

Corporate governance · Information system · Normalization (sociology) · Psychological intervention · Psychological resilience · Public health · Resilience (materials science) · Workforce · Health, Nursing, Elderly Care · Public Health Policies and Education · Viral Infections and Outbreaks Research

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