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Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening

The COVID-19 pandemic has reiterated the interdependence of health security and health systems, and the need for resilient health systems to prevent large-scale impacts of infectious disease outbreaks and other acute public health events. Three years into the COVID-19 pandemic has led to discussions...

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Autores principales: Rendell, Nicole, Sheel, Meru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021329/
https://www.ncbi.nlm.nih.gov/pubmed/36962587
http://dx.doi.org/10.1371/journal.pgph.0000529
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author Rendell, Nicole
Sheel, Meru
author_facet Rendell, Nicole
Sheel, Meru
author_sort Rendell, Nicole
collection PubMed
description The COVID-19 pandemic has reiterated the interdependence of health security and health systems, and the need for resilient health systems to prevent large-scale impacts of infectious disease outbreaks and other acute public health events. Three years into the COVID-19 pandemic has led to discussions on how to “build back better”, making it important to identify lessons to strengthen health systems and prevent future shocks from health security threats. Limited data exist on effective implementable initiatives, especially for the Pacific region. We explored the perceptions of a selection of experts with field experience in the Pacific region to identify and prioritise areas for future health system investments that strengthen health security. We conducted a qualitative cross-sectional study, collecting data using four focus group discussions. We analysed the data using a content analysis of notes recorded from each of the sessions. There were 24 participants, representing 15 research and academic institutions, nongovernment agencies, UN agencies and government as well as independent consultants. All were health sector stakeholders with field experience in the Pacific region and expertise in either health systems or health security. The analysis revealed four areas to prioritise future efforts, namely workforce development, risk communication, public health surveillance and laboratory capacity. A fifth theme, localisation, was identified as a cross cutting theme that should be applied to implementation of other identified priority areas. These findings provide a starting point to apply in practice this relatively new concept, of targeted health systems strengthening for health security development, in the Pacific. Evaluation of these initiatives will strengthen knowledge on the value of integrating these two concepts.
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spelling pubmed-100213292023-03-17 Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening Rendell, Nicole Sheel, Meru PLOS Glob Public Health Research Article The COVID-19 pandemic has reiterated the interdependence of health security and health systems, and the need for resilient health systems to prevent large-scale impacts of infectious disease outbreaks and other acute public health events. Three years into the COVID-19 pandemic has led to discussions on how to “build back better”, making it important to identify lessons to strengthen health systems and prevent future shocks from health security threats. Limited data exist on effective implementable initiatives, especially for the Pacific region. We explored the perceptions of a selection of experts with field experience in the Pacific region to identify and prioritise areas for future health system investments that strengthen health security. We conducted a qualitative cross-sectional study, collecting data using four focus group discussions. We analysed the data using a content analysis of notes recorded from each of the sessions. There were 24 participants, representing 15 research and academic institutions, nongovernment agencies, UN agencies and government as well as independent consultants. All were health sector stakeholders with field experience in the Pacific region and expertise in either health systems or health security. The analysis revealed four areas to prioritise future efforts, namely workforce development, risk communication, public health surveillance and laboratory capacity. A fifth theme, localisation, was identified as a cross cutting theme that should be applied to implementation of other identified priority areas. These findings provide a starting point to apply in practice this relatively new concept, of targeted health systems strengthening for health security development, in the Pacific. Evaluation of these initiatives will strengthen knowledge on the value of integrating these two concepts. Public Library of Science 2022-09-22 /pmc/articles/PMC10021329/ /pubmed/36962587 http://dx.doi.org/10.1371/journal.pgph.0000529 Text en © 2022 Rendell, Sheel https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Rendell, Nicole
Sheel, Meru
Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title_full Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title_fullStr Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title_full_unstemmed Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title_short Expert perspectives on priorities for supporting health security in the Pacific region through health systems strengthening
title_sort expert perspectives on priorities for supporting health security in the pacific region through health systems strengthening
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021329/
https://www.ncbi.nlm.nih.gov/pubmed/36962587
http://dx.doi.org/10.1371/journal.pgph.0000529
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