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Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19
Strengthening the health systems through gaps identification is necessary to ensure sustainable improvements especially in facing a debilitating outbreak such as COVID-19. This study aims to explore public perspective on health systems’ response towards COVID-19, and to identify gaps for health syst...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431426/ https://www.ncbi.nlm.nih.gov/pubmed/34501637 http://dx.doi.org/10.3390/ijerph18179047 |
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author | Balqis-Ali, Nur Zahirah Fun, Weng Hong Ismail, Munirah Ng, Rui Jie Jaaffar, Faeiz Syezri Adzmin Low, Lee Lan |
author_facet | Balqis-Ali, Nur Zahirah Fun, Weng Hong Ismail, Munirah Ng, Rui Jie Jaaffar, Faeiz Syezri Adzmin Low, Lee Lan |
author_sort | Balqis-Ali, Nur Zahirah |
collection | PubMed |
description | Strengthening the health systems through gaps identification is necessary to ensure sustainable improvements especially in facing a debilitating outbreak such as COVID-19. This study aims to explore public perspective on health systems’ response towards COVID-19, and to identify gaps for health systems strengthening by leveraging on WHO health systems’ building blocks. A qualitative study was conducted using open-ended questions survey among public followed by in-depth interviews with key informants. Opinions on Malaysia’s health systems response towards COVID-19 were gathered. Data were exported to NVIVO version 12 and analysed using content analysis approach. The study identified various issues on health systems’ response towards COVID-19, which were then mapped into health systems’ building blocks. The study showed the gaps were embedded among complex interactions between the health systems building blocks. The leadership and governance building block had cross-cutting effects, and all building blocks influenced service deliveries. Understanding the complexities in fostering whole-systems strengthening through a holistic measure in facing an outbreak was paramount. Applying systems thinking in addressing gaps could help addressing the complexity at a macro level, including consideration of how an action implicates other building blocks and approaching the governance effort in a more adaptive manner to develop resilient systems. |
format | Online Article Text |
id | pubmed-8431426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84314262021-09-11 Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 Balqis-Ali, Nur Zahirah Fun, Weng Hong Ismail, Munirah Ng, Rui Jie Jaaffar, Faeiz Syezri Adzmin Low, Lee Lan Int J Environ Res Public Health Article Strengthening the health systems through gaps identification is necessary to ensure sustainable improvements especially in facing a debilitating outbreak such as COVID-19. This study aims to explore public perspective on health systems’ response towards COVID-19, and to identify gaps for health systems strengthening by leveraging on WHO health systems’ building blocks. A qualitative study was conducted using open-ended questions survey among public followed by in-depth interviews with key informants. Opinions on Malaysia’s health systems response towards COVID-19 were gathered. Data were exported to NVIVO version 12 and analysed using content analysis approach. The study identified various issues on health systems’ response towards COVID-19, which were then mapped into health systems’ building blocks. The study showed the gaps were embedded among complex interactions between the health systems building blocks. The leadership and governance building block had cross-cutting effects, and all building blocks influenced service deliveries. Understanding the complexities in fostering whole-systems strengthening through a holistic measure in facing an outbreak was paramount. Applying systems thinking in addressing gaps could help addressing the complexity at a macro level, including consideration of how an action implicates other building blocks and approaching the governance effort in a more adaptive manner to develop resilient systems. MDPI 2021-08-27 /pmc/articles/PMC8431426/ /pubmed/34501637 http://dx.doi.org/10.3390/ijerph18179047 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Balqis-Ali, Nur Zahirah Fun, Weng Hong Ismail, Munirah Ng, Rui Jie Jaaffar, Faeiz Syezri Adzmin Low, Lee Lan Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title | Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title_full | Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title_fullStr | Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title_full_unstemmed | Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title_short | Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems’ Response towards COVID-19 |
title_sort | addressing gaps for health systems strengthening: a public perspective on health systems’ response towards covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431426/ https://www.ncbi.nlm.nih.gov/pubmed/34501637 http://dx.doi.org/10.3390/ijerph18179047 |
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