Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Balqis-Ali, Nur Zahirah, Fun, Weng Hong, Ismail, Munirah, Ng, Rui Jie, Jaaffar, Faeiz Syezri Adzmin, Low, Lee Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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
_version_ 1783750933948137472
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
work_keys_str_mv AT balqisalinurzahirah addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19
AT funwenghong addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19
AT ismailmunirah addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19
AT ngruijie addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19
AT jaaffarfaeizsyezriadzmin addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19
AT lowleelan addressinggapsforhealthsystemsstrengtheningapublicperspectiveonhealthsystemsresponsetowardscovid19