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Published January 1, 2024 | Version v1
Journal article Open

Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

Creators

  • 1. Hiroshima Univ, Sch Biomed & Hlth Sci, Div Nursing Sci, Hiroshima 7348553, Japan
  • 2. Belmont Univ, Gordon E Inman Coll Hlth Sci & Nursing, Nashville, TN 37212 USA
  • 3. Univ Ljubljana, Fac Hlth Sci, Ljubljana 1000, Slovenia
  • 4. Univ Hlth Sci, Fac Med, Dept Emergency Med, TR-34668 Istanbul, Turkiye
  • 5. Monash Univ, Accid Res Ctr, Melbourne, Vic 3800, Australia
  • 6. United Nations Off Disaster Risk Reduct, Global Educ & Training Inst, Incheon 22004, South Korea
  • 7. United Nations Off Disaster Risk Reduct, Reg Off Amer & Caribbean, Panama City 084303441, Panama
  • 8. Baylor Univ, Engn & Comp Sci, Waco, TX 76798 USA
  • 9. Alabama Dept Publ Hlth, Montgomery, AL USA
  • 10. World Hlth Org Ctr Hlth Dev WHO Kobe Ctr, Kobe, Japan
  • 11. Waco McLennan Cty Publ Hlth Dist, Waco, TX 76707 USA
  • 12. Baylor Univ, Coll Arts & Sci, Dept Environm Sci, Environm Hlth Sci Program, Waco, TX 76798 USA
  • 13. Global Dev Coll, Brisbane, Qld 4000, Australia
  • 14. Municipal Pudahuel, Pudahuel 13124, Chile

Description

The COVID-19 pandemic highlighted the urgent need to strengthen public health systems. In response, the United Nations Disaster Risk Reduction (UNDRR) Public Health System Resilience Scorecard (Scorecard) was applied in workshops across multiple countries. The aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system resilience. We conducted a workshop from 14 to 16 March 2023, at the UNDRR Global Education and Training Institute in Incheon, Republic of Korea. A sequential modified Delphi method was utilized to develop a set of prioritized resilience strategies. These were drawn from 70 strategies identified from 13 distinct workshops in eight countries. After two surveys, 23 strategies were finalized. Ten received ratings of "High" or "Very High" from 89% of participants. These related to the inclusion of public health risks in emergency plans, integrating multidisciplinary teams into public health, enabling local transport mechanisms, and improving the ability to manage an influx of patients. The Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system resilience. By leveraging this methodology, our study demonstrated how resilience strategies could inform disaster risk reduction funding, policies, and actions.

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