Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T06:37:41.616Z Has data issue: false hasContentIssue false

Chapter 33 - Engaging in a Health Care Recovery Process

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

By
Enrico Pavignani
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
Get access

Summary

This chapter introduces health recovery processes, recommending realistic engagements backed by appropriate conceptual tools. Direct experience supported by the literature warns against linear narratives, ready-made solutions and missions accomplished! The nature of stresses and shocks, and their influence on health systems is discussed. The politics of transition and its implications are highlighted. Situation analysis, debate, and proposed intervention as the main drivers of a sound recovery process are reviewed. A situation analysis covers patterns, trends, and resource levels across a disrupted healthcare landscape including appraisal of vulnerabilities and strengths. An informed, contextualised debate regarding political settlement, demography, economy, privatisation, and urbanisation is needed with all stakeholders. Supporting health recovery processes entails seizing opportunities, while containing harmful drives. Realistic strategies and effective measures must be negotiated with overambitious stakeholders. The chapter concludes with advice on designing, managing, and evaluating recovery-oriented interventions, and readings to deepen the study of health recovery processes.

Keywords

Complex adaptive systemHealthcare arenaHealthcare recoveryResilienceSequencingShockStressVulnerabilityWicked problemL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 511 - 528
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Leach, M., Scoones, I., Stirling, A.. Governing epidemics in an age of complexity: narratives, politics and pathways to sustainability. Glob Environ Change 2010; 20(3): 369–377.Google Scholar
Mott, B. J.. The politics of health planning. II: the myth of planning without politics. Am J Public Health Nations Health 1969; 59(5): 797–803.CrossRefGoogle ScholarPubMed
de Waal, A.. Thinking critically in a pandemic: reinventing peace. 2020. https://sites.tufts.edu/reinventingpeace/2020/04/06/thinking-critically-in-a-pandemic (accessed December 17, 2021).Google Scholar
De Savigny, D., Adam, T., eds. Systems Thinking for Health Systems Strengthening. Geneva, WHO, 2009. https://apps.who.int/iris/bitstream/handle/10665/44204/9789241563895_eng.pdf?sequence=1 (accessed December 15, 2021).Google Scholar
Hilhorst, D., Serrano, M.. The humanitarian arena in Angola, 1975–2008. Disasters 2010; 34(Suppl. 2): S183–S201.Google Scholar
van Olmen, J., Marchal, B., Van Damme, W., et al. Health systems frameworks in their political context: framing divergent agendas. BMC Public Health 2012; 12: 774.Google Scholar
Grundy, J., Khut, Q. Y., Oum, S., et al. Health system strengthening in Cambodia: a case study of health policy response to social transition. Health Policy 2009; 92(2–3): 107–115.Google Scholar
Xiang, W. N.. Working with wicked problems in socio-ecological systems: awareness, acceptance, and adaptation. Landsc Urban Plan 2013; 110: 1–4.Google Scholar
Hummelbrunner, R., Jones, H.. A guide for planning and strategy development in the face of complexity. 2013. https://odi.org/en/publications/a-guide-for-planning-and-strategy-development-in-the-face-of-complexity (accessed December 19, 2020).Google Scholar
Barasa, E. W., Cloete, K., Gilson, L.. From bouncing back, to nurturing emergence: reframing the concept of resilience in health systems strengthening. Health Policy Plan 2017; 32(Suppl. 3): iii91–iii94.Google Scholar
Dewachi, O., Skelton, M., Nguyen, V. K., et al. Changing therapeutic geographies of the Iraqi and Syrian wars. Lancet 2014; 383(9915): 449–457.Google Scholar
Pavignani, E., Colombo, S.. UHC2030 Technical Working Group on UHC in Fragile Settings. 2019. www.uhc2030.org/fileadmin/uploads/uhc2030/Documents/About_UHC2030/UHC2030_Working_Groups/2017_Fragility_working_groups_docs/UHC2030_Guidance_on_assessing_a_healthcare_arena_under_stress_final_June_2019.pdf (accessed December 18, 2020).Google Scholar
Olivier de Sardan, J. P., Diarra, A., Moha, M.. Travelling models and the challenge of pragmatic contexts and practical norms: the case of maternal health. Health Res Policy Syst 2017; 15(Suppl. 1): 60.CrossRefGoogle ScholarPubMed
Whittall, J.. The “new humanitarian aid landscape.” Case study: MSF interaction with non-traditional and emerging aid actors in Syria 2013. 2014. www.almendron.com/tribuna/wp-content/uploads/2019/08/the-new-humanitarian-aid-landscape.pdf (accessed December 18, 2020).Google Scholar
Segall, M.. Health sector planning led by management of recurrent expenditure: an agenda for action-research. Int J Health Plann Manage 1991; 6(1): 37–75.Google Scholar
Hamieh, C. S., Ginty, R. M.. A very political reconstruction: governance and reconstruction in Lebanon after the 2006 war. Disasters 2010; 34(Suppl. 1): S103–S123.Google Scholar
Sen, K., Mehio-Sibai, A.. Transnational capital and confessional politics: the paradox of the health care system in Lebanon. Int J Health Serv 2004; 34(3): 527–551.Google Scholar
Chabrol, F., Albert, L., Ridde, V.. 40 years after Alma-Ata, is building new hospitals in low-income and lower-middle-income countries beneficial? BMJ Glob Health 2019; 3(Suppl. 3): e001293.CrossRefGoogle ScholarPubMed
Witter, S., Hunter, B.. Do health systems contribute to reduced fragility and state-building during and after crises? What does it mean and how can it be enhanced? 2017. www.rebuildconsortium.com/resources/do-health-systems-contribute-to-reduced-fragility-and-state-building-during-and-after-crises (accessed June 3, 2022).Google Scholar
Al Hilfi, T. K., Lafta, R., Burnham, G.. Health services in Iraq. Lancet 2013; 381(9870): 939–948.Google Scholar
Pavignani, E., Colombo, S.. Strategizing in distressed health contexts. In Schmets, G., Rajan, D., Kadandale, S., eds., Strategizing National Health in the 21st Century: A Handbook. Geneva, WHO, 2016.Google Scholar
Van Lerberghe, W., Mechbal, A., Kronfol, N.. The collaborative governance of Lebanon’s health sector. twenty years of efforts to transform health system performance. 2018. www.moph.gov.lb/userfiles/files/Programs%26Projects/PSO/The-Collaborative-Governance-of-Lebanons-Health-Sector.pdf (accessed January 19, 2022).Google Scholar
Kolie, D., Delamou, A., van de Pas, R., et al. “Never let a crisis go to waste”: post-Ebola agenda-setting for health system strengthening in Guinea. BMJ Glob Health 2019; 4(6): e001925.Google Scholar
Percival, V., Sondorp, E.. A case study of health sector reform in Kosovo. Confl Health 2010; 4: 7.Google Scholar
Alaref, J., Awwad, J., Araujo, E., et al. To ban or not to ban? Regulating dual practice in Palestine. Health Syst Reform 2017; 3(1): 42–55.Google Scholar
Hughes, J., Glassman, A., Gwenigale, W.. Innovative financing in early recovery: the Liberia Health Sector Pool Fund. Center for Global Development. 2012. https://core.ac.uk/reader/6719070 (accessed December 18, 2020).Google Scholar
Salama, P., Ha, W., Negin, J., et al. Post-crisis Zimbabwe’s innovative financing mechanisms in the social sectors: a practical approach to implementing the new deal for engagement in fragile states. BMC Int Health Hum Rights 2014; 14: 35.Google Scholar
Stasse, S., Vita, D., Kimfuta, J., et al. Improving financial access to health care in the Kisantu district in the Democratic Republic of Congo: acting upon complexity. Glob Health Action 2015; 8: 25480.Google Scholar
Rowe, A. K., de Savigny, D., Lanata, C. F., et al. How can we achieve and maintain high-quality performance of health workers in low-resource settings? Lancet 2005; 366(9490): 1026–1035.Google Scholar
Ackoff, R. L., Addison, H. J., Bibb, S.. A Little Book of f-Laws. 13 Common Sins of Management. Bridport, Triarchy Press, 2006.Google Scholar
Tulchinsky, T. H., Varavikova, E.. The New Public Health, 2nd ed. Amsterdam, Elsevier, 2009.Google Scholar
Hsiao, W. C.. Why is a systemic view of health financing necessary? Health Affairs 2007; 26(4): 950–961.CrossRefGoogle ScholarPubMed
Andreas, P., Greenhill, K. M.. Introduction: the politics of numbers. In Andreas, P., Greenhill, K.M., eds., Sex, Drugs and Body Counts: The Politics of Numbers in Global Crime and Conflict. New York: Cornell University Press, 2010.Google Scholar
Varvasovszky, Z., Brugha, R.. A stakeholder analysis. Health Policy Plann 2000; 15(3): 338–345.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×