ETHealthworld editor Shahid Akhter said: Dr. Krishna Reddy NaramalaRegional Director – South Asia, ACCESS Health International, to better understand the need to create resilient health care systems to address the complex health care challenges of today and tomorrow.
Health system resilience
Resilience is the concept of how a system absorbs when shocks and crises occur and recovers without significant damage. This was commonly included in natural disasters such as cyclones and earthquakes, but now extends to the health system. The overall concept of resilience, how health systems absorb health shocks, how they recover, how quickly they recover? Do you want to improve yourself and be able to absorb shocks in the future?
Health crisis: preventive measures
How do you not only absorb shocks, but also prevent them? Just like how you prevent a heart attack or how you prevent a stroke. At the system level, we know which organisms can cause pandemics, which organisms can cause epidemics, and which climate and natural disasters can lead to health crises. There are also mechanisms to prevent health shocks.
For example, a lot of migration is happening. People in war zones are migrating and when they go to camps and refugee camps they end up like Rohingya. They are refugees living in camps. They suffer from various diarrheal and cholera diseases. The system doesn’t support it. So, given this situation, how should the healthcare system prepare for the future? One is to prevent it. Similarly, in the laboratory, we conduct experiments using microorganisms. If there is a leak, do you have sufficient biosafety? In biotechnology and microbiology laboratories. Then there is urbanization, which is pushing people into forestry and wildlife. So how do we keep wildlife and civil society from merging? There are also scientific advances.
Advances in the genome will let us know how many organisms there are with one mutation, from jumping from animal to human, which method to use. Therefore, about 14 organisms have been identified. PCR diagnostic tests for these organisms can be prepared. If it does happen, it shouldn’t be made to happen in the same way that a vaccine platform would. At the very least, we can do pilots with some vaccine candidates. Like with SARS, with SARS we had, we had a platform that was working on SARS. It helped when COVID happened, because if the virus is the same, it’s the same coronavirus. This preparedness, the prevention of these potential crises, is both climate-related or geopolitical conflict-related or microbiological pandemic-related. That’s the preventative component. The second is how to prepare the system. For example, say you have a bed today and it is 80% occupied. And if there is a specific demand that doubles or triples the demand for beds, how do you arrange them?
Challenges in policy implementation
The challenge in implementing these policy reforms is the capacity and competence level of human resources. This is one of the key requirements. We have medical professionals, nursing professionals and dental professionals. There are standardized mechanisms for developing these professionals. But who is in charge of the entire complex healthcare system?Health Defined There is no manager for her. Everyone offers some kind of health management course, but does it meet the standards of health management science? This includes health financial management, health quality management, health information management, and health insurance management. We need people with the ability to manage these complex systems, including public health administration.
Access Health International
ACCESS Health International was founded in 2007. Established in India as a concept but incorporated as a corporation in the United States. As part of a medical think tank, we are a medical think tank that is responsible for five business flows. It conducts research to inform policies, their formulation, and their implementation. We develop not only individual training but also organizational competencies. It engages stakeholders in diagnosing problems, undertaking advisory work to develop strategic plans to address them, and advocating for several ideas to strengthen the health care system. You can empower people to know what to ask.
Access: Health Policy Research and Analysis
One of the main activities was health policy research and analysis conducted in 2018-2019.
This was boiled down to 8-12 adaptable solutions. In fact, in 2019 he was published as a report by Niti Aayog. This is one of the major contributions to policy making. It was attended by global researchers, Indian researchers and nearly 150 researchers. They studied our financial system, our provider system, we looked at our information system, and then at the system-wide level, what were the viable solutions that governments and health systems could consider. This is one of the major activities that ACCESS health has done in India.
access health support
ACCESS Health is currently supporting the implementation of key policies to strengthen health systems and build resilience. We provide support through research, development and technical support. Various implementing agencies at the central level and some state levels are providing technical support to the UP government in implementing the PMJAY. We are also partnering with the National Health Authority to implement key reforms. Namely, Pradhan Mantri Jan Arogya Yojana (PMJAY) and his Aysushman Bharat Digital Mission (ABDM).
Upcoming: Global Learning Collaborative
Our future plan is to bring all of these substantives together into a single platform called the Global Learning Collaboration for Health System Resilience (GLC4HSR). ‘ Insights, lessons learned from implementation, and experience, putting them into a kind of learning content. Some of these learnings are examined whether they are practical learnings or pilot learnings, re-learning from these pilots what is working and what is not, and global Spread and nurture a culture of learning about healthcare systems around the world at conferences. It is our dream for the future to compile work at the level, national level, provincial level, provincial level, village level or municipal level and all in one platform.
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