Intersectoral collaboration and health system resilience during COVID-19: learnings from Ahmedabad, India.

Autor:	Yasobant S; Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India.; Centre for One Health Education, Research & Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India.; School of Epidemiology & Public Health, Datta Meghe Institute of Medical Sciences (DMIMS), Meghe, Sawangi, Wardha, Maharashtra 442107, India.; Global Health, Institute for Hygiene & Public Health, University Hospital Bonn, Venusberg-Campus 1, Bonn 53127, Germany., Lekha KS; Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India., Thacker H; Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India., Solanki B; Department of Health, Ahmedabad Municipal Corporation (AMC), Danapith Rd, Old City, Danapith, Ahmedabad, Gujarat 380001, India., Bruchhausen W; Global Health, Institute for Hygiene & Public Health, University Hospital Bonn, Venusberg-Campus 1, Bonn 53127, Germany., Saxena D; Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India.; Centre for One Health Education, Research & Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat 382042, India.; School of Epidemiology & Public Health, Datta Meghe Institute of Medical Sciences (DMIMS), Meghe, Sawangi, Wardha, Maharashtra 442107, India.
Jazyk:	angličtina
Zdroj:	Health policy and planning [Health Policy Plan] 2024 Nov 18; Vol. 39 (Supplement_2), pp. i29-i38.
DOI:	10.1093/heapol/czae045
Abstrakt:	Health system resilience refers to the capacity of a health system to effectively anticipate, assimilate, adjust to and recuperate from unforeseen disruptions and pressures. Evidence indicates that low- and middle-income countries (LMICs) have a double burden of dealing with the existing shortage of health resources in managing both non-emergency care and emergency care during epidemics. Intersectoral collaboration plays a pivotal role in managing crises such as pandemics. The World Health Organization has emphasized that effective intersectoral collaboration is vital for uninterrupted essential services during a pandemic. The study aimed to look at the collaborations entered into at various levels for managing the COVID-19 pandemic, taking as an example the municipal corporation in Ahmedabad, India. We undertook a qualitative study that involved conducting 52 in-depth interviews with officials from the health department, and other departments at the Ahmedabad Municipal Corporation (AMC), including firefighting, estate, engineering and education, as well as private stakeholders. Many diverse observations were documented in this study as collaboration varied across the sectors. A lack of hospital beds and shortage of essential drugs and oxygen posed challenges for healthcare providers and provided an opportunity to collaborate with private stakeholders. Mandatory COVID testing and mobile units such as the Sanjivani van and Vadil ghar seva were examples of some of the initiatives taken by the AMC to manage the pandemic that were instigated and implemented with support from various departments such as education, engineering, tax, estate, animal husbandry and firefighting. Proper communication between public and private entities will result in unfragmented efforts to combat emergencies. Thus, a resilient health system is necessary as well as systematic intersectoral collaboration to ensure the uninterrupted delivery of essential health services during health emergencies. (© The Author(s) 2024. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu