Systems thinking for health emergencies: use of process mapping during outbreak response
| Autor: | Mamadou Harouna Djingarey, James Banjura, Chikwe Ihekweazu, Anwar Abubakar, Dhamari Naidoo, Asheena Khalakdina, Albert Mbule Kadiobo, Womi Eteng, Ambrose Talisuna, Charles Keimbe, Anita A Shah, Amara Jambai, Demba Lubambo, Sylvie Briand, Desmond E. Williams, Daniel B. Jernigan, Margaret Lamunu, Shalini Singaravelu, Pierre Formenty, Kara N. Durski, Abulazeez Mohammed, Jean Claude Changa Changa, Mohamed Vandi, Adesola Yinka-Ogunleye, Ibrahim Mamadu, Etienne Minkoulou, Benoit Kebela, Michael T. Osterholm, Bruce Aylward, Ibrahima-Soce Fall |
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| Rok vydání: | 2020 |
| Předmět: |
Outbreak response
medicine.medical_specialty Systems Analysis Process management Process (engineering) 030231 tropical medicine Nigeria Disease Disease Outbreaks diseases Sierra leone 03 medical and health sciences 0302 clinical medicine medicine Humans Systems thinking infections 030212 general & internal medicine disorders injuries Practice Health Policy Public health public health Public Health Environmental and Occupational Health Outbreak epidemiology Business Emergencies health systems Healthcare system |
| Zdroj: | BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Process mapping is a systems thinking approach used to understand, analyse and optimise processes within complex systems. We aim to demonstrate how this methodology can be applied during disease outbreaks to strengthen response and health systems. Process mapping exercises were conducted during three unique emerging disease outbreak contexts with different: mode of transmission, size, and health system infrastructure. System functioning improved considerably in each country. In Sierra Leone, laboratory testing was accelerated from 6 days to within 24 hours. In the Democratic Republic of Congo, time to suspected case notification reduced from 7 to 3 days. In Nigeria, key data reached the national level in 48 hours instead of 5 days. Our research shows that despite the chaos and complexities associated with emerging pathogen outbreaks, the implementation of a process mapping exercise can address immediate response priorities while simultaneously strengthening components of a health system. |
| Databáze: | OpenAIRE |
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