JMIR Publications

ABSTRACT

Background:

Introduction: Public health has a pivotal role in strengthening resilience at individual, community and system levels and building healthy communities. During crises, resilient health systems can effectively adapt in response to evolving situations and reduce vulnerability across and beyond the systems. To engage national, regional, and international public health entities and experts in a discussion of challenges hindering achievement of health system resilience (HSR) in the Eastern Mediterranean Region (EMR), the Eastern Mediterranean Public Health Network (EMPHNET) held its Seventh Regional Conference in Amman, Jordan, between November 15 and 18, 2021 under the theme “Towards Resilient Health Systems in the Eastern Mediterranean: Breaking Barriers”. This viewpoint paper portrays a roundtable discussion of experts on the core theme of that conference.

Objective:

To provide insights on lessons learned from the past and explore new opportunities to reach to more resilient health systems to break current barriers.

Methods:

The roundtable brought together a panel of public health experts representing Field Epidemiology Training Programs (FETPs), Center of Disease Control in Atlanta, World Health Organization, EMPHNET, universities/academia, and research institutions at regional and global levels. To set the ground, the session began with four 10- to 12-minute presentations introducing the concept of HSR and its link to workforce development with an overall reflection on the matter and lessons learned through collective experiences. The presentations were followed by an open question/ answer session to allow an interactive debate among panel members and the roundtable audience.

Results:

The panel discussed challenges faced by health systems and lessons learned during the new public health threats to move towards more resilient health systems, overcome current barriers, and explore new opportunities to enhance the HSR. They presented field experiences on building resilient health system and the role of FETPs with an example from Yemen FETP. Furthermore, they debated the lessons learned from Covid-19 response and how it can reshape our thinking and strategies for approaching HSR. Finally, the panel discussed how health systems can effectively adapt and prosper in the face of challenges and barriers to recover from extreme disruptions while maintaining the core functions of the health systems.

Conclusions:

Considering the current situation in the region, there is a need to strengthen both pandemic preparedness and health systems, through investing in essential public health functions including those required for all-hazards emergency risk management. Institutionalized mechanisms for whole-of-society engagement, as well as strengthening primary health care approach for health security and universal health coverage and promoting enabling environments for research, innovation, and learning should be ensured. Investing in building epidemiological capacity through continuous support to FETPs to work toward strengthening surveillance systems and participating in regional and global efforts in early response to outbreaks is crucial.