Change Can’t Wait: Building Resilient Health Systems in the Shadow of COVID-19 – Global



Countries must fundamentally change health systems to better prepare for future shocks

Effective governance and partnerships are key to building health system resilience

WASHINGTON, November 3, 2022 – As the experience of COVID-19 has shown, countries must take transformative action to build stronger and more resilient health systems, according to a new report from the World Bank. Building health system resilience now pays big dividends in emergencies. To achieve this, governments must improve their health sector governance, cross-sector partnerships based on a One Health approach that prioritizes health service delivery and pandemic prevention, preparedness and response ( RPP).

According to the new report, Change cannot wait: building resilient health systems in the shadow of COVID-19, resilient health systems are integrated systems that are aware of threats and risk factors; agile to meet changing needs; absorbent to contain shock; adaptive to minimize disruption; and able to leverage lessons learned to transform after a crisis. These systems also integrate essential public health functions to help prevent, manage and mitigate the impacts of other challenges, such as climate change, aging populations, fragility and conflict.

Investing in resilient health systems requires long-term commitment and action from governments,” said Mamta Murthi, Vice President for Human Development, World Bank. “With health budgets shrinking following the response to the COVID-19 crisis, countries need to prioritize their health spending, including in areas such as public health, disease prevention and care. primary health care to protect human capital and ensure health services for all, especially the poorest and most vulnerable.

The report identifies several actions that governments can take to make their health systems more resilient:

  • Invest in strong public health institutions and agile, evidence-based decision-making for health crises

  • Improved awareness and early warning functions

  • Expand community health workforce and develop multidisciplinary skills for PPR

  • Prioritization and monitoring of investments in PPR

  • Strengthen risk communication and community engagement

  • Invest in primary health care with integrated public health functions

  • Improving quality legal and regulatory frameworks

Pandemic prevention, preparedness and response are integral to strong health systems. A country that is not prepared cannot be resilient,” said Juan Pablo Uribe, Global Director for Health, Nutrition and Population, World Bank and Global Financing Facility. “Investments in health system resilience must go hand in hand with the broader health agenda, including progress towards universal health coverage (UHC), to enable equity.”

This report offers a three-tier framework to help countries prioritize spending options based on their impact on resilience. The framework proposes risk reduction, prevention and community preparedness as the most important level one activities, followed by level two with a focus on detection, containment and mitigation activities. Level three, which is the most expensive part, includes advanced case management and surge response.

The World Bank has a long-standing commitment to helping low- and middle-income countries build stronger, more resilient health systems and provide affordable, quality health services for all. Our $34 billion global health portfolio includes more than 240 projects that help countries take a holistic approach to improving health outcomes, especially for poor and vulnerable people, by strengthening primary care and key health functions. public health.

For more information, including a copy of the new report Change cannot wait: building resilient health systems in the shadow of COVID-19please visit:

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PRESS RELEASE No.: 2023/026/HD


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