International Journal of Disaster Risk Science (Feb 2024)

Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

  • Benjamin J. Ryan,
  • Mayumi Kako,
  • Shelby Garner,
  • Rok Fink,
  • Ismail Tayfur,
  • Jonathan Abrahams,
  • Sanjaya Bhatia,
  • Adriana Campelo,
  • Matthew Fendt,
  • Alicia Fontenot,
  • Nahuel Arenas Garcia,
  • Tim Hatch,
  • Ryoma Kayano,
  • LaShonda Malrey-Horne,
  • Makiko MacDermot,
  • Md Moshiur Rahman,
  • Chaverle Noel,
  • Shuhei Nomura,
  • Jeremy P. Novak,
  • Maria Opazo,
  • Kendell Oliver,
  • Luciana Peters,
  • Sohel Rahman,
  • Perihan Şimşek,
  • Andrew Stricklin,
  • Raymond Swienton,
  • Bryan W. Brooks

DOI
https://doi.org/10.1007/s13753-024-00537-x
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 17

Abstract

Read online

Abstract The COVID-19 pandemic highlighted the urgent need to strengthen public health systems. In response, the United Nations Disaster Risk Reduction (UNDRR) Public Health System Resilience Scorecard (Scorecard) was applied in workshops across multiple countries. The aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system resilience. We conducted a workshop from 14 to 16 March 2023, at the UNDRR Global Education and Training Institute in Incheon, Republic of Korea. A sequential modified Delphi method was utilized to develop a set of prioritized resilience strategies. These were drawn from 70 strategies identified from 13 distinct workshops in eight countries. After two surveys, 23 strategies were finalized. Ten received ratings of “High” or “Very High” from 89% of participants. These related to the inclusion of public health risks in emergency plans, integrating multidisciplinary teams into public health, enabling local transport mechanisms, and improving the ability to manage an influx of patients. The Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system resilience. By leveraging this methodology, our study demonstrated how resilience strategies could inform disaster risk reduction funding, policies, and actions.

Keywords