HIGHLIGHTS
- Pandemics, financial crises, natural disasters, and other shocks stress health systems. They affect response capabilities and ultimately contribute to poor performance, as exemplified by the COVID-19 pandemic, emphasizing the importance of understanding resilience to aid policymakers in improving system performance during crises
- Developed as part of the EU's capacity building initiatives, the handbook outlines a collaborative testing methodology using the Health System Performance Assessment (HSPA) Framework to understand health system components and their interrelations. It also employs the shock cycle framework to evaluate the health system's response to shocks
- The resilience testing methodology presented in this handbook requires countries to first identify a shock. Following this, they are prompted to commission tailored background research to shed light on the health system's capacity to absorb and adapt to the shock. Finally, countries are encouraged to convene a group of key stakeholders to collaboratively analyse the shock scenario, pinpointing vulnerabilities within the system
Conceptual framework of past shocks and the resilience test
We observe what happens to the health system 1 with a shock. The health system learns as part of the shock cycle (health system 2), and we undertake the resilience testing methodology to improve that health system (delivering health system 3).
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