ArticleBMJ global health2020
Staying afloat: community perspectives on health system resilience in the management of pregnancy and childbirth care during floods in Cambodia.
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Exploring Determinants of Community Flood Resilience in Southeast Asia: A Systematic Review.International journal of environmental research and public health · 2026Pooled it
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- Assessing and measuring community health system resilience - an updated scoping review of approaches.BMC health services research · 2025Article
- Climate change and sexual and reproductive health and rights research in low-income and middle-income countries: a scoping review.BMJ public health · 2024Article
- Paediatric mass casualty response through the lens of Functional Resonance Analytical Methodology- lessons learned.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Extreme weather events and maternal health in low-income and middle-income countries: a scoping review.BMJ open · 2024Article
- We need to talk about 'bad' resilience.BMJ global health · 2024Review
- Influences of community engagement and health system strengthening for cholera control in cholera reporting countries.BMJ global health · 2023Article
- Conditions for health system resilience in the response to the COVID-19 pandemic in Mauritania.BMJ global health · 2023Review
- What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria.BMJ global health · 2023Article
- Minimal resilience and insurgent conflict: qualitative analysis of the resilience process in six primary health centres in central Mali.BMJ global health · 2023Article
- Resilience and prenatal mental health in Pakistan: a qualitative inquiry.BMC pregnancy and childbirth · 2022Article
- Health systems resilience in practice: a scoping review to identify strategies for building resilience.BMC health services research · 2022Article
- Article
- National health governance, science and the media: drivers of COVID-19 responses in Germany, Sweden and the UK in 2020.BMJ global health · 2021Review
- The role of social capital in women's sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies.Conflict and health · 2021Review
- A health systems resilience research agenda: moving from concept to practice.BMJ global health · 2021Review
- Born in Captivity: The Experiences of Puerto Rican Birth Workers and Their Clients in Quarantine.Frontiers in sociology · 2021Article
- Health system redesign for equity in maternal and newborn health must be codesigned, country led, adapted to context and fit for purpose.BMJ global health · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionResilient health systems have the capacity to continue providing health services to meet the community's diverse health needs following floods. This capacity is related to how the community manages its own health needs and the community and health system's joined capacities for resilience. Yet little is known about how community participation influences health systems resilience. The purpose of this study was to understand how community management of pregnancy and childbirth care during floods is contributing to the system's capacity to absorb, adapt or transform as viewed through a framework on health systems resilience.
methodsEight focus group discussions and 17 semi-structured interviews were conducted with community members and leaders who experienced pregnancy or childbirth during recent flooding in rural Cambodia. The data were analysed by thematic analysis and discussed in relation to the resilience framework.
resultsThe theme 'Responsible for the status quo' reflected the community's responsibility to find ways to manage pregnancy and childbirth care, when neither the expectations of the health system nor the available benefits changed during floods. The theme was informed by notions on: i) developmental changes, the unpredictable nature of floods and limited support for managing care, ii) how information promoted by the public health system led to a limited decision-making space for pregnancy and childbirth care, iii) a desire for security during floods that outweighed mistrust in the public health system and iv) the limits to the coping strategies that the community prepared in case of flooding.
conclusionsThe community mainly employed absorptive strategies to manage their care during floods, relieving the burden on the health system, yet restricted support and decision-making may risk their capacity. Further involvement in decision-making for care could help improve the health system's resilience by creating room for the community to adapt and transform when experiencing floods.
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