ArticleMaternal and child health journal2020
An Evaluation of Florida's Zika Response Using the WHO Health Systems Framework: Can We Apply These Lessons to COVID-19?
Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- AI models are being used to track zoonotic diseases. Will they prevent the next pandemic?Nature · 2026Article
- Evaluating chikungunya outbreak size and emergency vaccination strategies in Miami: an exploratory modeling study.BMC public health · 2025Article
- Measuring health equity in the ASEAN region: conceptual framework and assessment of data availability.International journal for equity in health · 2023Review
- Improving the quality of COVID-19 care in Sierra Leone: A modified Delphi process and serial nationwide assessments of quality of COVID-19 care in Sierra Leone.PLOS global public health · 2023Article
- Rising through the pandemic: a scoping review of quality improvement in public health during the COVID-19 pandemic.BMC public health · 2022Article
- Identifying the impact of COVID-19 on health systems and lessons for future emergency preparedness: A stakeholder analysis in Kenya.PLOS global public health · 2022Article
- Addressing Gaps for Health Systems Strengthening: A Public Perspective on Health Systems' Response towards COVID-19.International journal of environmental research and public health · 2021Article
- Assessing the Disruption Impact on Healthcare Delivery.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesFrom 2016 to 2018 Florida documented 1471 cases of Zika virus, 299 of which were pregnant women (Florida Department of Health, https://www.floridahealth.gov/diseases-and-conditions/mosquito-bornediseases/surveillance.html , 2019a). Florida's response required unprecedented rapid and continuous cross-sector communication, adaptation, and coordination. Zika tested public health systems in new ways, particularly for maternal child health populations. The systems are now being challenged again, as the Coronavirus COVID-19 pandemic spreads throughout Florida. This qualitative journey mapping evaluation of Florida's response focused on care for pregnant women and families with infants exposed to Zika virus.
methodsFifteen focus groups and interviews were conducted with 33 public health and healthcare workers who managed outbreak response, case investigations, and patient care in south Florida. Data were thematically analyzed, and the results were framed by the World Health Organization's (WHO) Healthcare Systems Framework of six building blocks: health service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership and governance (World Health Organization, https://www.who.int/healthsystems/strategy/everybodys_business.pdf , 2007, https://www.who.int/healthinfo/systems/monitoring/en/ , 2010).
resultsResults highlighted coordination of resources, essential services and treatment, data collection, communication among public health and healthcare systems, and dissemination of information. Community education, testing accuracy and turnaround time, financing, and continuity of health services were areas of need, and there was room for improvement in all indicator areas.
conclusionsThe WHO Framework encapsulated important infrastructure and process factors relevant to the Florida Zika response as well as future epidemics. In this context, similarities, differences, and implications for the Coronavirus COVID-19 pandemic response are discussed.
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