ArticleBMC proceedings2020
Building health system resilience in the context of primary health care revitalization for attainment of UHC: proceedings from the Fifth Health Sector Directors' Policy and Planning Meeting for the WHO African Region.
Article in BMC proceedings, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Multisectoral interventions and health system performance: a systematic review.Bulletin of the World Health Organization · 2024Pooled it
- Toward a theory-led meta-framework for implementing health system resilience analysis studies: a systematic review and critical interpretive synthesis.BMC public health · 2022Pooled it
- Home Visits as a Primary Health Care Strategy During COVID-19: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Developing a framework for primary health care resilience in pandemic conditions for Iran.Journal of health, population, and nutrition · 2026Article
- Organisation of health services for the delivery of primary health care in the WHO African region: a future perspective.The Lancet. Primary care · 2026Review
- Resilience of health systems in Africa to infectious disease shocks: A qualitative evidence synthesis.PLOS global public health · 2026Article
- Article
- Applying the SFIC synergistic governance model to analyze determinants of multisectoral collaborative chronic disease management in Beijing's district H.Scientific reports · 2025Article
- Factors Influencing Primary Healthcare System in the Achievement of Universal Health Coverage in the WHO-AFRO Region: An Integrative Review.Public health challenges · 2025Review
- Health systems governance, shocks and resilience: a scoping review of key concepts and theories.BMJ global health · 2025Article
- The effect of Covid-19 pandemic on the primary health care utilization and cost: an interrupted time series analysis.Cost effectiveness and resource allocation : C/E · 2025Article
- Favorable strategies and barriers to the attainment of resilience in healthcare systems: scoping review.Cadernos de saude publica · 2025Article
- How do high-level African directors of policy and planning operationalize health equity? Findings from a regional survey.PLOS global public health · 2025Article
- The quest for equity in global health is underpinned by neocolonial discourses: A critical discourse analysis.PLOS global public health · 2025Article
- What slows the progress of health systems strengthening at subnational level? A political economy analysis of three districts in Uganda.PLOS global public health · 2025Article
- Policy landscape analysis for fruits and vegetables in four low- and middle-income countries through a food systems approach.PloS one · 2025Article
- Exploring Stress, Fatigue, Burnout, and Resilience Among Healthcare Personnel in Southern and South-Eastern Asia: A Scoping Review.Public health reviews · 2025Review
- Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review.PloS one · 2025Article
- Health equity and distributive justice: views of high-level African policymakers.BMC medical ethics · 2024Article
- Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundThe recent 2018 Declaration of Astana recognized primary health care (PHC) as a means to achieve universal health coverage (UHC) and the health-related Sustainable Development Goals (SDGs). Following this declaration, country progress on operationalization of the PHC agenda and attainment of UHC has been stalled by the new challenges posed by the COVID-19 pandemic. The pandemic has also disrupted the continuity of essential health service provision and tested the resilience of the region's health systems.
methodsIn accordance with this, the WHO Regional Office for Africa convened the Fifth Health Sector Directors' Planning and Policy Meeting across the 47 Member States of the Region. The two-day forum focused on building health system resilience to facilitate service continuity during health threats, PHC revitalization, and health systems strengthening towards UHC.
resultsThe Regional Forum provided evidence on building resilient health systems in the WHO African Region and engaged participants in meaningful and critical discussion. It is from these discussions that four key themes emerged: (1) working multisectorally/intersectorally, (2) moving from fragmentation to integration, (3) ensuring implementation and knowledge exchange, and (4) rethinking resilience and embracing antifragility. These discussions and associated groupings by thematic areas lend themselves to recommendations for the WHO.
conclusionsThis paper details the proceedings and key findings on building resilient health systems, the four themes that emerged from participant deliberation, and the recommendations that have emerged from the meeting. Deliberations from the Regional Forum are critical, as they have the potential to directly inform policy and program design, given that the meeting convenes health sector technocrats, who are at the helm of policy design, action, and implementation.
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