Table 1 Examples of Resilience Strengthening Interventions

Health workforce

▪ Training on surveillance, risk communication, partner coordination, and case management for relevant public health threats

▪ Capacity for rapid mobilization and re-deployment of health workers

▪ Initiatives to sustain health worker productivity even under stress

Health products

▪ Multiple options to sustain supply chain functionality

▪ Capacity for efficient and effective management of medical supplies at all levels of the health system

Health infrastructure

▪ Use of available infrastructure and supplies based on need – not prescribed

▪ Local capacity to sustain existing health facility infrastructure

Health information

▪ Regular health facility (at least once a year) mapping of health system assets (human resources, infrastructure, medicines)

▪ Regular health facility mapping (at least once a year) of potential health risks in their area of responsibility

▪ Development of a compendium of lessons learnt from responding to different shock events

▪ Realtime capacity for process documentation and intelligence generation during shock events

▪ Real-time surveillance of service provision and capacity to sustain essential services

Service delivery

▪ Districts-level stress tests to determine strengths and gaps in response capacity at least once a quarter

▪ Clear essential health services package at facility and district level – to recognize new events

▪ Mapping of physical, financial, and cultural barriers to access of essential services

▪ Health facility and district-level contingency plans that define how essential services will be maintained

Governance and coordination

▪ Functional facility level mechanisms for communication and engagement with non-public health partners

▪ Non-public health partners, other sectors, communities involved in planning, and monitoring processes

▪ Appropriate decision-making authority with health facilities to facilitate early response

▪ Clear plan for sharing staff, funds, and capacities amongst all facilities in a district

▪ Guidance on comprehensive recovery planning for districts

Financial management

▪ Health facility and district awareness, including information on funds from partners for planning and resource allocation processes

▪ Mechanism to rapidly mobilize resources through re-allocation and/or funds from partners to respond to threats