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About:
Pandemic influenza preparedness and health systems challenges in Asia: results from rapid analyses in 6 Asian countries
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Pandemic influenza preparedness and health systems challenges in Asia: results from rapid analyses in 6 Asian countries
Creator
Coker, Richard
Mounier-Jack, Sandra
Conseil, Alexandra
Touch, Sok
Hanvoravongchai, Piya
Adisasmito, Wiku
Krumkamp, Ralf
Putthasri, Weerasak
Shih, Chin-Shui
Phommasack, Bounlay
Chau, Pham
De Sa, Joia
Source
Medline; PMC
abstract
BACKGROUND: Since 2003, Asia-Pacific, particularly Southeast Asia, has received substantial attention because of the anticipation that it could be the epicentre of the next pandemic. There has been active investment but earlier review of pandemic preparedness plans in the region reveals that the translation of these strategic plans into operational plans is still lacking in some countries particularly those with low resources. The objective of this study is to understand the pandemic preparedness programmes, the health systems context, and challenges and constraints specific to the six Asian countries namely Cambodia, Indonesia, Lao PDR, Taiwan, Thailand, and Viet Nam in the prepandemic phase before the start of H1N1/2009. METHODS: The study relied on the Systemic Rapid Assessment (SYSRA) toolkit, which evaluates priority disease programmes by taking into account the programmes, the general health system, and the wider socio-cultural and political context. The components under review were: external context; stewardship and organisational arrangements; financing, resource generation and allocation; healthcare provision; and information systems. Qualitative and quantitative data were collected in the second half of 2008 based on a review of published data and interviews with key informants, exploring past and current patterns of health programme and pandemic response. RESULTS: The study shows that health systems in the six countries varied in regard to the epidemiological context, health care financing, and health service provision patterns. For pandemic preparation, all six countries have developed national governance on pandemic preparedness as well as national pandemic influenza preparedness plans and Avian and Human Influenza (AHI) response plans. However, the governance arrangements and the nature of the plans differed. In the five developing countries, the focus was on surveillance and rapid containment of poultry related transmission while preparation for later pandemic stages was limited. The interfaces and linkages between health system contexts and pandemic preparedness programmes in these countries were explored. CONCLUSION: Health system context influences how the six countries have been preparing themselves for a pandemic. At the same time, investment in pandemic preparation in the six Asian countries has contributed to improvement in health system surveillance, laboratory capacity, monitoring and evaluation and public communications. A number of suggestions for improvement were presented to strengthen the pandemic preparation and mitigation as well as to overcome some of the underlying health system constraints.
has issue date
2010-06-08
(
xsd:dateTime
)
bibo:doi
10.1186/1471-2458-10-322
bibo:pmid
20529345
has license
cc-by
sha1sum (hex)
30fc9806c9b1ba0d786a31cad4a1d98b6642462d
schema:url
https://doi.org/10.1186/1471-2458-10-322
resource representing a document's title
Pandemic influenza preparedness and health systems challenges in Asia: results from rapid analyses in 6 Asian countries
has PubMed Central identifier
PMC2896940
has PubMed identifier
20529345
schema:publication
BMC Public Health
resource representing a document's body
covid:30fc9806c9b1ba0d786a31cad4a1d98b6642462d#body_text
is
schema:about
of
named entity 'pandemic'
named entity 'Asia'
named entity 'Since'
named entity 'pandemic'
named entity 'specific'
named entity 'translation'
named entity 'start'
named entity 'pandemic'
named entity 'Lao PDR'
named entity 'Taiwan'
named entity 'Pandemic influenza'
named entity 'Asian'
named entity 'Viet Nam'
named entity 'Lao PDR'
named entity 'Viet Nam'
named entity 'pandemic influenza'
named entity 'Thailand'
named entity 'WHO'
named entity 'disaster preparedness'
named entity 'universal coverage'
named entity 'morbidity'
named entity 'pandemic vaccine'
named entity 'Emerging Infectious Diseases'
named entity 'H1N1'
named entity 'health insurance'
named entity 'poultry'
named entity 'pandemics'
named entity 'Influenza'
named entity 'Cambodia'
named entity 'health status'
named entity 'antivirals'
named entity 'Taiwan'
named entity 'pandemic vaccine'
named entity 'BBC'
named entity 'Viet Nam'
named entity 'health system strengthening'
named entity 'Cambodia'
named entity 'developing countries'
named entity 'health insurance'
named entity 'Asia-Pacific'
named entity 'communicable disease control'
named entity 'health systems'
named entity 'Health service'
named entity 'World Health Organization'
named entity 'health systems'
named entity 'risk communication'
named entity 'Lao PDR'
named entity 'health care infrastructure'
named entity 'Lao PDR'
named entity 'Taiwan'
named entity 'Cambodia'
named entity 'Cambodia'
named entity 'Cambodia'
named entity 'animal health'
named entity 'Severe Acute Respiratory Syndrome'
named entity 'H1N1'
named entity 'Taiwan'
named entity 'Thailand'
named entity 'disease burden'
named entity 'pandemic influenza'
named entity 'health systems'
named entity 'poultry'
named entity 'health interventions'
named entity 'Mekong'
named entity 'Vietnam'
named entity 'poultry'
named entity 'private sector'
named entity 'Cambodia'
named entity 'epidemics'
named entity 'SARS'
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