People-centred health systems: building more resilient health systems in the wake of the Ebola crisis.
The 2014-2016 West African Ebola outbreak demonstrated the extent to which local social and political dynamics shape health system responses to crises such as epidemics. Many post-Ebola health system strengthening programmes are framed around a notion of health system 'resilience' that focuses on global rather than local priorities and fails to account for key local social dynamics that shape crisis responses. Post-crisis health system strengthening efforts require a shift towards a more 'people-centred' understanding of resilience that attends to the people, relationships and local contexts that constitute health systems and the practices that produce crisis responses.
Department of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK Frederick.martineau@lshtm.ac.uk.
Fred P
FP
Martineau
D003695:Delivery of Health Care / Q000458:organization & administration*; D004189:Disaster Planning / Q000458:organization & administration*; D004196:Disease Outbreaks / Q000517:prevention & control*; D058872:Epidemics / Q000517:prevention & control*; D006078:Government Programs / Q000458:organization & administration*; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology*; D006801:Humans; D018802:Patient-Centered Care / Q000458:organization & administration*
Ebola; Health system resilience; Pandemic preparedness; People-centred health systems