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Chapter 33 - Engaging in a Health Care Recovery Process

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

By
Enrico Pavignani
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
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Summary

This chapter introduces health recovery processes, recommending realistic engagements backed by appropriate conceptual tools. Direct experience supported by the literature warns against linear narratives, ready-made solutions and missions accomplished! The nature of stresses and shocks, and their influence on health systems is discussed. The politics of transition and its implications are highlighted. Situation analysis, debate, and proposed intervention as the main drivers of a sound recovery process are reviewed. A situation analysis covers patterns, trends, and resource levels across a disrupted healthcare landscape including appraisal of vulnerabilities and strengths. An informed, contextualised debate regarding political settlement, demography, economy, privatisation, and urbanisation is needed with all stakeholders. Supporting health recovery processes entails seizing opportunities, while containing harmful drives. Realistic strategies and effective measures must be negotiated with overambitious stakeholders. The chapter concludes with advice on designing, managing, and evaluating recovery-oriented interventions, and readings to deepen the study of health recovery processes.

Keywords

Complex adaptive systemHealthcare arenaHealthcare recoveryResilienceSequencingShockStressVulnerabilityWicked problemL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 511 - 528
Publisher: Cambridge University Press
Print publication year: 2022

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