Piecing together Pakistan's health system and global health security

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2024-08-04 DOI:10.1002/hpm.3845
Muhammad Ahmed Abdullah, Babar Tasneem Shaikh, Shahzad Ali Khan
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Abstract

Pakistan's health system has a critical role to play in global health security, however, it faces numerous structural and systemic challenges while contributing to international health efforts. Understanding the dynamics of health system is essential for developing effective strategies to prevent, detect, and respond to health emergencies, ensuring regional stability, and the overall global health security This paper documents the strengths and weaknesses of Pakistan's health systems, the impact of the COVID-19 pandemic, challenges such as funding constraints and fragmented healthcare delivery, threats including antimicrobial resistance, and the importance of international collaboration. Anti-microbial particularly multi-drug resistance, food safety in emergencies, surge capacity of the frontline workforce, patient safety at the health care facilities to curtail healthcare associated infections, and strengthening the points of entry are still the areas that need special attention. To optimise the system's performance, governance and accountability mechanisms are necessary to be put in place under the auspices of national public health agency. Pakistan has the potential to transform its health system by addressing these critical areas and improve its preparedness and readiness for any future health emergency of this scale.

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拼凑巴基斯坦卫生系统和全球卫生安全。
巴基斯坦的卫生系统在全球卫生安全方面发挥着至关重要的作用,然而,它在为国际卫生工作做出贡献的同时,也面临着诸多结构性和系统性挑战。了解卫生系统的动态对于制定预防、检测和应对卫生突发事件的有效战略,确保地区稳定和全球总体卫生安全至关重要。本文记录了巴基斯坦卫生系统的优缺点、COVID-19 大流行的影响、资金限制和分散的医疗服务等挑战、包括抗菌药耐药性在内的威胁以及国际合作的重要性。抗微生物特别是多种药物耐药性、紧急情况下的食品安全、前线工作人员的快速反应能力、医疗机构的患者安全以减少医疗相关感染,以及加强入口点仍然是需要特别关注的领域。为了优化该系统的绩效,有必要在国家公共卫生机构的支持下建立治理和问责机制。巴基斯坦有潜力通过解决这些关键领域的问题来改造其卫生系统,并改善其对未来任何此类规模的卫生紧急情况的准备和就绪状态。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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