Evidence of health system resilience in Myanmar during Cyclone Nargis: a qualitative analysis.
Evidence of health system resilience in Myanmar during Cyclone Nargis: a qualitative analysis.
复制标题
DOI：
10.1136/bmjopen-2021-050700
复制
发表时间：
2021-09-22
期刊：
影响因子：
2.9
通讯作者：
Wyss K
中科院分区：
文献类型：
--
作者：
Grimm PY;Merten S;Wyss K
本研究的目的是提高对缅甸应对“纳尔吉斯”气旋的卫生系统复原力特征的认识，并探讨如何提高系统层面的复原力。这是一项解释性的定性研究，探讨缅甸卫生系统的体制复原能力。分析采用了严格遵循框架方法的数据驱动专题分析。这一进程使与会者能够对关键的新兴主题进行比较和对比，随后产生了描述缅甸实现复原力的基本资产、障碍和机会的关键结果。该研究包括与国际组织和非政府组织代表进行的12次深入访谈。招募参与者的入选标准是，他们当时直接参与了纳尔吉斯气旋的应对工作。与会者在联合国、双边和非政府组织之间分布均衡，其中大多数是缅甸公民或在缅甸有广泛工作经验的外籍人士。主要调查结果阐明了缅甸应对纳尔吉斯气旋时突出或缺乏的复原力特征。由根深蒂固的文化和宗教推动的强大社会资本和动力是缅甸最大的资产，填补了体制中的重大空白。与此同时，其后殖民和军事遗留问题阻碍了为建设复原力的长期基础进行投资。这项研究表明，卫生系统的复原力可以通过战略投资来建立，以建立复原力的基础，更好地为未来的冲击做好准备。就缅甸而言，作为其基本资产的社会资本和动机可以转化为有助于实现其长期卫生目标的机会，加快其卫生系统复原力的进程。
The aim of this study is to improve the understanding of the characteristics of health system resilience in Myanmar’s response to Cyclone Nargis and to explore ways to improve resilience at the system level. This is an explanatory qualitative study exploring the institutional capacity of resilience in Myanmar’s health system. Analysis proceeded using a data-driven thematic analysis closely following the framework method. This process enabled comparisons and contrasts of key emergent themes between the participants, which later generated key results describing the foundational assets, barriers and opportunities for achieving resilience in Myanmar. The study comprised of 12 in-depth interviews conducted with representatives from international organisations and non-governmental organisations (NGOs). The inclusion criteria to recruiting the participants were that they had directly been a part of the Cyclone Nargis response at the time. There was a balanced distribution of participants across UN, bilateral and NGOs, and most of them were either Myanmar citizens or expatriates with extensive working experience based in Myanmar. Key findings elucidate the characteristics of resilience that have been salient or absent in Myanmar’s response to Cyclone Nargis. Strong social capital and motivation propelled by its deep-rooted culture and religion served as Myanmar’s greatest assets that filled major gaps in the system. Meanwhile, its postcolonial and military legacy posed barriers towards investing in building its long-term foundations towards resilience. This study revealed that resilience in the health system can be built through strategic investments towards building the foundations of resilience to better prepare for future shocks. In the case of Myanmar, social capital and motivation, which surfaced as its foundational assets, can be channelled into opportunities that can help achieve its long-term health goals, accelerating its journey towards resilience in the health system.
登录
查看更多内容
影响因子：
3.2
作者：
Barasa EW;Cloete K;Gilson L
通讯作者：
Gilson L
影响因子：
3.2
作者：
Aldrich, Daniel P.;Meyer, Michelle A.
通讯作者：
Meyer, Michelle A.
DOI：
10.34172/ijhpm.2020.261
发表时间：
2022-07-01
影响因子：
3.5
作者：
Grimm, Pauline Yongeun;Oliver, Sandy;Merten, Sonja;Han, Wai Wai;Wyss, Kaspar
通讯作者：
Wyss, Kaspar
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
3.2
作者：
Ling, Emilia J.;Larson, Elysia;Kruk, Margaret E.
通讯作者：
Kruk, Margaret E.