Journal of Global Health
Volume 6, Issue 2, 2016

Health system resilience: Lebanon and the Syrian refugee crisis (Article) (Open Access)

Ammar W.* , Kdouh O. , Hammoud R. , Hamadeh R. , Harb H. , Ammar Z. , Atun R. , Christiani D. , Zalloua P.A.
  • a Ministry of Public Health, Beirut, Lebanon, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  • b Ministry of Public Health, Beirut, Lebanon
  • c Ministry of Public Health, Beirut, Lebanon
  • d Ministry of Public Health, Beirut, Lebanon
  • e Ministry of Public Health, Beirut, Lebanon
  • f Ministry of Public Health, Beirut, Lebanon
  • g Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
  • h Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
  • i Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, United States, School of Medicine, Lebanese American University, Beirut, Lebanon

Abstract

Background Between 2011 and 2013, the Lebanese population increased by 30% due to the influx of Syrian refugees. While a sudden increase of such magnitude represents a shock to the health system, threatening the continuity of service delivery and destabilizing governance, it also offers a unique opportunity to study resilience of a health system amidst ongoing crisis. Methods We conceptualized resilience as the capacity of a health system to absorb internal or external shocks (for example prevent or contain disease outbreaks and maintain functional health institutions) while sustaining achievements. We explored factors contributing to the resilience of the Lebanese health system, including networking with stakeholders, diversification of the health system, adequate infrastructure and health human resources, a comprehensive communicable disease response and the integration of the refugees within the health system. Results In studying the case of Lebanon we used input-process-output- outcome approach to assess the resilience of the Lebanese health system. This approach provided us with a holistic view of the health system, as it captured not only the sustained and improved outcomes, but also the inputs and processes leading to them. Conclusion Our study indicates that the Lebanese health system was resilient as its institutions sustained their performance during the crisis and even improved.

Author Keywords

[No Keywords available]

Index Keywords

Syria Health Personnel communicable disease refugee Communicable Diseases Delivery of Health Care health care personnel Syrian Arab Republic infection control Lebanon human Humans Refugees health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85010402943&doi=10.7189%2fjogh.06.020704&partnerID=40&md5=0f485b9f416a1a98cdcd3c987ed1916a
DOI: 10.7189/jogh.06.020704
ISSN: 20472978
Cited by: 32
Original Language: English