Resilient Facilities and Services

Resilient facilities and services show an ability to effectively respond and adapt to public health emergencies, all while sustaining essential primary care services and functions. This requires strong links at the point of care between health security and routine health system capabilities. Resilient facilities and services should seek to measure and identify areas of vulnerability and improvement before, during and after a crisis, and leverage lessons learned to adapt, recover more quickly and improve for next time.

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Timeliness

The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.

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Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

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Efficiency

Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.

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Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

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People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

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First Contact Accessibility

The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.

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Coordination

Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.

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Continuity

Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.

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Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators
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Percentage of facilities meeting criteria for resilient health facilities and services
Related Concepts

Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.

Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.

Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.

UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
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Adjustment to Population Health Needs
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Information & Technology
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Medicines & Supplies
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PHC Workforce
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Physical Infrastructure
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Purchasing & Payment Systems
Resilient Facilities and Services
COMPLEMENTARY SUBDOMAINS
Multi-Sectoral Approach
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Multisectoral approach impacts resilience at all levels of the health system, including at the point of care. For example, a multisectoral approach to emergency and disaster risk management has been central to COVID-19 response at all levels of the health system.
Continuity
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Both informational and relational continuity of care is complimentary to supporting resilient facilities as it ensures that patient information transfers between levels of care and that patients have a point of access to the health system during a health emergency.
Organization of Services
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Understanding where and how services are provided is important in maintaining facility resilience as it gives clear directives and roles to different cadres of providers and facility types during public health emergencies.
Improvement Strategies

Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.

The explainer graphic below presents a quick overview of the concept of Resilient Facilities & Services. View the full Improvement Strategy on Resilient Facilities & Services to learn more.

Resilient Facilities & Services explainer graphic
Potential Funding opportunities

Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.

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Walking the Talk: Reimagining Primary Health Care After COVID-19
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Universal Health Coverage for Sustainable Development (Issue Brief)
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UNDP Strategic Plan 2022-2025
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UHC in Africa: A Framework for Action
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The UNICEF Health Systems Strengthening Approach
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Strategy 2030: Achieving a Prosperous, Inclusive, Resilient, and Sustainable Asia and the Pacific
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Phase V (2021-2025)
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Health Sector Framework Document
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Global AIDS Strategy 2021-2026
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Emergency Response
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2020-2022 Strategic Initiatives