VACCINATIONS AND HEALTH SYSTEMS RESILIENCE


The Latest on the Role of Lifecourse Immunisation and Routine Vaccines in Sustainable Health Resilience and Preparedness

EIP believes that it’s essential to unite and activate healthcare professionals to access and evaluate the latest evidence and developments to help inform and persuade decision-makers to make the right choices to create a robust and prepared healthcare systems. Help EIP spread the word with this timely focus to help effectively deliver safe and quality health services across Europe. As we are discovering, if a health system is unable to withstand the pressure from a shock, such as COVID-19, it may cease to function or even start to collapse. The concept of resilience is one that has the ultimate goal of strengthening health systems to avoid disruption or collapse by eliminating as many additional resource and care demands as possible. All vaccines have a unique role to play in this preparedness.

With this in mind, EIP and Vaccines Together have created the COVID-19 and Healthcare Resilience Resource Library, collecting together all available articles and publications on COVID-19 Healthcare resilience, as well as and the role of vaccinations.

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Take some time to explore the resources and article links below, covering: 1) Health System Resilience, 2) Exploring pathways for building trust in vaccination and strengthening health system resilience, 3) Resilience of health systems during and after the crisis, 4) Strong health systems as an essential part of resilience and preparedness, 5) The role of LifeCourse immunisation in sustainable development and health resilience, 6) Vaccination as the cornerstone of an efficient healthcare system, 7) The importance of sustaining and increasing routine vaccination rates across Europe.

The online competition between pro- and anti-vaccination views

Distrust in scientific expertise is dangerous. Opposition to vaccination with a future vaccine against SARS-CoV-2, the causal agent of COVID-19, for example, could amplify outbreaks, as happened for measles in 2019. Homemade remedies and falsehoods are being shared widely on the Internet, as well as dismissals of expert advice. There is a lack of understanding about how this distrust evolves at the system level. Here we provide a map of the contention surrounding vaccines that has emerged from the global pool of around three billion Facebook users. 

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Exploring pathways for building trust in vaccination and strengthening health system resilience

Trust is critical to generate and maintain demand for vaccines in low and middle-income countries. However, there is little documentation on how health system insufficiencies affect trust in vaccination and the process of rebuilding trust once it has been compromised. We reflect on how disruptions to immunizations systems can affect trust in vaccination and can compromise vaccine utilization. We then explore key pathways for overcoming system vulnerabilities in order to restore trust, to strengthen the resilience of health systems and communities, and to promote vaccine utilization. 

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Health System Resilience: What Are We Talking About? A Scoping Review Mapping Characteristics and Keywords

Health systems are based on 6 functions that need to work together at all times to effectively deliver safe and quality health services. These functions are vulnerable to shocks and changes; if a health system is unable to withstand the pressure from a shock, it may cease to function or collapse. The concept of resilience has been introduced with the goal of strengthening health systems to avoid disruption or collapse. The concept is new within health systems research, and no common description exists to describe its meaning. The aim of this study is to summarize and characterize the existing descriptions of health system resilience to improve understanding of the concept. 

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