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6 Closing Remarks
Pages 93-98

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From page 93...
... CROSSCUTTING PRINCIPLES Various participants highlighted several crosscutting principles that have the potential to meaningfully impact the success of solutions and strategies implemented going forward. Myers of The Rockefeller Foundation summarized principles as applicable to efforts across the board to strengthen health systems and emergency response capacities: • Strengthen countries' everyday health systems • Build on existing infrastructures, systems, and capacities • Capitalize on interoutbreak periods • Communicate effectively and equitably • Engage multiple sectors 93
From page 94...
... While disease outbreaks and corresponding donor funding often draw focus to the surge capacity needs directly related to that specific disease outbreak, having diverse elements of public health embedded throughout a system during and between outbreaks can often be more effective than simply focusing only on surge elements in times of crisis. Strong day-to-day health systems also have the resilience and flexibility to respond quickly and effectively in situations of disease outbreak or other health emergencies, without compromising their abilities to continue delivering essential primary care and other functions not directly related to the emergency.
From page 95...
... Having these and other workers trained not only in their own disciplines for routine care delivery, but also in basic infection control and prevention practices could also assist in halting outbreaks before they progress too far -- as Perl demonstrated with the Middle East respiratory syndrome experience in Saudi Arabia. While building all of these capabilities will not happen overnight, several participants saw ongoing investment in sustainable financing mechanisms as a possible way to achieve that goal.
From page 96...
... •  obust primary care platform, including services geared toward maternal R and child health, vaccines and immunizations, and integrated mental health care. (Panjabi, Petersen)
From page 97...
... Instead, noted Leung, harmonization should be a goal of international and regional bodies related to response and training needs for specific skillsets related to emergency response. Integrating donor compliance into country-specific planning was another positive example of creating opportunities for countries to create more sustainable systems.
From page 98...
... In closing, Omaswa of ACHEST cautioned that though ensuring accountability of donors and governments is warranted and needed, without continued drive, interest, and pressure from the people within each country -- the health care workers, the patients, the scientists -- things may not change. This continued dialogue and invested interest by all sectors needs to continue to truly solve the problems of fragile health systems.

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