The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective
Simulation Exercises (SimEx) are an established tool in defence and allied security sectors, applied extensively in health security initiatives under national or international legislative requirements, particularly the International Health Regulations (2005). There is, however, a paucity of informat...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-07-01
|
| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/4/4/e001687.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846122801821384704 |
|---|---|
| author | Geraldine McDarby Lindy Reynolds Zandile Zibwowa Shams Syed Ed Kelley Sohel Saikat |
| author_facet | Geraldine McDarby Lindy Reynolds Zandile Zibwowa Shams Syed Ed Kelley Sohel Saikat |
| author_sort | Geraldine McDarby |
| collection | DOAJ |
| description | Simulation Exercises (SimEx) are an established tool in defence and allied security sectors, applied extensively in health security initiatives under national or international legislative requirements, particularly the International Health Regulations (2005). There is, however, a paucity of information on SimEx application to test the functionality of health systems alongside emergency preparedness, response and recovery. Given the important implications health services resilience has for the protection and improvement of human life, this scoping review was undertaken to determine how the publicly available body of existing global SimEx materials considers health systems, together with health security functions in the event of disruptive emergencies.The global review identified 668 articles from literature and 73 products from institutional sources. Relevant screening identified 51 materials suitable to examine from a health system lens using the six health system building blocks as per the WHO Health System Framework. Eight materials were identified for further examination of their ability to test health system functionality from a resilience perspective.SimEx are an effective approach used extensively within health security and emergency response sectors but is not yet adequately used to test health system resilience. Currently available SimEx materials lack an integrated health system perspective and have a limited focus on the quality of services delivered within the context of response to a public health emergency. The materials do not focus on the ability of systems to effectively maintain core services during response.Without adjustment of the scope and focus, currently available SimEx materials do not have the capacity to test health systems to support the development of resilient health systems. Dedicated SimEx materials are urgently needed to fill this gap and harness their potential as an operational tool to contribute to improvements in health systems. They can act as effective global goods to allow testing of different functional aspects of health systems and service delivery alongside emergency preparedness and response.The work was conducted within the scope of the Tackling Deadly Diseases in Africa Programme, funded by the UK Department for International Development, which seeks to strengthen collaboration between the health system and health security clusters to promote health security and build resilient health systems. |
| format | Article |
| id | doaj-art-1aaec395b0444282888d3697d3e85e1f |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-1aaec395b0444282888d3697d3e85e1f2024-12-14T14:30:08ZengBMJ Publishing GroupBMJ Global Health2059-79082019-07-014410.1136/bmjgh-2019-001687The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspectiveGeraldine McDarby0Lindy Reynolds1Zandile Zibwowa2Shams Syed3Ed Kelley4Sohel Saikat5Planning for Health Group, Department of Public Health, HSE West, Health Services Executive, Galway, IrelandIntegrated Health Services, World Health Organization, Geneva, SwitzerlandIntegrated Health Services, World Health Organization, Geneva, SwitzerlandIntegrated Health Services, World Health Organization, Geneva, SwitzerlandIntegrated Health Services, World Health Organization, Geneva, Switzerland5 World Health Organization, Geneva, SwitzerlandSimulation Exercises (SimEx) are an established tool in defence and allied security sectors, applied extensively in health security initiatives under national or international legislative requirements, particularly the International Health Regulations (2005). There is, however, a paucity of information on SimEx application to test the functionality of health systems alongside emergency preparedness, response and recovery. Given the important implications health services resilience has for the protection and improvement of human life, this scoping review was undertaken to determine how the publicly available body of existing global SimEx materials considers health systems, together with health security functions in the event of disruptive emergencies.The global review identified 668 articles from literature and 73 products from institutional sources. Relevant screening identified 51 materials suitable to examine from a health system lens using the six health system building blocks as per the WHO Health System Framework. Eight materials were identified for further examination of their ability to test health system functionality from a resilience perspective.SimEx are an effective approach used extensively within health security and emergency response sectors but is not yet adequately used to test health system resilience. Currently available SimEx materials lack an integrated health system perspective and have a limited focus on the quality of services delivered within the context of response to a public health emergency. The materials do not focus on the ability of systems to effectively maintain core services during response.Without adjustment of the scope and focus, currently available SimEx materials do not have the capacity to test health systems to support the development of resilient health systems. Dedicated SimEx materials are urgently needed to fill this gap and harness their potential as an operational tool to contribute to improvements in health systems. They can act as effective global goods to allow testing of different functional aspects of health systems and service delivery alongside emergency preparedness and response.The work was conducted within the scope of the Tackling Deadly Diseases in Africa Programme, funded by the UK Department for International Development, which seeks to strengthen collaboration between the health system and health security clusters to promote health security and build resilient health systems.https://gh.bmj.com/content/4/4/e001687.full |
| spellingShingle | Geraldine McDarby Lindy Reynolds Zandile Zibwowa Shams Syed Ed Kelley Sohel Saikat The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective BMJ Global Health |
| title | The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective |
| title_full | The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective |
| title_fullStr | The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective |
| title_full_unstemmed | The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective |
| title_short | The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective |
| title_sort | global pool of simulation exercise materials in health emergency preparedness and response a scoping review with a health system perspective |
| url | https://gh.bmj.com/content/4/4/e001687.full |
| work_keys_str_mv | AT geraldinemcdarby theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT lindyreynolds theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT zandilezibwowa theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT shamssyed theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT edkelley theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT sohelsaikat theglobalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT geraldinemcdarby globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT lindyreynolds globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT zandilezibwowa globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT shamssyed globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT edkelley globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective AT sohelsaikat globalpoolofsimulationexercisematerialsinhealthemergencypreparednessandresponseascopingreviewwithahealthsystemperspective |