Surge in demand for health services: evaluating health system impact and capacity to respond in countries with limited resources
Supported by the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)
This project aims to provide new knowledge and information in regard to health system surge capacity which is currently very limited even at the international level. It will enable disease modelers and health system planners to better understand the existing capacity and potential resource mobilization needs. For example, we have previously developed a resource-linked mathematical model for simulating pandemic influenza scenarios. The results from an evaluation of surge capacity in Indonesia could inform analyses using this model, or subsequent extensions of the model, to generate more robust estimates of where, and in which resource types, gaps are most severe. It will also inform policy makers to be able to make evidence based policy decision on resource reallocation across geographical and administrative boundaries within a region or a country. The national pandemic preparedness plan as well as national disaster preparedness plan can be improved by taking into account the surge capacity of health facilities for pandemic and disaster responses.
Indonesia was chosen as a pilot study country for this research study because of its diversity and potential threats from pandemic and other natural and non-natural disasters. The health system capacity is relatively similar to other developing countries with high variations at the district and province levels. The country is also investing in national health facility survey (RISFASKES 2011) which can serve as a useful input for further elaborative assessment in additional dimensions of health system capacity. We plan to conduct the study of the surge capacity of health service system in two purposively selected provinces namely Bali and West Sumatra.
London School of Hygiene & Tropical Medicine
The Faculty of Public Health University of Indonesia