Abstract
The COVID-19 pandemic taught us many lessons, most critically that its human and economic toll would have been significantly smaller if countries had in place strong layers of defence that would have either prevented the spillover of the SARS-CoV-2 into a human population in the first place, or, failing that, contained the outbreak to avert its global spread. Further, the brunt of COVID-19 impacts on some countries considered ‘most prepared’ for pandemics underscored the need for an integrated approach to ensure resilience to future epidemics. Consequently, as countries plan ahead to prevent future pandemics, they should give priority to investments that transform their systems, particularly in the precrises phase, to preparedness and response through a multilayered defence. We propose a three-layered approach for post-COVID-19 investments in public health functions and service delivery, particularly at the community and precrises levels. This framework highlights the interventions that enable countries to better prevent, detect and contain epidemic threats, and that strengthen the efficient use of limited resources towards high-impact precrises systems.
Keywords: COVID-19; control strategies; health economics; health policy; health systems.
【저자키워드】 COVID-19, Health policy, health systems, health economics, control strategies, 【초록키워드】 public health, Resilience, COVID-19 pandemic, Epidemics, Health policy, health systems, Intervention, Spread, Epidemic, Health, outbreak, Impact, Pandemics, Community, resource, function, human population, Threats, priority, approach, country, Prevent, highlight, detect, significantly, prevented, the SARS-CoV-2, 【제목키워드】 health system,