Revisiting Resilience in Health Systems Research

Connecting Citizens to Science

Exploring Health Systems Resilience with Experts.

This podcast episode, hosted by Dr. Kim Ozano and co-hosted by Professor Sophie Witter, engages in an insightful discussion on health systems resilience, particularly in fragile settings affected by violence, conflict, pandemics, and other shocks. This conversation is part of a mini-series titled 'Stories of Resilience - Local Lives and Health Systems', powered by the ReBUILD for Resilience research consortium (see 'useful links' for links to the other episodes from this series).

The episode features insights from Dr. Sushil Baral of HERD International and Dr. Seye Abimbola from the University of Sydney, who share their experiences and reflections on building resilience in health systems. The discussion navigates the complexities of resilience as a concept, emphasising the importance of community engagement, co-creation, and adopting a learning approach to health systems strengthening. The panel explores the balance between self-reliance and demanding accountability from government systems, addressing the power dynamics and the necessity of a fair distribution of responsibilities across levels of governance.

In this episode:

Dr. Sophie Witter - Professor of International Health Financing and Health Systems, Institute of Global Health and Development, Queen Margaret University, Edinburgh

Sophie has worked in health and development for the past 35 years, starting with development roles at Save the Children and moving on to academia. Much of her work has focused on reducing financial barriers to accessing health care – how can people get the essential care they need without having to make terrible sacrifices? – but she has also worked on many other important health system topics, such as incentivising health care workers and health system strengthening more generally. All of her research is oriented towards implementation – how to make systems work better for people, especially those who are most disadvantaged.

Dr Sushil Baral - Managing Director, HERD International

Dr. Baral, hailing from a remote hill district in Nepal, brings over two decades of experience in health systems, public health policy, and implementation research, with a particular focus on South Asia. His contributions have significantly impacted national and global health systems, policies, and public health agendas. He emphasises evidence-based practices tailored to local contexts, reflecting a dedication to global health research excellence. Dr. Baral's academic journey highlights innovative problem-solving and substantial contributions to health systems, policies, and disaster response in fragile and shock-prone settings in LMICs.

Dr Seye Abimbola - Associate Professor of Health Systems, University of Sydney, Australia

Seye Abimbola is a health systems researcher from Nigeria, where he has worked at the National Primary Health Care Development Agency on initiatives to strengthen the Primary Health Care system across the country so that it can deliver integrated health services to communities. Seye has also been involved in research on how decentralisation affects health system performance and how community health committees influence and support health services in their own communities. Seye is currently based at the University of Sydney in Australia, where his teaching and research focus on knowledge practices in global health, health system governance, and the adoption and scale-up of health system innovations.

Useful links:

• The Health Workforce in Times of Crisis - Connecting Citizens to Science - This episode is part three of the six-part mini-series "Stories of Resilience: Local Lives and Health Systems," brought to you by ReBUILD for Resilience. In this episode, we discuss the challenges faced by the health workforce in fragile settings such as conflict zones and areas hit by political and economic crises. Our guests share their first-hand experiences and insights on how health systems and workers strive to provide care under extreme conditions.
• Gender, health systems resilience and equity - Connecting Citizens to Science - In the second episode of a six-part mini-series by ReBUILD for Resilience, we explore the intersection of gender and health systems in fragile settings. Hosted by Kim and co-hosted by Abriti Arjyal from HERD International, the episode features insights from Dr. Rouham Yamout from the American University of Beirut and Dr. Val Percival from the Norman Paterson School of International Affairs (NPSIA) at Carleton University. The discussion covers the impact of gender dynamics on health systems during crises like the COVID-19 pandemic and armed conflicts, emphasising community-led, participatory approaches to promote gender equality and resilience in health systems.
• ReBuild for Resilience - ReBUILD for Resilience examines health systems in fragile settings experiencing violence, conflict, pandemics and other shocks. Their aim is to produce high-quality, practical, multidisciplinary and scalable health systems research which can be used to build health systems resilience and improve the health and lives of many millions of people.

Want to hear more podcasts like this?

Follow Connecting Citizens to Science on your usual podcast platform or YouTube to hear more about the methods and approaches that researchers apply to connect with communities and co-produce solutions to global health challenges.

The podcast covers wide-ranging topics such as NTD’s, NCD’s, antenatal and postnatal care, mental wellbeing and climate change, all linked to community engagement and power dynamics.   

If you would like your own project or programme to feature in an episode, get in touch with producers of Connecting Citizens to Science, the SCL Agency.