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Health workforce
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▪ Training on surveillance, risk communication, partner coordination, and case management for relevant public health threats
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▪ Capacity for rapid mobilization and re-deployment of health workers
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▪ Initiatives to sustain health worker productivity even under stress
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Health products
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▪ Multiple options to sustain supply chain functionality
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▪ Capacity for efficient and effective management of medical supplies at all levels of the health system
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Health infrastructure
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▪ Use of available infrastructure and supplies based on need – not prescribed
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▪ Local capacity to sustain existing health facility infrastructure
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Health information
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▪ Regular health facility (at least once a year) mapping of health system assets (human resources, infrastructure, medicines)
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▪ Regular health facility mapping (at least once a year) of potential health risks in their area of responsibility
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▪ Development of a compendium of lessons learnt from responding to different shock events
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▪ Realtime capacity for process documentation and intelligence generation during shock events
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▪ Real-time surveillance of service provision and capacity to sustain essential services
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Service delivery
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▪ Districts-level stress tests to determine strengths and gaps in response capacity at least once a quarter
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▪ Clear essential health services package at facility and district level – to recognize new events
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▪ Mapping of physical, financial, and cultural barriers to access of essential services
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▪ Health facility and district-level contingency plans that define how essential services will be maintained
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Governance and coordination
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▪ Functional facility level mechanisms for communication and engagement with non-public health partners
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▪ Non-public health partners, other sectors, communities involved in planning, and monitoring processes
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▪ Appropriate decision-making authority with health facilities to facilitate early response
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▪ Clear plan for sharing staff, funds, and capacities amongst all facilities in a district
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▪ Guidance on comprehensive recovery planning for districts
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Financial management
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▪ Health facility and district awareness, including information on funds from partners for planning and resource allocation processes
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▪ Mechanism to rapidly mobilize resources through re-allocation and/or funds from partners to respond to threats
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