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All Journal Journal of Noesantara Islamic Studies Journal of Moeslim Research Technik International Journal of Educatio Elementaria and Psychologia Research Psychologie, Orientation et Conseil Journal of Tecnologia Quantica Techno Agriculturae Studium of Research Research of Scientia Naturalis Journal of Biomedical and Techno Nanomaterials Journal of Humanities Research Sustainability Journal of Paddisengeng Technology Journal Markcount Finance Sharia Oikonomia Law Journal Journal of World Future Medicine, Health and Nursing Journal Emerging Technologies in Education International Journal of Educational Narratives Rechtsnormen: Journal of Law International Journal of Language and Ubiquitous Learning Journal of Social Science Utilizing Technology
Luis Santos
University of the Philippines Diliman
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Control & Systems Engineering Education Electrical & Electronics Engineering Engineering Physics Other

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RESILIENCE OF PUBLIC HEALTH SYSTEMS IN FACING URBANIZATION CRISES AND AIR POLLUTION Ismed Ismed; Luis Santos; Josefa Flores
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 5 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i5.4397

Abstract

Rapid urbanization and persistent air pollution are increasing pressure on public health systems by intensifying healthcare demand, environmental exposure, and institutional vulnerability. This study aimed to examine how urbanization pressures and air pollution influence public health system resilience and to identify institutional capacities associated with stronger performance. A mixed-methods cross-sectional design was applied across four urban areas, involving 420 respondents and 30 key informants. Quantitative data were collected through a resilience questionnaire and secondary environmental indicators, while qualitative data were obtained through semi-structured interviews. The overall resilience score was moderate at 3.39 ± 0.61. Higher PM2.5 concentrations and population density were negatively associated with resilience, whereas intersectoral coordination, environmental surveillance, and resource flexibility showed significant positive associations. Multivariable regression explained 48% of the variance in resilience, with intersectoral coordination emerging as the strongest positive predictor. Qualitative findings confirmed that integrated surveillance, flexible resource allocation, and timely information exchange supported stronger institutional responses. These findings highlight resilience as a dynamic governance capacity. Public health resilience in rapidly urbanizing and polluted settings depends on more than healthcare infrastructure alone. Strengthening cross-sector governance, adaptive capacity, environmental surveillance, and equitable community engagement is essential for sustaining health services and reducing long-term urban health vulnerability.
Co-Authors Aarav Sharma Agus Satory Ali Khan Ali Khan Amie Primarni Andres Villanueva Andri Setiawan Aris Krisdiyanto Dani Lukman Hakim Dara Vann Dito Anurogo Ethan Tan Fauzi Aldina Haruto Takahashi Irene Florensia Situmeang Iriana Bakti Ismed Ismed Josefa Flores Justam, Justam Kaito Tanaka Liam Wilson Maria Clara Reyes Mohammad Sigit Gunawan Momena Sultana Muh. Safar Muhammad Firdaus Abduh Nguyen Minh Tu Nia Kurniati Nofirman, Nofirman Rahmad Saputra Rahmat Hidayat Raul Gomez Retno Paryati Samantha Gonzales Sifaul Anwar Suci Sintia Dewi Sulaiman Sulaiman Thi Lan Thiago Rocha Usman Tariq Vicheka Rith Wahyu Trisno Aji