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0.562
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All Journal Miracle Get Journal Professional Evidence-based Research and Advances in Wellness and Treatment
Riama Vensya Sitohang
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Nursing Public Health

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Journal : Miracle Get Journal

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Analysis of Health System Resilience in Response to Emerging Pathogen Outbreaks and Public Health Emergencies of International Concern (PHEIC) Riama Vensya Sitohang
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.560

Abstract

This study aims to analyze the resilience of health systems in responding to Public Health Emergencies of International Concern (PHEIC) and to identify key determinants influencing system capacity. A mixed methods approach with an explanatory sequential design was employed, integrating quantitative and qualitative analyses. Quantitative data were derived from secondary sources covering six health system building blocks and analyzed using descriptive statistics, paired tests, and regression analysis. A composite resilience index was also developed. Qualitative data were collected through in-depth interviews with key stakeholders and analyzed thematically to contextualize quantitative findings. The results indicate a significant decline in overall system resilience during the PHEIC phase (MD = 11.30; p < 0.001), with the largest reductions observed in health service delivery and workforce capacity. Essential health services experienced substantial disruption, particularly in chronic disease care and immunization. Post-PHEIC analysis shows a significant recovery (MD = 16.80; p < 0.001), driven mainly by improvements in health information systems and medical technology. However, workforce and service delivery components did not fully recover to pre-crisis levels. The study concludes that sustainable health system resilience requires a balanced strategy integrating absorptive, adaptive, and transformative capacities, with equal emphasis on technological advancement and human resource strengthening to ensure long-term system stability.
Health System Readiness Management in Anticipating New Infectious Diseases and Zoonotic Threats in the Era of Global Ecological Change Riama Vensya Sitohang
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.541

Abstract

The emergence of new infectious diseases and increasing zoonotic risks in recent decades pose serious challenges to health systems, particularly in countries with high ecological diversity and intense human-animal interactions. Global environmental changes, urban expansion, and rising human mobility amplify interspecies pathogen transmission potential. This study aims to analyze health system preparedness levels against new infectious diseases and zoonotic threats, and identify influencing factors. The research employs a mixed methods approach with a sequential explanatory design, combining quantitative and qualitative analysis. Quantitative data were gathered from surveys of 120 respondents from health institutions, laboratories, and related agencies, analyzed using descriptive statistics and multiple linear regression to test the influence of managerial capacity, One Health integration, policy support, resource availability, and ecological risk management on health system preparedness. Qualitative analysis involved in-depth interviews to reinforce statistical interpretations. Results indicate health system preparedness at a sufficient level (mean = 3.40). The regression model is simultaneously significant (R² = 0.610; p < 0.001), explaining 61% of preparedness variation by the model variables. Managerial capacity and ecological risk management are the most influential factors. Qualitative findings highlight cross-sector coordination, funding limitations, and integration of epidemiological and environmental data as primary barriers to implementing health system preparedness.
Co-Authors YUNI ASTUTI