JICA Ogata Research Institute

Research Activities

Comparative Study of Resilience of Health Care Systems

This study is part of a research project called “COVID-19 Study for Universal Health Coverage (UHC) and Resilient Society.”

In response to infectious disease crises, it is important for all countries to promptly and flexibly adopt healthcare delivery systems in order to isolate the rapidly increasing number of infected people from the uninfected people and treat them according to the severity of their symptoms. Meanwhile, public health interventions such as quarantine, testing, and contact tracing must be implemented to contain the spread of the virus. This study consisted of a comparative analysis of countries to assess healthcare delivery system reform in response to the COVID-19 pandemic, with a focus on governance, financing, and resources, which were identified by the World Health Organization as particularly important elements of health systems for enhancing the resilience of healthcare delivery systems. In addition, it aims to define which types of healthcare delivery systems are well-prepared for infectious disease crises and explore how to establish such systems to enhance UHC.

Specifically, there are three main objectives in this study:
1. Determine when and how countries have modified their healthcare delivery systems in response to COVID-19 and non-COVID-19 patients affected by the pandemic, and concomitantly, whether countries have reformed their legal systems.
2. Identify the differences between countries that have promptly and flexibly improved their healthcare delivery systems and countries that have not.
3. Determine to what extent each existing healthcare delivery, governance, and financing system contributes to the promptness of the response to the COVID-19 outbreak, including timing for hospital beds and staff redeployment and the time taken to do so, cases of COVID-19, and excess mortality during COVID-19.

The knowledge obtained from this study will be a of significant use to the international community, and it will contribute to future infectious disease control and the achievement of UHC.

Top of Page