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January 1, 2025SHILAP Revista de lepidopterologíaOpen Access

Stewarding COVID-19 health systems response in Pakistan: what more can be done for a primary health care approach to future pandemics?

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Authors

SZShehla ZaidiRZRaza ZaidiSHShujaat Hussain

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Overview

Health systems analysis reveals effective emergency governance alongside disrupted essential care in decentralized health systems, highlighting the need for primary healthcare stewardship.

Key Points

  • To evaluate national pandemic health system stewardship using the Astana primary healthcare framework and identify lessons for integrating primary care into future outbreak preparedness.
  • Applied the Astana Primary Health Care framework to analyze health system governance, emergency service delivery, and public health functions during the COVID-19 response.
  • Assessed coordination among multisectoral government bodies, civil society, private healthcare providers, and community engagement initiatives.
  • Multisectoral governance, collaborative data-driven decision-making, and rapid emergency care deployment effectively mobilized health security actions across fragmented structures.
  • Primary health care delivery was hindered by the weak maintenance of essential health services, short-lived community engagement, and minimal regulation of the private sector.

Cite This Study

Zaidi et al. (2025) studied this question.

synapsesocial.com/papers/699dd7c18f06853f79ff9efdhttps://doi.org/10.1136/bmjgh-2024-016149
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Vision for Public Health Transformation in Pakistan Beyond the Pandemic Era2025
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  3. 3Comparative Analysis of Healthcare System, Financial, and Governance Developments Pre- and Post-Covid-19: Lessons Learned and Future Directions2025
  4. 4Pakistan’s national COVID-19 response: lessons from an emergent response to the pandemic2024 · 3 citations
  5. 5Health system response to climate-related shocks in a lower-middle-income country setting: A comparative study of floods and droughts in Pakistan2025