Health System Resilience in Managing the COVID-19 Pandemic: Lessons from Singapore
Practice Health system resilience in managing the COVID-19 pandemic: lessons from Singapore 1 1 1 Alvin Qijia Chua , Melisa Mei Jin Tan , Monica Verma , 1 1 1 1 Emeline Kai Lin Han, Li Yang Hsu , Alex Richard Cook , Yik Ying Teo, 1,2 1 Vernon J Lee, Helena Legido- Quigley To cite: Chua AQ, Tan MMJ, ABSTRACT Summary box Verma M, et al. Health Singapore, one of the first countries affected by COVID-19, system resilience in adopted a national strategy for the pandemic which ► Singapore was among the first countries affected by managing the COVID-19 emphasised preparedness through a whole- of- nation pandemic: lessons from COVID-19. Its health system resilience was tested as approach. The pandemic was well contained initially Singapore. BMJ Global Health the pandemic continued to spread following a surge until early April 2020, when there was a surge in cases, 2020;5:e003317. doi:10.1136/ in the number of infected people in early April. attributed to Singapore residents returning from hotspots bmjgh-2020-003317 ► The strength in the response of Singapore to the overseas, and more significantly, rapid transmission COVID-19 pandemic was in part due to coordination locally within migrant worker dormitories. In this paper, Handling editor Seye Abimbola between government agencies. However, we iden- we present the response of Singapore to the COVID-19 tified a few areas of improvement that may provide pandemic based on core dimensions of health system Received 1 July 2020 important learning points for other countries. Revised 23 August 2020 resilience during outbreaks. We also discussed on the ► Understanding reasons for poor uptake of initiatives, Accepted 24 August 2020 surge in cases in April 2020, highlighting efforts to mitigate such as the mobile application for contact tracing, it.
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