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Essays on Disease Outbreaks and Health System Resilience in Sub-Saharan Africa
Essays on Disease Outbreaks and Health System Resilience in Sub-Saharan Africa
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103603
- ISBN
- 9798280713628
- DDC
- 614
- 저자명
- Potter, James.
- 서명/저자
- Essays on Disease Outbreaks and Health System Resilience in Sub-Saharan Africa
- 발행사항
- [Sl] : Harvard University, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 142 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
- 주기사항
- Advisor: Cohen, Jessica L.
- 학위논문주기
- Thesis (Ph.D.)--Harvard University, 2025.
- 초록/해제
- 요약In the past decade, there has been an increasing interest in the concept of health system resilience, defined as the ability of a health system to prepare for, manage (absorb, adapt, and transform), and learn from shocks. Motivated in part by the 2014-16 Ebola outbreak in West Africa and more recently motivated by the COVID-19 pandemic, this research agenda seeks to understand how health systems prepare for and absorb major shocks to their routine functioning capacity. However, many basic questions still remain about how to define health system resilience, and even more fundamentally, it is not always clear what is at stake for health systems when preparing for future events. This dissertation aims to add to the evidence base for understanding the resilience capacity of health systems by investigating the absorptive capacity of Guinea, Liberia, and Sierra Leone in response to the Ebola outbreak and estimating the recovery period after the outbreak. Additionally, this dissertation provides evidence of community-level health technology adoption behaviors that can guide health interventions to prepare for and manage shocks at the local level.The first study uses annual national childhood immunization rate estimates to quantify the causal impact of the 2014-16 Ebola outbreak on childhood immunization rates as well as the time required for health systems to return to pre-outbreak trends. The second study uses annual national maternal mortality rate estimates to quantify the causal impact of the Ebola outbreak on maternal mortality rates as well as the time required for health systems to return to pre-outbreak trends. The second study additionally uses nationally representative individual-level survey data to explore mechanisms for the elevated levels of maternal mortality seen during the outbreak. The third study uses randomized controlled trial (RCT) data from rural Kenya to identify the causal impact of the health technology adoption behaviors of neighbors on a household's decision to adopt new technology.The first two studies add to the evidence base on the impacts of major health system shocks on key health system indicators, while the third study provides evidence for health technology adoption behaviors that can inform contextually aware health interventions at the local level, an important aspect of building health system resilience prior to and during shocks. All three studies add to a growing evidence base required to build effective and resilient health systems.
- 일반주제명
- Public health
- 키워드
- Health systems
- 키워드
- Resilience
- 기타저자
- Harvard University Population Health Sciences
- 기본자료저록
- Dissertations Abstracts International. 86-12B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798280713628
■035 ▼a(MiAaPQ)AAI32042601
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aPotter, James.▼0(orcid)0000-0002-9534-6260
■24510▼aEssays on Disease Outbreaks and Health System Resilience in Sub-Saharan Africa
■260 ▼a[Sl]▼bHarvard University▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a142 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-12, Section: B.
■500 ▼aAdvisor: Cohen, Jessica L.
■5021 ▼aThesis (Ph.D.)--Harvard University, 2025.
■520 ▼aIn the past decade, there has been an increasing interest in the concept of health system resilience, defined as the ability of a health system to prepare for, manage (absorb, adapt, and transform), and learn from shocks. Motivated in part by the 2014-16 Ebola outbreak in West Africa and more recently motivated by the COVID-19 pandemic, this research agenda seeks to understand how health systems prepare for and absorb major shocks to their routine functioning capacity. However, many basic questions still remain about how to define health system resilience, and even more fundamentally, it is not always clear what is at stake for health systems when preparing for future events. This dissertation aims to add to the evidence base for understanding the resilience capacity of health systems by investigating the absorptive capacity of Guinea, Liberia, and Sierra Leone in response to the Ebola outbreak and estimating the recovery period after the outbreak. Additionally, this dissertation provides evidence of community-level health technology adoption behaviors that can guide health interventions to prepare for and manage shocks at the local level.The first study uses annual national childhood immunization rate estimates to quantify the causal impact of the 2014-16 Ebola outbreak on childhood immunization rates as well as the time required for health systems to return to pre-outbreak trends. The second study uses annual national maternal mortality rate estimates to quantify the causal impact of the Ebola outbreak on maternal mortality rates as well as the time required for health systems to return to pre-outbreak trends. The second study additionally uses nationally representative individual-level survey data to explore mechanisms for the elevated levels of maternal mortality seen during the outbreak. The third study uses randomized controlled trial (RCT) data from rural Kenya to identify the causal impact of the health technology adoption behaviors of neighbors on a household's decision to adopt new technology.The first two studies add to the evidence base on the impacts of major health system shocks on key health system indicators, while the third study provides evidence for health technology adoption behaviors that can inform contextually aware health interventions at the local level, an important aspect of building health system resilience prior to and during shocks. All three studies add to a growing evidence base required to build effective and resilient health systems.
■590 ▼aSchool code: 0084.
■650 4▼aPublic health
■650 4▼aSub Saharan Africa studies
■653 ▼aHealth systems
■653 ▼aResilience
■653 ▼aChildhood immunization rate
■690 ▼a0573
■690 ▼a0501
■690 ▼a0639
■71020▼aHarvard University▼bPopulation Health Sciences.
■7730 ▼tDissertations Abstracts International▼g86-12B.
■790 ▼a0084
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357810▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
