The resilient health system of the future – the case for community health
Resilient Health Systems of the Future: the Case for Community Health - the report
In 2021 the Johnson and Johnson Center for Health Worker Innovation partnered with global sustainability nonprofit Forum for the Future to examine lessons learned from the COVID-19 pandemic and what is required to build resilient health systems of the future. The partnership and resulting project brought together health practitioners from around the globe to engage in a series of dialogues on different research questions designed to examine the systemic challenges facing the health system, and pinpoint areas for action.
This report summarizes the topline findings from these dialogues. The recordings of the dialogues in addition to supplemental content for each question are housed at the Futures Centre on a live research page. This report highlights the common themes across the six dialogues as well as draws out functional pathways for new ways of operating to build greater resiliency in the future.
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How can we apply data to improve healthcare?
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How can we use learnings from COVID-19 to reshape our health systems to be more proactive, responsive, equitable, and community-centered? Join this live research to explore the role of community health.
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About project
COVID-19 has represented the most significant global health threat of the 21st century, overwhelming even some of the world’s most sophisticated health systems. It emerged within a context of growing health challenges across many already strained communities and populations, including: mental health, rising comorbidities, urbanisation and the globalisation of unhealthy lifestyles, and climate change impacts. It revealed deep-seated health inequities alongside longstanding failures to appropriately recognise, value and protect front-line community health and care workers.
Increasingly, there is a call for ‘resilient’ health systems that can cope with these interconnected challenges. However, resilience is not simply about being able to withstand shocks through reactive, short-term emergency response. Instead, it is about the ability to adapt and grow in response to stress.
As the world community begins to re-build, there is an opportunity to explore how the lessons of COVID-19 can help us reshape our health systems to be more proactive, responsive, equitable, and community-centered.
Join us for a series of live research conversations to explore the role of community health and its critical importance to ensure resilient future health outcomes:
CONVERSATION 1: What is community health and why does it matter? Why is it important for the future? explored by:
CONVERSATION 2: How do we design health systems that are in pursuit of health, not just treatment and cure of disease? explored by:
CONVERSATION 3: What does equitable community health look like in the digital age? explored by:
CONVERSATION 4: What mechanics and structures are needed to support and elevate community health? What can we learn from existing examples/case studies and how those models could scale? explored by:
CONVERSATION 5: What is the future health workforce that we need? explored by:
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“Now is the time to shift the focus in healthcare away from just effectiveness and cost to sustainability, resiliency, and value. We have witnessed unprecedented levels of collaboration and public–private partnerships over the past 15 months—let’s use these new models to supercharge efforts to combat other urgent public health challenges. And we must do the hard work that’s required to turn our collective desire to address disparities in care that plague underserved communities into measurable, meaningful action.” Alex Gorsky
Many conversations are being had to explore what the future of health might look like and what we collectively need most. Here are some examples of thoughts emerging.
• Building Back Health has been exploring the future-proofing of health systems for all.
• The Institute for Alternative Futures shares a report of scenarios for the Public Health 2030.
• The XPRIZE Community has compiled a vision for health in 2040.
What are you noticing around you?
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How can we apply data to improve healthcare?
What would a high tech health service for regular checkups look like under universal health coverage?
A hybrid high tech office allows for remote monitoring and shifts the focus onto maintaining health and preventing disease.
What might it look like to have this type of focus and service available to everyone as part of universal health coverage?
Share your thoughts in the comments below or use the ‘Submit a signal’ button to share them with the larger #futures community.
Let’s build #ResilientHealthFuture outcomes together!
Capturing Community Health for a #ResilientHealthFuture Dialogue One
Please share the photo you identify community health within the comments below
or use the ‘Submit a signal’ button to share them with the larger #futures community.
Photo chosen by Diana Nambatya Nsubuga
Photo chosen by Brian Dow
Photo chosen by Dr. Madeleine Ballard
Photo chosen by Ben Davies
Each speaker was tasked with identifying one image that encapsulates their vision of community centered health and how they can grow to build a #ResilientHealthFuture!
Tell us which one you think captures the role of community health!
Let’s build #ResilientHealthFuture outcomes together!
How can we build care systems that ensure people receive needed health information?
With growing digitization and spread of social media and internet use as a means to obtain health information, false information can spread rapidly and harmful messages can become amplified. Several regions of the world suffered the worst of the pandemic due to widespread confusion within the population and a weakened public health response.
As the world faces more disruptions and future pandemics, how might we build systems that effectively manage infodemics and ensure people receive needed health information? Share examples of consistent and concentrated efforts to maintain an effective infodemic management especially through fact-checking and responsible communication.
Please share them in the comments below or use the ‘Submit a signal’ button to share them with the larger #futures community.
Let’s build #ResilientHealthFuture outcomes together!
How can we better support CHWs and see them as vital part of the health care system? #ResilientHealthFuture
CHWs are frontline public health staff who conduct outreach and build trust with vulnerable populations and have a particularly important role in stopping disease spread. Despite CHWs being labeled essential workers during the pandemic, CHWs were underused and underemployed during the pandemic.
How can we support them going forward and help strengthen our healthcare systems in the face of rising challenges? Share examples of well equipped community health initiatives and how providing CHWs with adequate resources has led to more resilient systems around you.
Please share them in the comments below or use the ‘Submit a signal’ button to share them with the larger #futures community.
Let’s build #ResilientHealthFuture outcomes together!
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LIVE #ResilientHealthFuture Dialogue
Our sixth and final conversation in the Resilient Health System of the Future series was held as a LIVE webinar on 28th September 2021
About the event
We’re delighted to bring you the final conversation in this series, the LIVE #ResilientHealthFuture Dialogue!Join leaders from the field of community health innovation to discuss key findings from this series, and explore the pathways needed for a future where everyone, everywhere can access quality health services. Let's apply lessons from the pandemic to build future sustainable systems, especially for historically underserved communities.
Meet the speakers
Joining us is Dr. Githinji Gitahi, the Group CEO/Director-General Amref Health Africa and also Co-Chair of the UHC2030 WHO and World Bank initiative for the achievement of UHC by 2030.
Mathilde Forslund, our second speaker is the Executive Director of Transform Health working to ensure healthcare for all.
We also have Ben Davies joining us from the first #ResilientHealthFuture Dialogue. He is the Executive Director of the J&J Foundation and Global Lead of the J&J Center for Health Worker Innovation
Finally we have Laura Winn facilitating the conversation amongst these experts of community health. She heads the School of System Change here at Forum for the Future.
Share your takeaways with #ResilientHealthFuture
Conversation 5: What is the future health workforce we need?
Our fifth conversation in the #ResilientHealthFuture series is live now!The Futures Centre and Johnson and Johnson's Center for Health Worker Innovation are bringing you leaders from the sphere of community health to explore, “What is the future health workforce we need?”
We've got three remarkable panelists joining us for this dialogue to reimagine an empowered health system that can handle future challenges.
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Meet the Speakers
Our first speaker, Dr. Khama Rogo is the Lead Health Sector Specialist with the World Bank and Head of the World Bank Group's Health in Africa Initiative. A trained obstetrician-gynecologist, he has been a strong advocate for all health issues but especially reproductive health issues. He also founded K-MET along with two hospital programs with a focus on holistic reproductive health care in Africa using innovative technologies and training community workers.Denise Octavia Smith MBA, BS, CHW, PN, SFC joins us for the fifth conversation as a community health worker and health systems expert. She is the founding Executive Director of the National Association of Community Health Workers where she designs and implements community-centered strategies to achieve equitable, diverse, and inclusive partnerships, programs, and health systems. During the COVID-19 pandemic, she championed partnerships with a global organization focused on enabling CHWs’ expertise, racial equity, and community-led health systems
Finally, we have Sundeep Kapila, co-founder, and CEO of Swasth Foundation, a social enterprise committed to access to healthcare. With a keen interest in development, he worked to optimize health systems and deliver high-quality, affordable, and accountable health services to low-income communities in India. Over the years, Sundeep has set up a network of 25+ Primary Health Care Centers across India and looking to build integrated Community-Based Wellness Centers focused on chronic illness with a mix of Eastern and Western medicinal knowledge.
What is the future of digital health?
Share signals in the comments here!Conversation 4: What mechanics and structures are needed to support and elevate community health solutions?
Our fourth conversation in the #ResilientHealthFuture series is live now!The Futures Centre and Johnson and Johnson's Center for Health Worker Innovation are bringing you leaders from the sphere of community health to explore, “What mechanics and structures are needed to support and elevate community health solutions?”
We've got three remarkable panelists joining us for this dialogue to share their insights and vision to enable innovative and strengthened health systems.
Explore the Miro board
Meet the Speakers
Our first speaker, Nan Chen is the Managing Director of the Health Systems Team at Last Mile Health, an organization that designs and builds community-based primary health systems in the global South. An expert on private and public partnerships, consultancy, and nutrition, he has developed pathways to scale national health programs, SME’s, and impact investors.Reg Joseph joins us the panel for the fourth conversation as an expert on growing positive health outcomes and economic resilience. He is currently CEO at Health Cities, a social enterprise that works to innovate new healthcare models. With 15 years of experience in the biotechnology and high technology sectors, he has helped develop novel products and services for community health.
Finally, we have Maryse Kok a Health Systems Researcher at the KIT Royal Tropical institute currently based in Malawi, joining the panelists to discuss essential structural changes. She has worked towards empowering CHWs in low and middle-income countries through increased focus on resources and reproductive health rights. Over the years, she has contributed to the development of international health regulations, declarations, and strategies, and also coordinated district-level primary health care programs.
How can we apply data to improve healthcare?
Share signals in the comments here!Conversation 3: What does equitable community health look like in the digital age?
Our third conversation in the #ResilientHealthFuture series is live now!The Futures Centre and Johnson and Johnson's Center for Health Worker Innovation are bringing you leaders from the sphere of digital health to explore, “What does equitable community health look like in the digital age?"
We've got three remarkable panelists joining us for this dialogue to share their insights and vision for integrated digital health systems in the future.
Explore the Miro board
Meet the Speakers
Our first speaker, Saachi Dalal is the Chief Strategy Officer at Khushi Baby. She is building digital platforms to empower health workers and patients to ensure informed care and access for all through data accountability within rural health systems. This helps monitor and support community health in last mile settings and has been particularly effective during COVID-19 vaccine drives.Gaurav Mehta joins us for the third conversation and brings his background in sustainable enterprise and private equity. He is currently the CEO of Dharma Life India, working to create impactful economic growth in rural India focused on improving lives and livelihoods. He has built a network of 16000 rural entrepreneurs that enable stronger ecosystems across India.
Finally, we have Debbie Rogers, the Managing Director of Praekelt.org, joining the panelists to discuss a more equitable and #ResilientHealthFuture. An expert in digital health, she is working to build open source, scalable mobile technologies and solutions that can be easily implemented within health systems. This is focused primarily on improving overall health of people living in poverty and spans over 15 countries in sub-saharan Africa.
What is the future of digital health?
Share signals in the comments here!Conversation 2: How do we design health systems that are in pursuit of health, not just treatment and cure of disease?
Our second conversation in the #ResilientHealthFuture series is live now!The Futures Centre and Johnson and Johnson's Center for Health Worker Innovation are bringing you leaders from the sphere of community health to explore preventative healthcare through the question, "How do we design health systems that are in pursuit of health, not just treatment and cure of disease?"
Joining us for this dialogue are three incredible panelists. Watch now as they share their insights and vision for community-centered health programs in the future.
Explore the Miro board
Meet the Speakers
Our first speaker, Amanda Janoo is the Knowledge and Policy Lead at Wellbeing Economy Alliance.
Over the years, she has advocated for economic policy design that also considers social, and environmental dimensions of development. Through advisory roles and research roles, she has helped develop holistic and inclusive policies which have positively furthered national objectives. She was previously the Policy and Strategy Expert at the African Development Bank Group. Dr. Balkrishna Korgaonkar joins us for the second conversation on building a #ResilientHealthFuture. An expert in Value-Based Healthcare (VBHC), he is currently Director of Innovation at Leapfrog to Value, striving to transform health systems in middle and low-income countries. Not only is he a practicing doctor but also a consultant and advisor for big pharma and hospitals. He has advocated for the use of several market research tools to develop future proof strategies within the healthcare sector.
Finally, we have Wadzanayi Muchenje, joining the panelists for the second conversation. She is currently the Strategic Partnerships and Health Lead (Africa) at The Rockefeller Foundation. With many years of experience in strategy, she has helped to develop and implement innovative solutions through organizational projects focused on social well-being. She has advocated for access to medicines, laboratory services, and point-of-care diagnostics and brings with her a robust academic background.
What would a high tech health service for regular checkups look like under universal health coverage?
Share signals in the comments here!Conversation 1: What is community health and why does it matter? Why is it important for the future?
Here we go! Our first conversation in the #ResilientHealthFuture series is live now!The Futures Centre and Johnson and Johnson's Center for Health Worker Innovation are bringing you leaders from the sphere of community health to define, “What is community health and why does it matter? Why is it important for the future?”
We've got four remarkable panelists joining us for this dialogue to share their insights and vision for community-centered health programs in the future.
Explore the Miro board
Meet the Speakers
Our first speaker, Diana Nambatya Nsubuga is the Africa Regional Deputy Director (Policy and Advocacy) and Africa Universal Health Coverage Co-Chair for Living Goods, a nonprofit focused on digitally empowering community health workers. She has over 15 years of experience in the health systems sphere supporting and scaling innovations in Sub-Saharan Africa.Benjamin Davies joins the conversation to highlight the role of deploying financial capital and resources within this effort. He is currently the Executive Director of Johnson & Johnson Foundation EMEA. Over the years, he has advocated for new models of partnership within global health to address arising challenges across the world. He combines systems thinking for large collective impact and brings with him local, regional and global experience in healthcare innovation.
Our next speaker, Dr. Madeleine Ballard is the Executive Director of the Community Health Impact Coalition. A field catalyst, the organization created by health practitioners in 40+ countries works to make professionalized community health workers the norm worldwide. She is also an Assistant Professor at the Icahn School of Medicine at Mount Sinai.
Finally, we have Brian Dow, the Chief Executive of Mental Health UK, joining the panelists to discuss a more equitable and #ResilientHealthFuture. Working within the mental health sphere, he brings in a more holistic approach to community health initiatives and explores how people are able to access various kinds of care. He is also the Deputy Chief Executive of Rethink Mental Illness.
How can we better support CHWs and see them as vital part of the health care system?
Share signals in the comments here!Recommended read(s)
