Resilient and people-centred health systems: Progress, challenges and future directions in Asia

How to cite the publication

Legido-Quigley H, Asgari-Jirhandeh N, editors. Resilient and people-centred health systems: Progress, challenges and future directions in Asia. New Delhi: World Health Organization, Regional Office for South-East Asia; 2018


Despite the varying nature of Asian countries and their health systems, this book highlights the threats and the opportunities they all have in common. The central aim of this book is to build a strong and robust evidence base for developing local expertise as well as generating innovative and effective solutions to enhance health systems in Asia.

The book comprises four cross-national chapters - focusing on regional governance, planetary health, non-communicable diseases and infectious diseases-, followed by summary of the health systems from seven countries in Asia - Cambodia, Indonesia, Japan, Singapore, Sri Lanka, Thailand and the Philippines.

The editors used a wide-ranging conceptualization of a health system, acknowledging that health systems do not easily fit into boxes but are complex, multilayered adaptive systems. To better understand the ways in which health systems respond to demand, their performance were assessed along three elements: people-centredness, system resilience to sudden shocks as well as ongoing challenges and quality of care.

The book concludes with highlighting the health system achievements in Asia so far, and identifies six broad areas for further concerted action. These include:
• having an integrated health systems approach with primary health care at the forefront;
• ensuring sustainable financing for health;
• developing a responsive health-care workforce;
• addressing the health needs of vulnerable groups such as migrants and refugees;
• adopting new technologies to improve overall health system; and
• acknowledging the multisectoral nature of health.

The book was produced in collaboration with National University of Singapore, and the author team included 45 authors from 13 countries.