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Table 2 Enabling factors for absorptive, adaptive, and transformative capacities

From: A literature review exploring how health systems respond to acute shocks in fragile and conflict-affected countries

 

Enabling factors

Absorptive capacity

• Regular consultation of governments with different levels of stakeholders

• Previous experience or anticipation of shocks

• Competent and motivated front-line health workers

• Community involvement

• Existence of strong bonds and kinship between community members and the government

• Strong leadership capacity

• Limited involvement of INGO and donor agencies

• Depoliticised and decentralised decision-making

• Strong surveillance system

• Financial and equipment support to frontline health workers

• Trust among the community and public health sectors

• People-centred approach

Adaptive capacity

• Leadership adaptability to complex situations

• Knowing the important role of CHW and frontline health workers

• Integration of activities

• Ability to establish new data collection and information management systems

• Empowering and engaging community

• Ability to identify and use social brokers

• Involving informal networks of healthcare providers

• Community engagement and inclusion

• Engagement of government in the response

• Community’ collaborative and self-evolving capacity

• Strength of the surveillance system

Transformative capacity

• Stakeholder consultation and advocacy

• Learning through community feedback mechanisms

• Using innovative tools for monitoring