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Public Health System

InOrder as the Convener of the India Chapter of the Global Learning Collaborative for Health Systems Resilience (GLC4HSR)

About

InOrder has partnered with ACCESS Health International to build the Global Learning Collaborative for Health Systems Resilience (GLC4HSR). This collaboration brings together key health system stakeholders from state, national, regional, and global levels. The initiative focuses on knowledge co-creation, curating insights into learning briefs, organizing learning sessions, and disseminating these learnings to a broader audience involved in health systems. In 2022, India took on the role of convener for the India country chapter of GLC4HSR, marking a significant step in advancing health systems resilience.
Pilot Study on Health System Resilience Assessment (HSRA)
The Global Learning Collaborative for Health Systems Resilience (GLC4HSR) has developed the Health System Resilience Assessment (HSRA) tool, which is currently undergoing pilot testing. These pilots are being conducted at national, sub-national, and local levels, with ongoing implementations in India and Bangladesh, and upcoming assessments in Sri Lanka and Indonesia through their respective country chapters. This pilot study aims to offer valuable insights into how health systems can withstand and adapt to various shocks by utilizing the HSRA tool.
The study begins with a comprehensive health systems assessment in India, followed by the assessment of health system resilience. The evaluation will cover a wide range of indicators across six key areas: Socioeconomic data, Access to healthcare, Demographic factors, Non-medical determinants of health, Health expenditure, SDG indicators, Vulnerability factors, ICT indices, and Specific Health Needs

The assessment will focus on critical dimensions of health systems, including governance, service provision, resource mobilization, and financial sustainability. Additionally, the study emphasizes cross-cutting themes such as effective communication, stakeholder relationships, and the flow of information, which are essential to understanding health system resilience.
InOrder, as the India convener of the GLC4HSR, partnered with Tata Institute for Genetics and Society (TIGS) to host a two-day workshop titled “Building Back Better Surveillance Systems” in Bengaluru. The workshop aimed to develop a blueprint for a future-ready “surveillance-alert-response system,” with a dedicated working group established for this purpose.

Over 160 attendees, both in-person and online, participated in four insightful panel discussions focused on current challenges and solutions for strengthening health surveillance systems. Key topics included innovative surveillance strategies, the responsible use of big data, and the “One Health” approach to integrated surveillance.

Notable takeaways emphasized the growing importance of wastewater surveillance, ethical big data utilization, and the connection between human health and the environment. Distinguished speakers included Dr. K.V. Thrilok Chandra from BBMP and Dr. Anil Kumar from the National Centre for Disease Control. The event fostered valuable knowledge-sharing and collaboration among stakeholders from diverse health sectors.
On December 14, 2023, the Administrative Staff College of India in Hyderabad hosted a collaborative workshop titled “Towards People-Centered Healthcare: A Workshop on Community Engagement.” Co-organized by GLC4HSR, the University of Arizona’s Mel & Enid Zuckerman College of Public Health, Administrative Staff College of India, and Henry Ford Health, the event aimed to explore the vital role of community engagement in strengthening health systems and defining “community” within the healthcare context.

The workshop delved into the influence of various stakeholders, including special interest groups, self-help groups, volunteers, civil society, and the media, on community participation in health. Over 125 participants, both in-person and online, actively contributed to discussions on real-world applications of community engagement strategies.

As the India convener for GLC4HSR, InOrder is advancing the development of health system resilience tools, focusing on the performance of health security systems and overall health system resilience. These tools will undergo pilot testing at the national, subnational, and local levels across India, Bangladesh, Sri Lanka, and Indonesia through their respective country chapters. The Health Systems Resilience Assessment (HSRA) pilot study has already commenced in India as part of the five-country study under GLC4HSR.
InOrder supported an initiative to develop a Surveillance Alert and Response Systems Blueprint, aimed at strengthening disease surveillance, early warning mechanisms, and coordinated response strategies. This effort was undertaken in collaboration with the National Centre for Biological Sciences (NCBS), with the Tata Institute for Genetics and Society (TIGS) joining as a knowledge partner. Through a series of workshops and consultations, the initiative focused on identifying gaps in existing systems and outlining actionable steps to enhance health security and preparedness.

InOrder’s Role
• Establish an Advisory Working Group comprising experts and key stakeholders.

• Conduct a series of roundtable discussions to assess gaps in existing surveillance systems and explore best practices.

• Develop a structured blueprint outlining steps for improving surveillance, alert mechanisms, and response coordination.

• Provide an implementation framework to guide policy actions at national and institutional levels.
1. Formation of Key Stakeholder and Advisory Group – Engaging policymakers, researchers, and health system experts.

2. Roundtable Consultations – Conducting multi-stakeholder discussions on policy gaps, infrastructure needs, and strategic interventions.

3. Blueprint Preparation – Drafting a comprehensive guide to strengthening Surveillance Alert and Response Systems.

4. Review and Feedback – Refining the blueprint with expert recommendations and cross-sectoral inputs.

5. Implementation Plan – Defining actionable steps for integrating surveillance enhancements into public health frameworks.

Through this collaborative effort, NCBS, TIGS, and InOrder are working towards building resilient, data-driven, and future-ready health surveillance systems that can effectively detect, respond to, and mitigate public health threats.