Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage

The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research analyses have attempted to draw important lessons how strengthen preparedness response, few examined effect that fragmented governance for had effectively mitigating crisis. By assessing ability of systems manage from perspective two key approaches global policy—global security universal coverage—important can be drawn align varied priorities objectives strengthening systems. This Health Policy paper compares three types (ie, with stronger investments security, coverage, integrated coverage) their response ongoing synthesises four essential recommendations integration, financing, resilience, equity) reimagine governance, policies, better towards a more sustainable future. National responses greatly, swift proactive at best haphazard negligent worst. That managed differently is expected, but pushed all limits, severe infrastructure, even nations once lauded as gold standard readiness.1Dalglish SL gives lie expertise.Lancet. 2020; 3951189Summary Full Text PDF PubMed Scopus (111) Google Scholar, 2Razavi A Erondu N Okereke E Global Security Index: what value does it add?.BMJ Glob Health. 5e002477Crossref (40) Scholar much been discussed about could prepared, these largely missed focus resulting silos financing vertical funding streams single disease categories, independence tertiary care primary care, differences domestic vs priorities) continue hamper efforts. Analysing spread (GHS) coverage (UHC) offers useful opportunity uncover blind spots fostering health-system resilience moving forward. 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