The global pool of simulation exercise materials in health emergency preparedness and response: a scoping review with a health system perspective

McDarby, Geraldine; Reynolds, Lindy; Zibwowa, Zandile; Syed, Shams; Kelley, Ed; Saikat, Sohel

The final materials identified (n=51; online supplementary appendix 3) (32 emerging from the literature and 19 emerging from institutional review) were analysed by two independent reviewers for their scope to test aspects of health systems using the WHO Health System Framework, consisting of six independent but inter-related building blocks (table 2) . Resilience was considered to be addressed if materials demonstrated evidence of an integrated emergency response, maintenance of essential functions or reorganisation of services within the context of a PHE. A smaller number of materials (n=8) were BMJ Global Health â–º Does the material look at aspects of health service delivery in the event of a simulated event? â–º Does the material test a function of specific building blocks of a health system in consideration of other related building blocks? â–º Does the material test preparedness and response of healthcare facilities alongside national incident management system? â–º Does the material look at impact of emergencies on provision of routine essential health services? â–º Does the material look at how PHEs impact health service delivery at subnational and district-level facilities? â–º Does the material examine the standard of care during PHE?