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Title page
Contents
Acknowledgements 4
Executive Summary 5
Country application: Belize 6
Acronyms 7
1. Introduction 8
1.1. The expanding frontier of health shocks 8
1.2. Quality of and access to health care: two dimensions of resilience to shocks 9
1.3. Building health systems that are resilient to natural hazards and climate change 9
2. The Frontline Scorecard: a new assessment tool 11
2.1. Two levels of sophistication 12
2.1.1. The rapid assessment 13
2.1.2. The deep dive assessment 13
2.2. Scoring 14
2.2.1. Indicators 14
2.2.2. Indicator categories 15
2.3. Limitations 17
3. Country application: Belize 19
3.1. Country context 19
3.2. Disaster risk exposure in Belize 20
3.2.1. Exposure of public and private buildings 22
3.2.2. Exposure of the health system 22
3.3. Assessment results 23
3.3.1. Rapid assessment 24
3.3.2. Deep dive assessment 26
3.3.3. Analysis by indicator category 28
3.4. Recommended future actions 28
3.5. Discussion 30
4. Outlook 33
Appendix A. Overall results from Belize rapid and deep dive assessments 35
References 43
Table 1. Scoring logic of the Frontline Scorecard 14
Table 2. Number of indicators per pillar of the health system 15
Table 3. Nine indicator categories for CDRM capabilities 16
Table 4. Key findings of the rapid assessment for Belize 25
Table 5. Experts interviewed, by sector 26
Table 6. Summary results of the deep dive assessment 26
Table 7. Overall scores for the Belize health system, by category 28
Table 8. Critical areas for strengthening in the Belize health system 29
Table 9. Potential implementation actions for facilities 29
Figure 1. Overview, inputs, outputs and timeline of the Frontline Scorecard 12
Figure 2. Exemplary output for scored indicators, incorporated feedback, and resulting focus actions 17
Figure 3. Exposure to hurricanes in Belize 22
Figure 4. Exposure of buildings to hurricane and earthquake damage in Belize 22
Figure 5. Overview and timeline of the Belize scorecard 24
Boxes
Box 1. Disaster response and recovery in Belize 21
Box 2. The impact of COVID-19 23
Table A.1. Results for each indicator of the rapid assessment (left) and the deep dive assessment (right) 36
Table A.2. Results for the five focus areas identified through the categorical scoring process 40
Table A.3. Potential future actions 42
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