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. 2025 Dec 4;7:1692617. doi: 10.3389/fdgth.2025.1692617

Table 2.

Policy options and considerations for public health emergency preparedness (8, 12, 20, 35, 3739, 41, 43, 48).

Policy options Monitoring of preparedness indicators Strengthening health system capacity Adpoting equity-focused preparedness Enhancing governance and legislation Implement digital health & AI principles
Description Create measures to track health system readiness, emergency impact on equity, community preparedness, and health system vulnerabilities. Invest in public health budgets, vaccine delivery infrastructure, flexibility in the workforce, and safe pathogen research management. Prioritizes social determinants such as access to technology, housing, clean water, and specially tailored plans for the disadvantaged. Establish emergency roles, responsibilities, and enables timely decision-making; incorporate environmental health considerations. Develop user-interaction-based AI and digital interventions based on scalability, sustainability, data-driven action, open collaboration, and privacy/security protection.
Advantages Provides a general overview of system vulnerabilities and strengths Enhances response speed and coverage. Suppresses health inequities and improves outcomes in at-risk populations. Strengthens system accountability and coordination. Fosters effective, ethical, scalable digital health interventions.
Disadvantages Requires robust data collection and continuous updating Can suffer from funding and workforce training challenges. Requires cross-sectoral effort and targeted outreach. Legal change may be politically difficult and time-consuming. Requires technical capability and ongoing funding.
Cost & feasibility Moderate cost; requires investment in information systems and analysis; feasible with existing health info systems. Costly; feasible long-term with political will and investment in resources. Moderate to high cost depending on upgrade of social infrastructure; achievable with multi-sector collaboration. Variable cost; requires legislative processes; medium feasibility depending on political will. Moderate development and maintenance investment; viability dependent on infrastructure and collaboration.
Equity Considerations Requires indicators relevant to vulnerable and marginalized groups. Needs to prioritize underserved areas and offer access equity. Points efforts toward equity gaps; must be careful to avoid unintended exclusion. Must ensure that laws promote fair access to emergency services and protections. Requires inclusive design not to reinforce digital divides; requires protection of sensitive information for at-risk populations.
Stakeholders Public health practitioners, policymakers, data analysts, community leaders. Health ministries, hospitals, training institutions, regulatory agencies. Public health agencies, social services, community organizations, policymakers Legislators, public health officials, legal practitioners, environmental agencies Developers of technology, public health communities, funders, community leaders, data privacy administrators.