PHSSR Saudi Arabia 2025
Page 75 of 94 · WEF_PHSSR_Saudi_Arabia_2025.pdf
Under Vision 2030 , the HSTP strategy, which aims to mitigate key threats to the Saudi population,
promote healthy lifestyles, reduce the incidence of NCDs, improve injury prevention and ensure
the long-term sustainability of universal health coverage, demonstrates the intention to create a
resilient health system, which in turn promotes population health. The number of public health
undergraduate and postgraduate programmes has increased, training individuals to implement the
HSTP strategy, and their high enrolment rates highlights the population’s response to health service
goals.
Public health emergencies such as Covid-19 have highlighted the need to reduce the vulnerability of
health systems around the world, and the need for resilient approaches that respond to dynamic
situations, combining health security with disease-speci fic and life course programmes to achieve
desired outcomes. In response to the Covid-19 pandemic, the government established a High
Committee, followed by a Concerned Committee, chaired by the Minister of Health, which was
responsible for taking the necessary precautionary measures to contain the spread of the virus.
To implement these decisions, the MoH created a hierarchical organisation for pandemic response.
Decisions were based on risk assessment and reliable global and national statistics. Some
important decisions were taken, ranging from the suspension of schools, social events and five
times daily prayers in mosques; the closure of all points of entry to the country, suspension of
international and domestic air travel and of public transportation; and the imposition of a partial,
and then a full, curfew in several cities. In addition, nationwide hotel-based, government funded and
monitored quarantine was implemented for travellers returning to the country. The goal was to
flatten the epidemic curve and equip the health system with su fficient capacity to treat infected
cases. As the pandemic progressed, the MoH operated with a clear plan shared with nineteen key
entities, including clearly de fined tasks for integrated decision-making and implementation,
assignation of tasks to each entity and performance monitoring through daily indicators. In addition,
it issued regular alerts and reports, monitored hospital performance and recommended and
enforced public health measures to control the pandemic.
A multi-phase national mass screening campaign was launched to assess the spread of the disease
and make appropriate decisions (Khan AA, 2020). In the first phase, active screening, both
symptomatic and asymptomatic suspected cases and their contacts were screened. Participating
MoH teams targeted neighbourhoods and workers’ residences in several cities to locate and contain
local outbreaks. The second phase, community screening, targeted low to moderate risk groups,
identi fied using the Mawid (meaning appointment) electronic application and samples were
collected at scheduled appointments in primary care centres. In the third phase, asymptomatic
individuals were screened upon registration in the electronic appointment system.
Effective public communication was initiated to increase compliance and close the knowledge
gap. Daily reports on the progress of the pandemic were delivered by high ranking MoH o fficials on
traditional media, such as television, and on social media. This o fficial source of information helped
to prevent the spread of misinformation. Guidelines for different social groups were posted in public
places, such as schools, mosques, workplaces, markets and public transportation to prevent the
spread of the virus. Field education in rural and underserved areas was conducted by MoE-trained
employees to educate individuals on the disease, methods of transmission and basic precautionary
measures. All citizens, residents, refugees and undocumented migrants were encouraged to seek
medical care for free when they suspected infection, without any penalty or blame. An educational
guide on the prevention of Covid-19, in collaboration with the Health Awareness Team, was
published in multiple languages.
The country proactively prepared for the availability of a Covid-19 vaccine. When vaccines emerged,
larger quantities were made available to ensure herd immunity, limit the spread of the virus and
protect the population. More than 68.5 million doses of the Covid-19 vaccine had been administered
as of 20 September 2023. (World Health Organization, website). Assuming that each individual
received two doses, approximately 97% of the population has now been vaccinated. Many aspects
related to the delivery of the vaccine were carefully planned, including governance, supply chain,
71 Sustainability and Resilience in the Saudi Arabian Health System
The Partnership for Health System Sustainability and Resilience
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