PHSSR Saudi Arabia 2025
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operations, clinical care, digital communication and education, customer experience and quality
assurance. A plan to monitor and escalate vaccine delivery through an electronic system linked the
MoH with the SFDA. All adverse events and other delivery issues were investigated by a panel of
experts. The vaccine distribution plan was based on the population size of each city and maximum
priority was given to the most populous cities. It was also ensured that all citizens, residents and
undocumented migrants had equal access to vaccines. The government announced the
introduction of a public registration system, prioritising vaccination appointments based on
predetermined conditions and the distribution of vaccines followed three phases, with priority given
to different groups in each phase, starting with the most vulnerable. The first dose of the vaccine
was administered according to vaccine availability, based on the characteristics of each vaccine,
disease epidemiology, vaccine supply and community factors. Regular updates by the MoH strongly
encouraged the public to get vaccinated and reported individuals who were reluctant to get
vaccinated and eventually developed Covid-19, with poor clinical outcomes. In addition, the results
of Covid-19 vaccine acceptance surveys were used to further raise awareness and encourage the
public to get vaccinated. While the mass screening programme successfully flattened the Covid-19
epidemiology curve and allowed health facilities to absorb the number of infected cases, the
vaccination campaign improved population immunity and reduced the Covid-19 death rate from 267
deaths per 100,000 population during the first wave of the pandemic to 99 deaths per 100,000
during the second wave and only one death per 100,000 during the third wave.
6.3 Recommendations
RECOMMENDATION 6A
Enable and encourage cross-sectoral work to measure and address the social determinants of
health in order to promote a healthier and more resilient population.
RECOMMENDATION 6B
Support and enhance national disease registries that re flect the major burden of disease,
particularly NCDs, taking account of socioeconomic status.
RECOMMENDATION 6C
Invest in technologies, social media and online engagement platforms to promote healthy
behaviours.
RECOMMENDATION 6D
Develop and implement targeted health promotion and disease prevention programmes focusing on
key health issues prevalent in the Saudi population.
RECOMMENDATION 6E
Establish a robust monitoring and evaluation system to assess the impact of population health
interventions and inform future policy development.
RECOMMENDATION 6F
Strengthen the health information system and leverage data analytics to inform evidence-based
decision making to identify population health needs, allocate resources and monitor outcomes will
ensure a more e fficient and effective health system.
RECOMMENDATION 6G
Address and report health disparities among different population groups by ensuring equal access
to healthcare services and resources to improve overall population health outcomes and contribute
to a more just and sustainable society.
72 Sustainability and Resilience in the Saudi Arabian Health System
The Partnership for Health System Sustainability and Resilience
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