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1 + 1 = 3: How Practitioners Can Synergize Resilience Across Health and Beyond

Published online by Cambridge University Press:  10 September 2025

Novil Wijesekara*
Affiliation:
Department of Global Health, University of Washington , Seattle, Washington, USA Disaster Preparedness and Response Division, Ministry of Health, Colombo, Sri Lanka Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka
*
Corresponding author: Novil Wijesekara; Email: novil.wijesekara@gmail.com
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Abstract

Despite growing recognition of the interdependencies of resilience across systems, sectors, and levels (SSLs), translating this understanding into coordinated action remains a challenge. This study identifies seven systemic gaps that reinforce a persistent know–do gap, creating an unhealthy milieu intérieur that reinforces fragmentation across SSLs. In response, seven prerequisites for synergizing resilience are proposed, along with a working definition of Synergistic Resilience.

To operationalize this concept, the Synergistic Resilience Compass (SRC) is introduced—a structured, adaptable, and practitioner-focused framework. A Seven-Step Rollout is proposed to guide implementation across diverse contexts, while illustrating SRC’s utility through case vignettes.

Benefits, along with practice and research implications of SRC, are discussed through potential use case examples, balancing constructivism and pragmatism. Limitations and future directions, including iterative refinement, toolkit development, and creating a community of practice, are highlighted. The SRC provides a framework for synergizing resilience across SSLs where 1+1 becomes 3.

Information

Type
Concepts in Disaster Medicine
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc
Figure 0

Figure 1. The seven gaps of the know-do gap and the seven prerequisites. This figure illustrates seven interconnected gaps that make up the know-do gap that hinders collaborative resilience across systems, sectors, and levels. Each gap is visualized as a break in the stream of collective action, bridged by a corresponding prerequisite: shared challenges, shared elemental resilience energies, shared synergistic resilience opportunities, shared partner identification, shared directions, shared values, and shared leadership.

Figure 1

Table 1. Theoretical foundations of the synergistic resilience

Figure 2

Figure 2. The synergistic resilience compass.Challenge at 12 o’clock—Represents the starting point (Prerequisite 1: Shared Challenges)1Four outer quadrants—Arranged clockwise, stability of earth, fluidity of water, transformability of fire, mobility of air (Prerequisite 2: Shared Elemental Resilience Energies)2–5Two swirls of the spiral—Pre-challenge (anticipation, mitigation, preparation, testing) and post-challenge (withstanding, coping, restoration, thriving) (Prerequisite 3: Synergistic Resilience Opportunities)6–13Three concentric layers—Representing distal, reference, and proximal levels (Prerequisite 4: Shared Partner Identification)14–16Four main directions with sub-directions—Shared purpose (reflective learning and visioning), shared information (sense-making and meaning-making), shared resources (regeneration and redistribution), shared action (decision-making and implementation) (Prerequisite 5: Shared Directions)17–25Eight sectors—Represent the eight core values (trust, diversity, equity, inclusivity, innovation, accountability, productivity, sustainability) (Prerequisite 6: Shared Values)29–36Central fulcrum—Leadership serves as the guiding, adaptive force that enables balance and coordination across all elements (Prerequisite 7: Shared Leadership)37

Figure 3

Table 2. Prerequisites, terms, interpretations in relation to SRC and reference

Figure 4

Table 3. Seven steps in the rollout of the SRC

Figure 5

Table 4. Application of the synergistic resilience compass across the four Case Vignettes

Figure 6

Table 5. Research and practice implication of the synergistic resilience compass