From Public Health Policy to Impact for COVID-19: A Multi-Country Case Study in Switzerland, Spain, Iran and Pakistan
With the application of a systems thinking lens, we aimed to assess the national COVID-19 response across health systems components in Switzerland, Spain, Iran, and Pakistan. We conducted four case studies on the policy response of national health systems to the early phase of the COVID-19 pandemic....
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Published in | International journal of public health Vol. 67; p. 1604969 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
Frontiers Media S.A
31.08.2022
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Subjects | |
Online Access | Get full text |
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Summary: | With the application of a systems thinking lens, we aimed to assess the national COVID-19 response across health systems components in Switzerland, Spain, Iran, and Pakistan.
We conducted four case studies on the policy response of national health systems to the early phase of the COVID-19 pandemic. Selected countries include different health system typologies. We collected data prospectively for the period of January-July 2020 on 17 measures of the COVID-19 response recommended by the WHO that encompassed all health systems domains (governance, financing, health workforce, information, medicine and technology and service delivery). We further monitored contextual factors influencing their adoption or deployment.
The policies enacted coincided with a decrease in the COVID-19 transmission. However, there was inadequate communication and a perception that the measures were adverse to the economy, weakening political support for their continuation and leading to a rapid resurgence in transmission.
Social pressure, religious beliefs, governance structure and level of administrative decentralization or global economic sanctions played a major role in how countries' health systems could respond to the pandemic. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 These authors share senior authorship This Original Article is part of the IJPH Special Issue “Responses to the COVID-19 Pandemic: International Comparisons.” Reviewed by: Shingai Machingaidze, European & Developing Countries Clinical Trials Partnership, Netherlands Edited by: Michael J. Deml, Université de Genève, Switzerland |
ISSN: | 1661-8564 1661-8556 1661-8564 |
DOI: | 10.3389/ijph.2022.1604969 |