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Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments

BACKGROUND: Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics,...

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Autores principales: Ahmad, Raheelah, Atun, Rifat A, Birgand, Gabriel, Castro-Sánchez, Enrique, Charani, Esmita, Ferlie, Ewan B, Hussain, Izhar, Kambugu, Andrew, Labarca, Jaime, Hara, Gabriel Levy, McKee, Martin, Mendelson, Marc, Singh, Sanjeev, Varma, Jay, Zhu, Nina J, Zingg, Walter, Holmes, Alison H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society of Global Health 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248749/
https://www.ncbi.nlm.nih.gov/pubmed/34221358
http://dx.doi.org/10.7189/jogh.11.05011
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author Ahmad, Raheelah
Atun, Rifat A
Birgand, Gabriel
Castro-Sánchez, Enrique
Charani, Esmita
Ferlie, Ewan B
Hussain, Izhar
Kambugu, Andrew
Labarca, Jaime
Hara, Gabriel Levy
McKee, Martin
Mendelson, Marc
Singh, Sanjeev
Varma, Jay
Zhu, Nina J
Zingg, Walter
Holmes, Alison H
author_facet Ahmad, Raheelah
Atun, Rifat A
Birgand, Gabriel
Castro-Sánchez, Enrique
Charani, Esmita
Ferlie, Ewan B
Hussain, Izhar
Kambugu, Andrew
Labarca, Jaime
Hara, Gabriel Levy
McKee, Martin
Mendelson, Marc
Singh, Sanjeev
Varma, Jay
Zhu, Nina J
Zingg, Walter
Holmes, Alison H
author_sort Ahmad, Raheelah
collection PubMed
description BACKGROUND: Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics, this study aimed to analyse perceived facilitators and inhibitors during the pandemic and to inform the development of an assessment tool for pandemic response planning. METHODS: A cross-sectional electronic survey of health and non-health care professionals (5 May - 5 June 2020) in six languages, with respondents recruited via email, social media and website posting. Participants were asked to score inhibitors (-10 to 0) or facilitators (0 to +10) impacting country response to COVID-19 from the following domains – Political, Economic, Sociological, Technological, Ecological, Legislative, and wider Industry (the PESTELI framework). Participants were then asked to explain their responses using free text. Descriptive and thematic analysis was followed by triangulation with the literature and expert validation to develop the assessment tool, which was then compared with four existing pandemic planning frameworks. RESULTS: 928 respondents from 66 countries (57% health care professionals) participated. Political and economic influences were consistently perceived as powerful negative forces and technology as a facilitator across high- and low-income countries. The 103-item tool developed for guiding rapid situational assessment for pandemic planning is comprehensive when compared to existing tools and highlights the interconnectedness of the 7 domains. CONCLUSIONS: The tool developed and proposed addresses the problems associated with decision making in disciplinary silos and offers a means to refine future use of epidemic modelling.
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spelling pubmed-82487492021-07-02 Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments Ahmad, Raheelah Atun, Rifat A Birgand, Gabriel Castro-Sánchez, Enrique Charani, Esmita Ferlie, Ewan B Hussain, Izhar Kambugu, Andrew Labarca, Jaime Hara, Gabriel Levy McKee, Martin Mendelson, Marc Singh, Sanjeev Varma, Jay Zhu, Nina J Zingg, Walter Holmes, Alison H J Glob Health Research Theme 1: COVID-19 Pandemic BACKGROUND: Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics, this study aimed to analyse perceived facilitators and inhibitors during the pandemic and to inform the development of an assessment tool for pandemic response planning. METHODS: A cross-sectional electronic survey of health and non-health care professionals (5 May - 5 June 2020) in six languages, with respondents recruited via email, social media and website posting. Participants were asked to score inhibitors (-10 to 0) or facilitators (0 to +10) impacting country response to COVID-19 from the following domains – Political, Economic, Sociological, Technological, Ecological, Legislative, and wider Industry (the PESTELI framework). Participants were then asked to explain their responses using free text. Descriptive and thematic analysis was followed by triangulation with the literature and expert validation to develop the assessment tool, which was then compared with four existing pandemic planning frameworks. RESULTS: 928 respondents from 66 countries (57% health care professionals) participated. Political and economic influences were consistently perceived as powerful negative forces and technology as a facilitator across high- and low-income countries. The 103-item tool developed for guiding rapid situational assessment for pandemic planning is comprehensive when compared to existing tools and highlights the interconnectedness of the 7 domains. CONCLUSIONS: The tool developed and proposed addresses the problems associated with decision making in disciplinary silos and offers a means to refine future use of epidemic modelling. International Society of Global Health 2021-07-01 /pmc/articles/PMC8248749/ /pubmed/34221358 http://dx.doi.org/10.7189/jogh.11.05011 Text en Copyright © 2021 by the Journal of Global Health. All rights reserved. https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Research Theme 1: COVID-19 Pandemic
Ahmad, Raheelah
Atun, Rifat A
Birgand, Gabriel
Castro-Sánchez, Enrique
Charani, Esmita
Ferlie, Ewan B
Hussain, Izhar
Kambugu, Andrew
Labarca, Jaime
Hara, Gabriel Levy
McKee, Martin
Mendelson, Marc
Singh, Sanjeev
Varma, Jay
Zhu, Nina J
Zingg, Walter
Holmes, Alison H
Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title_full Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title_fullStr Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title_full_unstemmed Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title_short Macro level influences on strategic responses to the COVID-19 pandemic – an international survey and tool for national assessments
title_sort macro level influences on strategic responses to the covid-19 pandemic – an international survey and tool for national assessments
topic Research Theme 1: COVID-19 Pandemic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248749/
https://www.ncbi.nlm.nih.gov/pubmed/34221358
http://dx.doi.org/10.7189/jogh.11.05011
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