A crisis amidst many others: COVID-19 response satisfaction during the economic collapse and post-Beirut port explosion in Lebanon

The COVID-19 pandemic in Lebanon has been compounded by the economic collapse and devastating ‎Beirut port explosion, leading to a severe humanitarian crisis. This study aimed to assess the satisfaction of ‎the Lebanese population with the government's response to the pandemic and evaluate the public ‎perception of the economic crisis and the Beirut port blast's impact on the COVID-19 situation. This is a web-based cross-sectional study that utilized a self-administered questionnaire comprising closed-ended ‎questions with predefined response options. To identify predictors of the governmental response score, a ‎multiple linear regression analysis was conducted. A total of 2,384 participants were enrolled, with a mean ‎COVID-SCORE of 15.38 ± 5.28 (out of 40 points). The majority of participants‎‏ ‏‎ (2,163, 90.7%) expressed ‎mistrust in the Lebanese government's ability to effectively address unexpected health threats related to the ‎COVID-19 pandemic. Two-thirds of the participants (1,849, 77.6%) ‎ believed that the economic crisis had ‎impacted the government's response to the pandemic. Nearly 70% of the participants perceived that the ‎Beirut port explosion contributed to COVID-19 transmission. Government mistrust, along with the ‎economic crisis impact, were significantly associated with lower satisfaction scores (P < 0.001). This study ‎revealed a significant level of dissatisfaction among the Lebanese population regarding the government's ‎response to the COVID-19 pandemic, underscoring a lack of trust in its ability to effectively manage the ‎crisis. The compounding challenges arising from the Beirut port explosion, economic collapse, and depleted ‎resources have further impeded Lebanon's ability to navigate the pandemic successfully. Urgent ‎interventions and collaborative efforts are required to effectively manage the economic and political ‎repercussions, rebuild a resilient healthcare system, and alleviate the humanitarian crisis in Lebanon. ‎