COVID-19 在孟加拉国的流行:影响公共部门应对措施的治理问题范围审查

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Syed Masud Ahmed , Mahruba Khanam , Noshin Sayiara Shuchi
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引用次数: 0

摘要

背景2020年1月30日,世卫组织宣布COVID-19为全球公共卫生紧急事件。2020 年 3 月 8 日,孟加拉国确诊了首三例 COVID-19 病例。因此,孟加拉国有足够的时间让人民和卫生系统做好应对疫情的准备。然而,无论是卫生部还是政府,都没有迎难而上,为协调和全面的应对措施提供必要的指导。本研究通过对所选文件的审查,对孟加拉国政府的 COVID-19 应对措施进行了批判性反思,并对审查结果进行了专家评议,以便为未来的大流行病防备工作总结新的经验教训。结果研究结果表明,孟加拉国的 COVID-19 应对措施延迟、缓慢且含糊不清,这反映出其管理不善。在筛查 COVID-19、在最初几周实施检疫和封锁措施、一线医疗服务提供者的安全和安保、及时和公平的 COVID-19 检测以及后勤和采购方面缺乏管理能力,这些都是非常突出的问题。大流行暴露了卫生系统在这方面的弱点,"为腐败创造了新的机会"。在应对 COVID-19 的过程中,政府各机构之间未能协调统一,同时风险沟通不力,对文化不敏感,也不符合具体情况。随着时间的推移,政府采取了必要的行动来减轻疫情对人民生活和生计的影响。结论医护人员短缺、医疗设施无法满足 COVID-19 疑似病例和病例的需求、医疗系统缺乏应变能力以及采购中的腐败问题限制了政府应对 COVID-19 的工作。决策者亟需关注这些问题,以便更好地应对下一次流行病/大流行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 pandemic in Bangladesh: A scoping review of governance issues affecting response in public sector

Background

On January 30, 2020, WHO declared COVID-19 as a Global Public Health Emergency. The first three COVID-19 cases in Bangladesh were confirmed on March 8, 2020. Thus, Bangladesh got substantial time to prepare the people and the health systems to respond to the outbreak However, neither the health ministry nor the government was found to rise to the occasion and provide the necessary stewardship for a coordinated and comprehensive response.

Objective

The importance of governance to mount an evidence-based pandemic response cannot be overemphasised. This study presents critical reflections on the Bangladesh government's COVID-19 response through a review of selected papers, with expert deliberations on the review findings to consolidate emerging lessons for future pandemic preparedness.

Study design

A scoping review approach was taken for this study.

Methods

Documents focusing on COVID-19 governance were selected from a repository of peer-reviewed articles published by researchers using data from Bangladesh (n = 11).

Results

Findings reveal Bangladesh's COVID-19 response to be delayed, slow, and ambiguous, reflecting poorly on its governance. Lack of governance capability in screening for COVID-19, instituting quarantine and lockdown measures in the early weeks, safety and security of frontline healthcare providers, timely and equitable COVID-19 testing, and logistics and procurement were phenomenal. The pandemic unmasked the weaknesses of the health system in this regard and “created new opportunities for corruption.” The failure to harmonise coordination among the government's different agencies for the COVID-19 response, along with poor risk communication, which was not culture-sensitive and context-specific. Over time, the government initiated necessary actions to mitigate the pandemic's impact on the lives and livelihoods of the people. Diagnostic and case management services gained strength after some initial faltering; however, the stewardship functions were not seamless.

Conclusions

Shortage of healthcare workers, incapability of health facilities to cater to COVID-19 suspects and cases, absence of health system resilience, and corruption in procurement and purchases were limited the government's COVID-19 response. These need urgent attention from policymakers to better prepare for the next epidemic/pandemic.

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来源期刊
Public Health in Practice
Public Health in Practice Medicine-Health Policy
CiteScore
2.80
自引率
0.00%
发文量
117
审稿时长
71 days
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