{"title":"COVID-19 保健系统准备工作的政治和影响:马拉维的经验","authors":"J. Nyasulu, A. Nyondo-Mipando","doi":"10.4081/jphia.2023.1442","DOIUrl":null,"url":null,"abstract":"The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential elections in July 2020 due to irregularities observed in the May 2019 elections. Therefore, assessing the implications of politics on the COVID-19 health systems preparedness is critical to design health systems strengthening efforts during the pandemic.\nWe applied WHO health systems framework to assess the implications of politics on the COVID-19 on the Malawi health systems preparedness. There is population’s lack of trust in government hampering government efforts, which poses as a huge concern for Malawi to navigate through the pandemic including the health systems preparedness for the pandemic. This, coupled with mass demonstrations by the public disagreeing with the Lockdown and health service providers put across their COVID-19 related demands.\nPolitical environment and the trust people have in government is a critical determinant of how a country responds to a pandemic. In a pandemic situation like COVID-19, government’s ability in coordinating the various key stakeholders while instilling trust in people remain critical in strengthening health systems to contain and mitigate the pandemic. However, the Malawi political turmoil highlighted in this paper derails the process and efforts to contain the pandemic and timely prepare the health systems. Therefore, it is important to consider the effects of political challenges in supporting the country’s health system to prepare for such pandemics.","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":null,"pages":null},"PeriodicalIF":0.6000,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Politics and implications on the COVID-19 health systems preparedness: the Malawian experience\",\"authors\":\"J. Nyasulu, A. Nyondo-Mipando\",\"doi\":\"10.4081/jphia.2023.1442\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential elections in July 2020 due to irregularities observed in the May 2019 elections. Therefore, assessing the implications of politics on the COVID-19 health systems preparedness is critical to design health systems strengthening efforts during the pandemic.\\nWe applied WHO health systems framework to assess the implications of politics on the COVID-19 on the Malawi health systems preparedness. There is population’s lack of trust in government hampering government efforts, which poses as a huge concern for Malawi to navigate through the pandemic including the health systems preparedness for the pandemic. This, coupled with mass demonstrations by the public disagreeing with the Lockdown and health service providers put across their COVID-19 related demands.\\nPolitical environment and the trust people have in government is a critical determinant of how a country responds to a pandemic. In a pandemic situation like COVID-19, government’s ability in coordinating the various key stakeholders while instilling trust in people remain critical in strengthening health systems to contain and mitigate the pandemic. However, the Malawi political turmoil highlighted in this paper derails the process and efforts to contain the pandemic and timely prepare the health systems. Therefore, it is important to consider the effects of political challenges in supporting the country’s health system to prepare for such pandemics.\",\"PeriodicalId\":44723,\"journal\":{\"name\":\"Journal of Public Health in Africa\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2024-02-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Public Health in Africa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4081/jphia.2023.1442\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health in Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4081/jphia.2023.1442","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential elections in July 2020 due to irregularities observed in the May 2019 elections. Therefore, assessing the implications of politics on the COVID-19 health systems preparedness is critical to design health systems strengthening efforts during the pandemic.
We applied WHO health systems framework to assess the implications of politics on the COVID-19 on the Malawi health systems preparedness. There is population’s lack of trust in government hampering government efforts, which poses as a huge concern for Malawi to navigate through the pandemic including the health systems preparedness for the pandemic. This, coupled with mass demonstrations by the public disagreeing with the Lockdown and health service providers put across their COVID-19 related demands.
Political environment and the trust people have in government is a critical determinant of how a country responds to a pandemic. In a pandemic situation like COVID-19, government’s ability in coordinating the various key stakeholders while instilling trust in people remain critical in strengthening health systems to contain and mitigate the pandemic. However, the Malawi political turmoil highlighted in this paper derails the process and efforts to contain the pandemic and timely prepare the health systems. Therefore, it is important to consider the effects of political challenges in supporting the country’s health system to prepare for such pandemics.
期刊介绍:
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.