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From public health policy to impact for COVID-19: a multi-country case study in Switzerland, Spain, Iran and Pakistan

Tavakkoli, M. and Karim, A. and Fischer, F. B. and Monzon Llamas, L. and Raoofi, A. and Zafar, S. and Sant Fruchtman, C. and de Savigny, D. and Takian, A. and Antillon, M. and Cobos Muñoz, D.. (2022) From public health policy to impact for COVID-19: a multi-country case study in Switzerland, Spain, Iran and Pakistan. International journal of public health, 67. p. 1604969.

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Abstract

Objectives: 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. Methods: 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. Results: 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. Conclusion: 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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Household Economics and Health Systems Research > Health Systems and Policy (Tediosi)
UniBasel Contributors:Tavakkoli, Maryam and Karim, Aliya and Fischer, Fabienne and Sant Fruchtman, Carmen and de Savigny, Donald and Antillon, Marina and Cobos Muñoz, Daniel
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:1661-8556
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:27 Dec 2022 22:17
Deposited On:27 Dec 2022 22:17

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