Analysing Covid-19 outcomes in the context of the 2019 Global Health Security (GHS) Index
Bibliographic Data
INTRODUCTION: The Global Health Security Index benchmarks countries' capacities to carry out the functions necessary to prevent, detect and respond to biological threats. The COVID-19 pandemic served as an opportunity to evaluate whether the Index contained the correct array of variables that influence countries' abilities to respond to these threats; assess additional variables that may influence preparedness; and examine how the impact of preparedness components change during public health crises. METHODS: Linear regression models were examined to determine the relationship between excess mortality per capita for the first 500 days of countries' COVID-19 pandemic and internal Index variables, as well as external variables including social cohesion; island status; perceived corruption; elderly population size; previous epidemic experience; stringency of non-pharmaceutical interventions; and social and political polarisation. RESULTS: COVID-19 outcomes were significantly associated with sociodemographic, political and governance variables external to the 2019 Index: social cohesion, reduction in social polarisation and reduced perceptions of corruption were consistently correlated with reduced excess mortality throughout the pandemic. The association of other variables assessed by the Index, like epidemiological workforce robustness, changed over time. Fixed country features, including geographic connectedness, larger elderly population and lack of prior coronavirus outbreak experience were detrimental to COVID-19 outcomes. Finally, there was evidence that countries that lacked certain capacities were able to develop these over the course of the pandemic. CONCLUSIONS: Additional sociodemographic, political and governance variables should be included in future indices to improve their ability to characterise preparedness. Fixed characteristics, while not directly addressable, are useful for establishing countries' inherent risk profile and can motivate those at greater risk to invest in preparedness. Particular components of preparedness vary in their impact on outcomes over the course of the pandemic, which may inform resource direction during ongoing crises. Future research should seek to further characterise time-dependent impacts as additional COVID-19 outcome data become available
Development economics · Disease · Economics · Environmental health · Pandemic · Population · Preparedness · Public health · COVID-19 epidemiological studies · Global Security and Public Health · Medicine · Viral Infections and Outbreaks Research
Impact of Covid-19 control strategies on health and GDP growth outcomes in 193 sovereign jurisdictions
Structural gradients in excess mortality during and after the Covid-19 pandemic
Differential impacts of health systems and sociocultural environment on vulnerable populations during the Covid-19 pandemic
The impact of social cohesion and risk communication on excess mortality due to Covid-19 in 213 countries
Assessments of the performance of pandemic preparedness measures must properly account for national income
Evaluation of the Global Health Security Index as a predictor of Covid-19 excess mortality standardised for under-reporting and age structure
Reconceptualizing successful pandemic preparedness and response
A proactive Covid-19 response associated with better health and economic outcomes for OECD High-Income Island Countries
Exploring pandemic-specific welfare regimes typology
The synergistic impact of Universal Health Coverage and Global Health Security on health service delivery during the Coronavirus Disease-19 pandemic
Countries’ progress towards Global Health Security (GHS) increased health systems resilience during the Coronavirus Disease-19 (Covid-19) pandemic
Socioeconomic inequality and decomposition of core capacity in global health security
National governance and excess mortality due to Covid-19 in 213 countries
Multi-dimensional impacts of Coronavirus disease 2019 pandemic on Sustainable Development Goal achievement
When one size does not fit all – New Zealand perspectives on the International Health Regulations during the Covid-19 pandemic
Polarization and public health
Covid-19: Make it the Last Pandemic
Elusive consensus
Trust and compliance to public health policies in times of Covid-19
Partisanship, health behavior, and policy attitudes in the early stages of the Covid-19 pandemic
The Global Health Security Index
Validation analysis of Global Health Security Index (GHSI) scores 2019
The value proposition of the Global Health Security Index
Trust and the Coronavirus Pandemic
Covid-19 mortality risk for older men and women
Political Polarization During the Covid-19 Pandemic
Trust in government increased during the Covid‐19 pandemic in Australia and New Zealand
Social divides in the age of globalization
| Unique citing works | 15 |
|---|---|
| Citations per year | 3,75 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 14 |