National and subnational governance and decision-making processes during the Covid-19 pandemic in Nigeria
An empirical analysis
Datos Bibliográficos
| ID | 21880683 |
|---|---|
| Autores | Sanjana Mukherjee (0000-0002-6039-9506, Georgetown University), Sumegha Asthana (0000-0003-4186-2136, Georgetown University), Winifred Ukponu (0000-0002-2128-2129, Georgetown Global Health LTD/GTE Nigeria, Abuja, Nigeria), Adachioma C Ihueze (Georgetown Global Health LTD/GTE Nigeria, Abuja, Nigeria), A Ihueze, Ibrahim Bola Gobir (0000-0002-3640-7772, Georgetown University), Alexandra Phelan (0000-0002-3084-9158, Johns Hopkins University, autor de correspondencia), Claire J Standley (0000-0002-4291-9723, Georgetown University, autor de correspondencia) |
| Año | 2023 |
| Volumen | 8 |
| Número | 9 |
| Páginas | e012965 |
| Fecha de publicación | 2023-09-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | BMJ Global Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Editorial | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2023-012965 |
| PMID | 37696545 |
| OpenAlex | W4386619417 |
| Idioma | EN |
| Referencias citadas | 37 |
Governance of the COVID-19 pandemic required decision-makers to make and implement decisions amidst uncertainty, public pressure and time constraints. However, few studies have attempted to assess these decision-making processes empirically during health emergencies. Thus, we aimed to understand governance, defined as the process of decision-making and implementation of decisions, during the COVID-19 pandemic in Nigeria. We conducted key informant interviews and focus group discussions with national and subnational government officials, civil society organisation (CSO) members, development partners and academic experts. Our study identified several themes on governance and decision-making processes. First, Nigeria established high-level decision-making structures at the federal and state levels, providing clear and integrated multisectoral decision-making mechanism. However, due to the emergence of conflicts between government levels, there is a need to strengthen intergovernmental arrangements. Second, while decision-makers relied on input from academic experts and CSOs, additional efforts are required to engage such stakeholders in decision-making processes, especially during the early stages of health emergencies. Third, Nigeria’s previous experiences responding to disease outbreaks aided the overall response, as many capacities and coordination mechanisms for cohesive action were present. Fourth, while decision-makers took a holistic view of scientific, social and economic factors for decision-making, this process was also adaptive to account for rapidly evolving information. Lastly, more efforts are needed to ensure decisions are inclusive, equitable and transparent, and improve overall public trust in governance processes. This study provides insights and identifies opportunities to enhance governance and decision-making processes in health emergency responses, aiding future pandemic preparedness efforts
2019-20 coronavirus outbreak · Corporate governance · Development economics · Economics · Management · Outbreak · Pandemic · Political science · COVID-19 epidemiological studies · Disaster Management and Resilience · Medicine · Public Administration · Viral Infections and Outbreaks Research · Virology
Preparedness and vulnerability of African countries against importations of Covid-19
Consolidated criteria for reporting qualitative research (Coreq)
Making sense in a complex landscape
Whole of government and whole of society approaches
Lessons from co-production of evidence and policy in Nigeria’s Covid-19 response
Aspirations and realities of intergovernmental collaboration in national- level interventions
Governance of the Covid-19 response
Towards systematic evaluation of epidemic responses during humanitarian crises
The Covid-19 pandemic as a game changer for public administration and leadership? The need for robust governance responses to turbulent problems
Systematic assessment of South Korea’s capabilities to control Covid-19
Evaluating Covid-19 decision-making in a humanitarian setting
Attributes of national governance for an effective response to public health emergencies
Nigeria’s public health response to the Covid-19 pandemic
Efficiency in the governance of the Covid-19 pandemic
Moving toward a common goal via cross-sector collaboration
Primary care perspectives on pandemic politics
Political distrust and the spread of Covid-19 in Nigeria
Singapore’s Pandemic Preparedness
An account of the Ebola virus disease outbreak in Nigeria
Concurrency as crisis decision-making governance
Learning from past pandemic governance
Lessons From South Korea’s Covid-19 Policy Response
Health sector corruption and Covid-19 outbreak
Crisis Decision‐Making on a Global Scale
Effects of corruption and unaccountability on responses of frontline health workers to Covid-19 in Nigeria
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |