Priority setting and equity in COVID-19 pandemic plans: a comparative analysis of 18 African countries

被引：21

作者：

Kapiriri, Lydia ^{[1
]}

Kiwanuka, Suzanne ^{[2
]}

Biemba, Godfrey ^{[3
]}

Velez, Claudia ^{[4
]}

Razavi, S. Donya ^{[4
]}

Abelson, Julia ^{[4
]}

Essue, Beverly ^{[5
]}

Danis, Marion ^{[6
]}

Goold, Susan ^{[7
]}

Noorulhuda, Mariam ^{[6
]}

Nouvet, Elysee ^{[8
]}

Sandman, Lars ^{[9
]}

Williams, Ieystn ^{[10
]}

机构：

[1] McMaster Univ, Dept Hlth Aging & Soc, 1280 Main St West,Kenneth Taylor Hall Room 226, Hamilton, ON L8S 4M4, Canada

[2] Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Dept Hlth Policy Planning & Management, Upper Mulago Hill Rd POB 7072, Kampala, Uganda

[3] Natl Hlth Res Author, Pediat Ctr Excellence, POB 30075, Lusaka, Zambia

[4] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, 1280 Main St West,Commun Res Bldg,2nd Floor, Hamilton, ON L8S 4K1, Canada

[5] St Michaels Hosp, Ctr Global Hlth Res, 30 Bond St, Toronto, ON M5B 1W8, Canada

[6] NIH, Dept Bioeth, 9000 Rockville Pike, Bethesda, MD 20812 USA

[7] Univ Michigan, Med Sch, Ctr Bioeth & Social Sci Med, 2800 Plymouth Rd Bldg 14, Ann Arbor, MI 48109 USA

[8] Western Univ, Sch Hlth Studies, 1151 Richmond St, London, ON N6A 3K7, Canada

[9] Linkoping Univ, Dept Hlth Med & Caring Sci, Natl Ctr Prior Hlth, Linkoping, Sweden

[10] Univ Birmingham, Hlth Serv Management Ctr, 40 Edgbaston Pk Rd, Birmingham B15 2RT, W Midlands, England

来源：

HEALTH POLICY AND PLANNING | 2022年 / 37卷 / 03期

关键词：

Priority setting; equity; Africa region; COVID-19; national plans; effective priority setting; SUB-SAHARAN AFRICA; HEALTH-CARE; POLITICS;

D O I：

10.1093/heapol/czab113

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degree to which national COVID-19 preparedness and response plans incorporated priority setting concepts. It provides important insights into what and how priority decisions were made in the context of a pandemic. Specifically, with a focus on a sample of 18 African countries' pandemic plans, the paper aims to: (1) explore the degree to which the documented priority setting processes adhere to established quality indicators of effective priority setting and (2) examine if there is a relationship between the number of quality indicators present in the pandemic plans and the country's economic context, health system and prior experiences with disease outbreaks. All the reviewed plans contained some aspects of expected priority setting processes but none of the national plans addressed all quality parameters. Most of the parameters were mentioned by less than 10 of the 18 country plans reviewed, and several plans identified one or two aspects of fair priority setting processes. Very few plans identified equity as a criterion for priority setting. Since the parameters are relevant to the quality of priority setting that is implemented during public health emergencies and most of the countries have pre-existing pandemic plans; it would be advisable that, for the future (if not already happening), countries consider priority setting as a critical part of their routine health emergency and disease outbreak plans. Such an approach would ensure that priority setting is integral to pandemic planning, response and recovery.

引用

页码：297 / 309

页数：13

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