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Was priority setting considered in COVID-19 response planning? A global comparative analysis.

Claudia-Marcela Vélez1, Lydia Kapiriri2, Susan Goold3

  • 1Department of Health, Aging & Society, McMaster University, Hamilton, Ontario, Canada, 1280 Main Street West, Kenneth Taylor Hall Room 226, Postal code L8S 4M4 and Faculty of Medicine, University of Antioquia, Cra 51d #62-29, Medellín, Antioquia, Colombia.

Health Policy OPEN
|August 16, 2024
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Summary

COVID-19 pandemic plans often lacked explicit prioritization processes and equity considerations. Policymakers should integrate systematic priority setting for better future preparedness and response.

Keywords:
COVID-19EvaluationGlobal comparative analysisPandemic plansPriority setting

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Area of Science:

  • Public Health
  • Health Policy
  • Global Health

Background:

  • The COVID-19 pandemic necessitated global resource allocation strategies.
  • Pandemic preparedness plans guided healthcare coordination for scarce resources like ventilators and therapeutics.

Purpose of the Study:

  • To compare the incorporation of effective priority-setting (PS) parameters in global COVID-19 pandemic response plans.
  • To analyze how health system type, political, and economic contexts influenced PS parameter inclusion.

Main Methods:

  • Utilized the Kapriri and Martin framework for effective priority setting.
  • Conducted a quantitative descriptive analysis of 86 country COVID-19 pandemic plans across WHO regions.
  • Sampled countries represented diverse income levels (HICs, Upper-Middle, Lower-Middle, LICs) and WHO regions.

Main Results:

  • While political will, stakeholder participation, and scientific evidence were common (>80%), explicit PS processes were rare (7%).
  • Explicit criteria for PS were in 36.5% of plans, publicity strategies in 65%, and accountability mechanisms in 20%.
  • Public values (15%) and compliance enhancement (5%) were minimally addressed, with no clear patterns by region or income level.

Conclusions:

  • COVID-19 plans show limited explicit prioritization processes and attention to equity.
  • Findings suggest areas for strengthening future pandemic preparedness and response planning.
  • Systematic priority setting should be integrated into routine policymaking for ongoing challenges.