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Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • The COVID-19 pandemic presented unprecedented challenges to global health systems.
  • Country-level responses required adaptive strategies to manage evolving public health crises.

Purpose of the Study:

  • To document Gabon's country-level experience and response to the COVID-19 pandemic from December 2020 to December 2022.
  • To analyze the effectiveness of Gabon's pandemic response using a participatory monitoring and evaluation (M&E) framework.
  • To identify key factors influencing the reduction of new COVID-19 cases and overall response efficacy.

Main Methods:

  • A case study approach detailing Gabon's COVID-19 response structured as an action cycle (engagement, assessment, planning, implementation, evaluation).
  • Implementation of a participatory monitoring and evaluation (M&E) process in collaboration with the WHO Regional Office for Africa.
  • Systematic stakeholder reflection ('sensemaking') to analyze emerging data and identify response facilitators and barriers.

Main Results:

  • The M&E system facilitated the organization and interpretation of data on COVID-19 case evolution and response activities.
  • Participatory evaluation identified specific factors contributing to the reduction of new cases.
  • Key enablers and impediments to Gabon's pandemic response were systematically identified through stakeholder engagement.

Conclusions:

  • Gabon's experience provides valuable lessons for managing public health emergencies.
  • Participatory M&E is crucial for adaptive management of rapidly evolving health crises.
  • The findings offer practical implications for decision-makers and practitioners responding to future pandemics.