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Reflecting on COVID-19 Intra-action Reviews: Institutionalizing Collective Introspection During Public Health

Cindy Chiu de Vazquez1, Landry Ndriko Mayigane1, Armand Mbanya1

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COVID-19 intra-action reviews (IARs) enable countries to reflect on and improve pandemic responses. Institutionalizing this learning process can enhance future public health emergency preparedness and policy.

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COVID-19global health securityinternational health regulationsintra-action reviewlearningpublic health emergency of international concernpublic health emergency preparedness and response

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • The COVID-19 pandemic underscored the necessity for continuous evaluation and enhancement of national public health responses.
  • The World Health Organization (WHO) developed guidance for COVID-19 intra-action reviews (IARs) in July 2020 to facilitate this process.

Purpose of the Study:

  • To summarize the implementation and impact of WHO's COVID-19 intra-action reviews (IARs) globally.
  • To highlight the learning modalities and potential for institutionalizing reflective learning in public health emergencies.

Main Methods:

  • Analysis of data on the number and geographical distribution of conducted IARs.
  • Review of the flexible, country-led methodology of IARs and their focus on national contexts.

Main Results:

  • As of November 25, 2022, 136 IARs were completed by 78 countries across all 6 WHO regions.
  • IARs are country-owned, allowing adaptation to specific national and subnational COVID-19 priorities.

Conclusions:

  • Intra-action reviews are a valuable tool for countries to learn from their pandemic experiences.
  • Enhancing reflective learning through institutionalization and policy translation is crucial for improving future public health emergency responses.