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Evaluation of the Implementation of Urban and Rural Local Government Unit (LGU) Responses to the COVID-19 Pandemic in
Carlos Primero D Gundran1, Teodoro J Herbosa2, Alfredo Mahar Francisco A Lagmay3
1Disaster Risk Reduction and Management in Health Office, University of the Philippines Manila, Manila, Philippines.
Objectives:
The study aims to identify the gaps and document the best practices in the response during the COVID-19 pandemic. The study also compared how urban and rural sites of local government units (LGUs) implement measures. Hence, the study was conducted to probe into the non-uniform implementation of COVID-19 protocols in two (2) rural and two (2) urban local government units (LGUs), and the best practices that can be done to remedy this gap in disaster risk management.
Methods:
A case study design was employed and analyzed using a triangulation approach to determine the gaps and best practices of the selected urban and rural LGUs in implementing COVID-19 protocols. The study adopted the WHO COVID-19 Strategic Preparedness and Response Plan (SPRP) Monitoring and Evaluation Framework (COVID-19) M&E Framework) in monitoring and tracking situations, containment efforts, and the response during the pandemic around the world. The study was tailored for both urban and rural LGUs in the Philippines to identify their approach in implementing their COVID-19 protocols.
Results:
Findings showed that best practices include strict border controls and granular lockdowns, conversion of existing buildings into isolation facilities, and extensive information dissemination. The gaps in implementation identified were the lack of human resources and necessary facilities to treat patients, no purpose-built isolation facilities, "inapplicability" of national protocols and ordinances in local settings, misinformation regarding the COVID-19 pandemic, and uncooperative behavior of the people.
Conclusion:
Urban and rural communities are recommended to build risk communication and scenarios, establishing "Botika" and mobile vaccination, and extensive information dissemination as remedy to the misinformation regarding the virus, vaccine, and other pandemic-related information. Additionally, penalizing people who spread false information regarding the pandemic also be implemented. Finally, preventive health assistance should be provided to the first responders such as barangay hall personnel.
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