Politics and implications on the COVID-19 health systems preparedness: the Malawian experience

The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential ele...

Full description

Bibliographic Details
Main Authors: Juliet Nyasulu, AL Nyondo-Mipando
Format: Article
Language:English
Published: PAGEPress Publications 2024-02-01
Series:Journal of Public Health in Africa
Subjects:
Online Access:https://www.publichealthinafrica.org/jphia/article/view/1442
_version_ 1797301064515452928
author Juliet Nyasulu
AL Nyondo-Mipando
author_facet Juliet Nyasulu
AL Nyondo-Mipando
author_sort Juliet Nyasulu
collection DOAJ
description The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential elections in July 2020 due to irregularities observed in the May 2019 elections. Therefore, assessing the implications of politics on the COVID-19 health systems preparedness is critical to design health systems strengthening efforts during the pandemic. We applied WHO health systems framework to assess the implications of politics on the COVID-19 on the Malawi health systems preparedness. There is population’s lack of trust in government hampering government efforts, which poses as a huge concern for Malawi to navigate through the pandemic including the health systems preparedness for the pandemic. This, coupled with mass demonstrations by the public disagreeing with the Lockdown and health service providers put across their COVID-19 related demands. Political environment and the trust people have in government is a critical determinant of how a country responds to a pandemic. In a pandemic situation like COVID-19, government’s ability in coordinating the various key stakeholders while instilling trust in people remain critical in strengthening health systems to contain and mitigate the pandemic. However, the Malawi political turmoil highlighted in this paper derails the process and efforts to contain the pandemic and timely prepare the health systems. Therefore, it is important to consider the effects of political challenges in supporting the country’s health system to prepare for such pandemics.
first_indexed 2024-03-07T23:16:01Z
format Article
id doaj.art-789bbc20c45b4e938ec6fbbeaec7222a
institution Directory Open Access Journal
issn 2038-9922
2038-9930
language English
last_indexed 2024-03-07T23:16:01Z
publishDate 2024-02-01
publisher PAGEPress Publications
record_format Article
series Journal of Public Health in Africa
spelling doaj.art-789bbc20c45b4e938ec6fbbeaec7222a2024-02-21T10:47:43ZengPAGEPress PublicationsJournal of Public Health in Africa2038-99222038-99302024-02-01141210.4081/jphia.2023.1442Politics and implications on the COVID-19 health systems preparedness: the Malawian experienceJuliet Nyasulu0AL Nyondo-Mipando 1Division of Community Pediatrics, School of Clinical Medicine, Faculty of Health Sciences, The university of the WitwatersrandDepartment of Health Systems and Policy, School of Public Health and Family Medicine, College of Medicine, University of Malawi The spread of the COVID-19 disease to Africa has raised concerns around the resultant effects on the fragile and no-resilient health systems. Malawi reported its first COVID-19 cases early April 2020 at the time of the country’s political turmoil as the courts ruled for a re-run of presidential elections in July 2020 due to irregularities observed in the May 2019 elections. Therefore, assessing the implications of politics on the COVID-19 health systems preparedness is critical to design health systems strengthening efforts during the pandemic. We applied WHO health systems framework to assess the implications of politics on the COVID-19 on the Malawi health systems preparedness. There is population’s lack of trust in government hampering government efforts, which poses as a huge concern for Malawi to navigate through the pandemic including the health systems preparedness for the pandemic. This, coupled with mass demonstrations by the public disagreeing with the Lockdown and health service providers put across their COVID-19 related demands. Political environment and the trust people have in government is a critical determinant of how a country responds to a pandemic. In a pandemic situation like COVID-19, government’s ability in coordinating the various key stakeholders while instilling trust in people remain critical in strengthening health systems to contain and mitigate the pandemic. However, the Malawi political turmoil highlighted in this paper derails the process and efforts to contain the pandemic and timely prepare the health systems. Therefore, it is important to consider the effects of political challenges in supporting the country’s health system to prepare for such pandemics. https://www.publichealthinafrica.org/jphia/article/view/1442PoliticsCOVID-19Health systems preparednessWHO health systems frameworkMalawi
spellingShingle Juliet Nyasulu
AL Nyondo-Mipando
Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
Journal of Public Health in Africa
Politics
COVID-19
Health systems preparedness
WHO health systems framework
Malawi
title Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
title_full Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
title_fullStr Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
title_full_unstemmed Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
title_short Politics and implications on the COVID-19 health systems preparedness: the Malawian experience
title_sort politics and implications on the covid 19 health systems preparedness the malawian experience
topic Politics
COVID-19
Health systems preparedness
WHO health systems framework
Malawi
url https://www.publichealthinafrica.org/jphia/article/view/1442
work_keys_str_mv AT julietnyasulu politicsandimplicationsonthecovid19healthsystemspreparednessthemalawianexperience
AT alnyondomipando politicsandimplicationsonthecovid19healthsystemspreparednessthemalawianexperience