An adaptive governance and health system response for the COVID-19 emergency

Abstract

In the absence of an efficacious and affordable vaccine, the current crisis of COVID-19 is likely to be a long drawn one for many developing countries. In Bangladesh, where the entire population is susceptible and strict lockdown has been relaxed (as of May 31 st 2020) due to concerns over saving livelihoods, the best available resources and capacities in the country have to be mobilized for an integrated and adaptive response strategy. In this paper we argue that a suitable response strategy for a country with highly constrained health system, must consider how response components will be delivered at scale, along with what can be delivered. In order to save maximum number of lives, an optimal strategy will be one that is able to iteratively select the most feasible set of health response and the network of organizations that can deliver most effectively at scale. This might require thinking outside of the conventional vertical network of public health system. Given its history of high-capacity non-government organizations in Bangladesh, it is likely that there are multiple alternative horizontal network options for delivering any set of response interventions. In fact many horizontal networks are already actively engaged in COVID-19 response work. The goal should be to identify and coordinate these networks, create new networks, and embed mechanisms for scaling up what works and scaling down what does not work. For a rapidly escalating and unpredictable crisis such as COVID-19, an adaptive response strategy is needed which allows for old and new networks of organizations to align and work collectively with minimum loss of lives.

Understanding the Evolution of Government Attention in Response to COVID-19 in China: A Topic Modeling Approach

“…Adaptive governance drives governments to make suitable policies that fit changing environments quickly until the crisis is resolved. For an unpredictable crisis such as a pandemic, an adaptive governance strategy is needed [ 55 ].…”

“…Adaptive governance in emergency response recognises cognitive limitations since the full array of tasks cannot be identified in advance [ 56 ]. It plays a critical role in dealing with an unpredictable crisis [ 55 ]. However, it is difficult to understand what adaptive crisis governance is for lack of specific context.…”

Do Human Capital Investment and Technological Innovation Have a Permanent Effect on Population Health? An Asymmetric Analysis of BRICS Economies

“…The investment in human capital (education, research and development, and technological innovations) can also affect the health status of people, albeit through an indirect channel i.e., environment. However, though, as the investment in human capital spurs economic activity, this can also harm the quality of the environment ( 21 , 22 ), which will deteriorate the health status of the general public as well. Contrariwise, human capital can also improve the environmental quality of society through better and more sophisticated techniques of production, efficient use of energy, increased use of environmentally friendly products, and creating awareness about the greener and cleaner environment ( 23 ).…”

EOM-NPOSESs: Emergency Ontology Model Based on Network Public Opinion Spread Elements

“…Research related to emergencies involves public opinion [1][2][3], network security [4][5][6], and data mining analysis [7][8][9][10][11][12]. Ontology models have been widely used in the fields of knowledge engineering and natural language processing.…”