Abstract
COVID-19 has taken a toll on the global health delivery system, compromising its dexterity to provide efficient and effective health care to societies. For other countries, the pandemic only exacerbated the woes that already existed in the health delivery system. In others, the pandemic shocked the existing systems that appeared ready to deal with infectious pandemics. Apparently, the COVID-19 pandemic had multi-pronged impacts on the health systems that resulted in reciprocal feedback from the health systems, which determined the new patterns and characteristics of COVID-19-related variables. An understanding of the COVID-19-health systems nexus is fundamental for building frameworks for efficient and effective health systems that are resilient and sustainable in the face of the current and future prowling pandemics. This book adopted a diverse and multi-pronged methodological approach to examine the COVID-19-health systems nexus in Zimbabwe, covering a broad range of concepts related to COVID-19 and health systems. The findings show that the World Health Organization’s building blocks for health systems in Zimbabwe have been largely weak to effectively manage the COVID-19 pandemic owing to the socio-economic and political instability of that country. Consequently, the health system was further suffocated and disparaged by the pandemic. In turn, the health system reciprocated by determining the trends and dynamics of various COVID-19-related variables, including mortality risks, vaccination issues, policy responses, cases and deaths, among other concepts and variables. The results point to the need for concerted efforts towards a framework that ensures the convergence of the Global Health Security and the Universal Health Coverage philosophies to build health systems that are resilient and sustainable in the context of existing and impending lethal pandemics.
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References
Africa CDC. (2020). Africa CDC establishes continent-wide task force to respond to global coronavirus epidemic. https://africacdc.org/news-item/africa-cdc-establishes-continent-wide-task-force-to-respond-to-global-coronavirus-epidemic/. Accessed 17 July 2022.
Aǧartan, T. I. (2020). COVID-19 opens a window of reflection for comparative health systems and global health research. New Perspectives on Turkey, 63(63), 190–208. https://doi.org/10.1017/npt.2020.25
Al Knawy, B., Mckillop, M. M., Abduljawad, J., Tarkoma, S., Adil, M., Schaper, L., et al. (2022). Successfully implementing digital health to ensure future global health security during pandemics: A consensus statement. JAMA Network Open, 5(2), 1–11. https://doi.org/10.1001/jamanetworkopen.2022.0214
Alilio, M., Hariharan, N., Lugten, E., Garrison, K., Bright, R., Owembabazi, W., et al. (2022). Strategies to promote health system strengthening and global health security at the subnational level in a world changed by COVID-19. Global Health Science and Practice, 10(2), 1–10. https://doi.org/10.9745/GHSP-D-21-00478
Breitenbach, M. C., Ngobeni, V., & Aye, G. C. (2021). Global healthcare resource efficiency in the management of COVID-19 death and infection prevalence rates. Frontiers in Public Health, 9(April), 1–9. https://doi.org/10.3389/fpubh.2021.638481
Chingono, R. M. S., Nzvere, F. P., Marambire, E. T., Makwembere, M., Mhembere, N., Herbert, T., et al. (2022). Psychological distress among healthcare workers accessing occupational health services during the COVID-19 pandemic in Zimbabwe. Comprehensive Psychiatry, 116(April), 152321. https://doi.org/10.1016/j.comppsych.2022.152321
Chirisa, I., Mavhima, B., Nyevera, T., & Chigudu, A. (2020). The impact and implications of COVID-19 : Reflections on the Zimbabwean society. Social Sciences & Humanities Open, 4(January), 100183.
Chiyaka, E. T., Chingarande, G., Dzinamarira, T., Murewanhema, G., Madziva, R., Herrera, H., & Musuka, G. (2022). Prevention and control of infectious diseases: Lessons from COVID-19 pandemic response in Zimbabwe. Covid, 2(5), 642–648. https://doi.org/10.3390/covid2050048
Dalglish, S. L. (2020). COVID-19 gives the lie to global health expertise. Elsevier, 395(January), 1189. https://doi.org/10.1016/S0140-6736(20)30728-5
Debes, J. D., Quadri, N. S., Sultan, A., Yousif, M., Ali, S. I., Kayandabila, J., et al. (2021). Risk of healthcare worker burnout in africa during the covid-19 pandemic. Annals of Global Health, 87(1), 1–4. https://doi.org/10.5334/aogh.3150
Deressa, W., Worku, A., Abebe, W., Gizaw, M., & Amogne, W. (2021). Risk perceptions and preventive practices of COVID-19 among healthcare professionals in public hospitals in Addis Ababa, Ethiopia. PLoS One, 16(6 June), 1–17. https://doi.org/10.1371/journal.pone.0242471
Dzinamarira, T., Mukwenha, S., Eghtessadi, R., Cuadros, D. F., Mhlanga, G., & Musuka, G. (2021). Coronavirus disease 2019 (COVID-19) response in Zimbabwe: A call for urgent scale-up of testing to meet National Capacity. Clinical Infectious Diseases, 72(10), E667–E674. https://doi.org/10.1093/cid/ciaa1301
Erondu, N. A., Martin, J., Marten, R., Ooms, G., Yates, R., & Heymann, D. L. (2018). Building the case for embedding global health security into universal health coverage: A proposal for a unified health system that includes public health. The Lancet, 392(10156), 1482–1486. https://doi.org/10.1016/S0140-6736(18)32332-8
Feng, Y. (2020). The global health community needs innovation and reform. The Lancet Global Health, 8(3), e325–e326. https://doi.org/10.1016/S2214-109X(19)30556-X
Friedman, E. A., Gostin, L. O., Maleche, A., Nilo, A., Foguito, F., Rugege, U., et al. (2020). Global health in the age of COVID-19: Responsive hhr_final_logo_alone.indd 1 health systems through a right to health fund. Health and Human Rights, 22(1), 199–207.
Gavi, S., Tapera, O., Mberikunashe, J., & Kanyangarara, M. (2021). Malaria incidence and mortality in Zimbabwe during the COVID-19 pandemic: Analysis of routine surveillance data. Malaria Journal, 20(1), 1–9. https://doi.org/10.1186/s12936-021-03770-7
Gichuna, S., Hassan, R., Sanders, T., Campbell, R., Mutonyi, M., & Mwangi, P. (2020). Access to Healthcare in a time of COVID-19: Sex Workers in Crisis in Nairobi, Kenya. Global Public Health, 15(10), 1430–1442. https://doi.org/10.1080/17441692.2020.1810298
Haldane, V., De Foo, C., Abdalla, S. M., Jung, A. S., Tan, M., Wu, S., et al. (2021). Health systems resilience in managing the COVID-19 pandemic: Lessons from 28 countries. Nature Medicine, 27(6), 964–980. https://doi.org/10.1038/s41591-021-01381-y
Ibn-Mohammed, T., Mustapha, K. B., Godsell, J., Adamu, Z., Babatunde, K. A., Akintade, D. D., et al. (2021). A critical review of the impacts of COVID-19 on the global economy and ecosystems and opportunities for circular economy strategies. Resources, Conservation and Recycling, 164, 105169. https://doi.org/10.1016/j.resconrec.2020.105169
Kouamou, V., Matarise, R., Santos, E. D., Elose, N., & Manasa, J. (2021). SARS-CoV-2 in Zimbabwe: Milestones and challenges faced towards achieving the expected 60% herd immunity. Pan African Medical Journal, 39, 10.11604/pamj.2021.39.255.30331.
Lal, A., Erondu, N. A., Heymann, D. L., Gitahi, G., & Yates, R. (2021). Fragmented health systems in COVID-19: Rectifying the misalignment between global health security and universal health coverage. The Lancet, 397(10268), 61–67. https://doi.org/10.1016/S0140-6736(20)32228-5
Makoni, M. (2020). COVID-19 worsens Zimbabwe’s health crisis. Lancet (London, England), 396(10249), 457. https://doi.org/10.1016/S0140-6736(20)31751-7
Makurumidze, R. (2020). Coronavirus-19 disease (COVID-19): A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe. Journal of Microbiology, Immunology and Infection, 53(3), 493–498. https://doi.org/10.1016/j.jmii.2020.04.002
Manyazewal, T. (2017). Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Archives of Public Health, 75(1), 1–8. https://doi.org/10.1186/s13690-017-0221-9
Marumure, J., Makuvara, Z., Alufasi, R., Chapungu, L., & Gufe, C. (2022). Effectiveness of hand sanitizers in the prevention of COVID-19 and related public health concerns: A review, Cogent Public Health, 9:1, 2060904, https://doi.org/10.1080/27707571.2022.2060904
Mohammed, H., Oljira, L., Roba, K. T., Yimer, G., Fekadu, A., & Manyazewal, T. (2020). Containment of COVID-19 in Ethiopia and implications for tuberculosis care and research. Infectious Diseases of Poverty, 9(1), 1–8. https://doi.org/10.1186/s40249-020-00753-9
Mukwenha, S., Dzinamarira, T., Mugurungi, O., & Musuka, G. (2020). Maintaining robust HIV and tuberculosis services in the COVID-19 era: A public health dilemma in Zimbabwe. International Journal of Infectious Diseases, 100, 394–395. https://doi.org/10.1016/j.ijid.2020.09.1425
Mutanda, D. (2022). Challenges and opportunities for Zimbabwe’s responses to COVID-19. Cogent Social Sciences, 8(1). https://doi.org/10.1080/23311886.2022.2084890
Nimako, K., & Kruk, M. E. (2021). Seizing the moment to rethink health systems. The Lancet Global Health, 9(12), e1758–e1762. https://doi.org/10.1016/S2214-109X(21)00356-9
OECD. (2020, June). Strengthening health systems during a pandemic: The role of development finance. Tackling Coronavirus (COVID-19), 1–24. https://www.oecd.org/coronavirus/policy-responses/strengthening-health-systems-during-a-pandemic-the-role-of-development-finance-f762bf1c/%0A; https://g20.org/en/media/Documents/G20_ExtraordinaryG20Leaders’Summit_Statement_
OECD Health Division. (2020, April). Beyond Containment: Health systems responses to Covid-19 in the OECD. Tackling Coronavirus (COVID-19): Contributing to a Global Effort, 1–22. https://read.oecd-ilibrary.org/view/?ref=119_119689-ud5comtf84&title=Beyond_Containment:Health_systems_responses_to_COVID-19_in_the_OECD
Otitoloju, A. A., Oluwole, E. O., Bawa-Allah, K. A., Fasona, M. J., Okafor, I. P., Isanbor, C., et al. (2020). Preliminary evaluation of COVID-19 disease outcomes, test capacities and management approaches among African countries. medRxiv, 2020.05.16.20103838. https://doi.org/10.1101/2020.05.16.20103838%0Ahttp://medrxiv.org/content/early/2020/05/20/2020.05.16.20103838.abstract.
Pierre, G., Uwineza, A., & Dzinamarira, T. (2020). Attendance to HIV antiretroviral collection clinic appointments during COVID-19 lockdown. A single center study in Kigali, Rwanda. AIDS and Behavior, 24(12), 3299–3301. https://doi.org/10.1007/s10461-020-02956-5
Razavi, A., Erondu, N., & Okereke, E. (2020). The Global Health Security Index: What value does it add. BMJ Global Health, 5(4), 1–3. https://doi.org/10.1136/bmjgh-2020-002477
Sagaon-teyssier, L., Kamissoko, A., Yattassaye, A., Diallo, F., & Rojas, D. (2020). Assessment of mental health outcomes and associated factors among workers in community-based HIV care centers in the early stage of the COVID-19 outbreak in Mali. Health Policy OPEN, 1(January), 1–12.
Schwartz, J. I., Muddu, M., Kimera, I., Mbuliro, M., Ssennyonjo, R., Ssinabulya, I., & Semitala, F. C. (2021). Impact of a COVID-19 national lockdown on integrated care for hypertension and HIV. Global Heart, 16(1), 1–3. https://doi.org/10.5334/GH.928
Semaan, A., Audet, C., Huysmans, E., Afolabi, B., Assarag, B., Banke-Thomas, A., et al. (2020). Voices from the frontline: Findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Globalization and Health, 5(6). https://doi.org/10.1136/bmjgh-2020-002967
Siedner, M. J., Kraemer, J. D., Meyer, M. J., Harling, G., Mngomezulu, T., Gabela, P., et al. (2020). Access to primary healthcare during lockdown measures for COVID-19 in rural South Africa: An interrupted time series analysis. BMJ Open, 10(10), e043763. https://doi.org/10.1136/bmjopen-2020-043763
Sovacool, B. K., Furszyfer Del Rio, D., & Griffiths, S. (2020). Contextualizing the Covid-19 pandemic for a carbon-constrained world: Insights for sustainability transitions, energy justice, and research methodology. Energy Research and Social Science, 68(July), 101701. https://doi.org/10.1016/j.erss.2020.101701
Stockton, D. A., Fowler, C., Debono, D., & Travaglia, J. (2021). World Health Organization building blocks in rural community health services: An integrative review. Health Science Reports, 4(2), 1–16. https://doi.org/10.1002/hsr2.254
Tessema, G. A., Kinfu, Y., Dachew, B. A., Tesema, A. G., Assefa, Y., Alene, K. A., et al. (2021). The COVID-19 pandemic and healthcare systems in Africa: A scoping review of preparedness, impact and response. BMJ Global Health, 6(12), 1–14. https://doi.org/10.1136/bmjgh-2021-007179
Tromberg, B. J., Schwetz, T. A., Pérez-Stable, E. J., Hodes, R. J., Woychik, R. P., Bright, R. A., Fleurence, R. L., & Collins, F. S. (2020). Rapid scaling up of Covid-19 diagnostic testing in the United States — The NIH RADx initiative. New England Journal of Medicine, 383, 1071–1077.
Vearey, J., de Gruchy, T., & Maple, N. (2021). Global health (security), immigration governance and Covid-19 in South(ern) Africa: An evolving research agenda. Journal of Migration and Health, 3(April), 100040. https://doi.org/10.1016/j.jmh.2021.100040
WHO. (2010). Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies, 110 p. WHO.
WHO. (2022). COVID-19 Vaccines. Diseases. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines. Accessed 13 June 2022.
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Chapungu, L., Dube, K., Chikodzi, D. (2023). Introduction: COVID-19-Health Systems Nexus—The Trends and Dynamics. In: Chapungu, L., Chikodzi, D., Dube, K. (eds) The COVID-19 - Health Systems Nexus. Global Perspectives on Health Geography. Springer, Cham. https://doi.org/10.1007/978-3-031-21602-2_1
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