SOAS Research Online

A Free Database of the Latest Research by SOAS Academics and PhD Students

[skip to content]

Khan, Mushtaq, Roy, Pallavi, Matin, Imran, Rabbani, Mehnaz and Chowdhury, Rajiv (2020) 'An Adaptive Governance and Health System Response for the Covid-19 Emergency.' World Development, 137. p. 105213.

[img] Text - Accepted Version
Restricted to Repository staff only until 26 September 2022.

Request a copy

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 31st 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.

Item Type: Journal Article
SOAS Departments & Centres: Departments and Subunits > Interdisciplinary Studies > Centre for International Studies & Diplomacy
ISSN: 0305750X
Copyright Statement: ©2020 Elsevier Ltd.
DOI (Digital Object Identifier): https://doi.org/10.1016/j.worlddev.2020.105213
Date Deposited: 04 Feb 2021 17:10
URI: https://eprints.soas.ac.uk/id/eprint/34728
Funders: Other

Altmetric Data

Statistics

Download activity - last 12 months
Downloads since deposit
1Download
105Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months

Repository staff only

Edit Item Edit Item