Understanding health system resilience in responding to COVID-19 pandemic: experiences and lessons from an evolving context of federalization in Nepal.

ABSTRACT:

Introduction

The COVID-19 pandemic has tested the resilience capacities of health systems worldwide and highlighted the need to understand the concept, pathways, and elements of resilience in different country contexts. In this study, we assessed the health system response to COVID-19 in Nepal and examined the processes of policy formulation, communication, and implementation at the three tiers of government, including the dynamic interactions between tiers. Nepal was experiencing the early stages of federalization reform when COVID-19 pandemic hit the country, and clarity in roles and capacity to implement functions were the prevailing challenges, especially among the subnational governments.

Methods

We adopted a cross-sectional exploratory design, using mixed methods. We c

SUBMITTER: Regmi S 

PROVIDER: S-EPMC10996157 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature