Evidence map›Paper›PMID 34331439›Full record

ReviewHealth policy and planning2022

COVID-19 Preparedness and Response Plans from 106 countries: a review from a health systems resilience perspective.

Saqif Mustafa, Yu Zhang, Zandile Zibwowa, Redda Seifeldin, Louis Ako-Egbe, Geraldine McDarby, Edward Kelley, Sohel Saikat

Abstract readReview
In one paragraph

Review in Health policy and planning, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Planning and Implementing Social Media Communication in a Public Health Crisis: An Analytical Perspective.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. [Healthcare institution resilience and the influencing factors during infectious disease outbreaks].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Saqif MustafaUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.ORCID 0000-0002-2034-9387
Yu ZhangUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.
Zandile ZibwowaUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.
Redda SeifeldinUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.
Louis Ako-EgbeWorld Health Organization Country Office, Monrovia, Liberia.
Geraldine McDarbyUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.
Edward KelleyUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.
Sohel SaikatUniversal Health Coverage and Life Course, World Health Organization, Geneva, Switzerland.ORCID 0000-0003-0952-6036

Funding

World Health Organization 001
6 · The paper itself

Abstract

Coronavirus disease (COVID-19) has exposed long-standing fragmentation in health systems strengthening efforts for health security and universal health coverage while these objectives are largely interdependent and complementary. In this prevailing background, we reviewed countries' COVID-19 Preparedness and Response Plans (CPRPs) to assess the extent of integration of non-COVID-19 essential health service continuity considerations alongside emergency response activities. We searched for COVID-19 planning documents from governments and ministries of health, World Health Organization (WHO) country offices and United Nations (UN) country teams. We developed document review protocols using global guidance from the WHO and UN and the health systems resilience literature. After screening, we analysed 154 CPRPs from 106 countries. The majority of plans had a high degree of alignment with pillars of emergency response such as surveillance (99%), laboratory systems (96%) and COVID-19-specific case management (97%). Less than half considered maintaining essential health services (47%); 41% designated a mechanism for health system-wide participation in emergency planning; 34% considered subnational service delivery; 95% contained infection prevention and control (IPC) activities and 29% considered quality of care; and 24% were budgeted for and 7% contained monitoring and evaluation of essential health services. To improve, ongoing and future emergency planning should proactively include proportionate activities, resources and monitoring for essential health services to reduce excess mortality and morbidity. Specifically, this entails strengthening subnational health services with local stakeholder engagement in planning; ensuring a dedicated focus in emergency operations structures to maintain health systems resilience for non-emergency health services; considering all domains of quality in health services along with IPC; and building resilient monitoring capacity for timely and reliable tracking of health systems functionality including service utilization and health outcomes. An integrated approach to planning should be pursued as health systems recover from COVID-19 disruptions and take actions to build back better.

Indexed as

COVID-19HumansInfection ControlSARS-CoV-2Universal Health InsuranceWorld Health Organizationhealth policyhealth systemshealth systems resiliencehealth systems strengtheningPublic health

Identifiers

PMID34331439
PMCPMC8385840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.