Evidence map›Paper›PMID 37696545›Full record

ArticleBMJ global health2023

National and subnational governance and decision-making processes during the COVID-19 pandemic in Nigeria: an empirical analysis.

Sanjana Mukherjee, Sumegha Asthana, Winifred Ukponu, Adachioma C Ihueze, Ibrahim B Gobir, Alexandra L Phelan, Claire J Standley

Abstract read
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Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Sanjana MukherjeeCenter for Global Health Science and Security, Georgetown University, Washington, District of Columbia, USA.ORCID 0000-0002-6039-9506
Sumegha AsthanaCenter for Global Health Science and Security, Georgetown University, Washington, District of Columbia, USA.ORCID 0000-0003-4186-2136
Winifred UkponuGeorgetown Global Health LTD/GTE Nigeria, Abuja, Nigeria.
Adachioma C IhuezeGeorgetown Global Health LTD/GTE Nigeria, Abuja, Nigeria.
Ibrahim B GobirCenter for Global Health Practice and Impact, Georgetown University Medical Center, Washington, District of Columbia, USA.
Alexandra L PhelanDepartment of Environmental Health and Engineering, Johns Hopkins University, Baltimore, Maryland, USA claire.standley@georgetown.edu aphelan4@jhu.edu.ORCID 0000-0002-3084-9158
Claire J StandleyCenter for Global Health Science and Security, Georgetown University, Washington, District of Columbia, USA claire.standley@georgetown.edu aphelan4@jhu.edu.ORCID 0000-0002-4291-9723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Governance of the COVID-19 pandemic required decision-makers to make and implement decisions amidst uncertainty, public pressure and time constraints. However, few studies have attempted to assess these decision-making processes empirically during health emergencies. Thus, we aimed to understand governance, defined as the process of decision-making and implementation of decisions, during the COVID-19 pandemic in Nigeria. We conducted key informant interviews and focus group discussions with national and subnational government officials, civil society organisation (CSO) members, development partners and academic experts. Our study identified several themes on governance and decision-making processes. First, Nigeria established high-level decision-making structures at the federal and state levels, providing clear and integrated multisectoral decision-making mechanism. However, due to the emergence of conflicts between government levels, there is a need to strengthen intergovernmental arrangements. Second, while decision-makers relied on input from academic experts and CSOs, additional efforts are required to engage such stakeholders in decision-making processes, especially during the early stages of health emergencies. Third, Nigeria's previous experiences responding to disease outbreaks aided the overall response, as many capacities and coordination mechanisms for cohesive action were present. Fourth, while decision-makers took a holistic view of scientific, social and economic factors for decision-making, this process was also adaptive to account for rapidly evolving information. Lastly, more efforts are needed to ensure decisions are inclusive, equitable and transparent, and improve overall public trust in governance processes. This study provides insights and identifies opportunities to enhance governance and decision-making processes in health emergency responses, aiding future pandemic preparedness efforts.

Indexed as

COVID-19Disease OutbreaksEmergenciesHumansNigeriaPandemicsCOVID-19Health policyPublic Health

Identifiers

PMID37696545
PMCPMC10496651

What OpenQuestion holds

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Registered trials

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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.