scholarly journals Citizen Assessments of Government Actions in the COVID-19 Outbreak in China

2020 ◽  
Vol 11 (2) ◽  
pp. 110
Author(s):  
Hao Zha ◽  
Youlang Zhang ◽  
Jing Zhao ◽  
Xufeng Zhu

This study investigates citizen assessments of government actions in the COVID-19 outbreak in China.Empirical analyses based on a large-scale online survey indicate that the Chinese public expects the government to improve its support for the frontline medical staff, management of public stress and anxiety, and disclosure of government information. Specifically, indirect exposure to COVID-19 through second-hand information is negatively associated with citizen assessments of government actions; by contrast, the first-hand frontline experience with the epidemic is positively associated with citizen assessments of government actions. Findings suggest that citizens with first-hand experience might be more able to judge government actions under the actual constraints of resources and opportunities and are less likely to overemphasize the costs or risks associated with government actions than others without frontline experience. Our work suggests that governments should effectively communicate vivid information regarding government actions to the public during public health emergencies, as more informed citizens might be more supportive of governments with limited resources and, probably, more actively collaborate with governments.

Author(s):  
Hui Jin ◽  
Xinyi Qian

The COVID-19 epidemic has crashed on the social and economic stability of China and even the world, and raised the question: how has the Chinese government done with public health in recent years? The purpose of this paper is to clarify the definition and items of Chinese public-health expenditure, then to objectively evaluate the Chinese government’s performance, so as to help the government to perform better in public health. To achieve this goal, we measure the Chinese public-health expenditure at national and provincial levels based on our definition, and then compare it with the expenditures of other countries. The results show that: (1) the level of public-health expenditure in China is relatively low and far lower than that in developed countries; (2) Chinese governments have not paid enough attention to the prevention and control of major public-health emergencies, which may be an important reason for the outbreak of COVID-19; (3) Chinese public-health expenditure shows a fluctuating growth trend, but the growth rate is so slow that it is lower than that of GDP and fiscal expenditure; (4) although the Chinese government inclines the public-health expenditure to the poor provinces in central and western regions, the imbalance and inequity of public-health resource allocation are still expanding among provinces; (5) there is a lot of waste of resources in the public-health system, which seriously reduces the efficiency of public-health expenditure in China. Therefore, the Chinese government should improve the quantity and quality of public-health expenditure in the above aspects.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 77
Author(s):  
Tong Zhang ◽  
Li Yu

Accurate and effective government communication is essential for public health emergencies. To optimize the effectiveness of government crisis communication, this paper puts forward an analytical perspective of supply–demand matching based on the interaction between the government and the public. We investigate the stage characteristics and the topic evolutions of both government information supply and public information demand through combined statistical analysis, text mining, text coding and cluster analysis, using empirical data from the National Health Commission’s WeChat in China. A quantitative measure reflecting the public demand for government information supply is proposed. Result indicates that the government has provided a large amount of high-intensity epidemic-related information, with six major topics being the medical team, government actions, scientific protection knowledge, epidemic situation, high-level deployment and global cooperation. The public’s greatest information needs present different characteristics at different stages, with “scientific protection knowledge”, “government actions” and “medical teams” being the most needed in the outbreak stage, the control stage and the stable stage, respectively. The subject of oversupply is “medical team”, and the subject of short supply is “epidemic dynamics” and “science knowledge”. This paper provides important theoretical and practical value for improving the effectiveness of government communication in public health crises.


2020 ◽  
Vol 8 (9) ◽  
pp. 1355
Author(s):  
Putu Lantika Oka Permadhi ◽  
I Made Sudirga

Wabah Covid-19 saat ini sudah menjadi masalah yang sangat serius hampir diseluruh negara di dunia. Pemerintah Indonesia juga sudah menetapkan kondisi kedaruratan kesehatan masyarakat terkait pandemi covid-19 dengan mengeluarkan 3 regulasi. Dikeluarkannya regulasi ini sebagai suatu bentuk perlindungan kesehatan untuk masyarakat dari segala penyakit dan/atau dari faktor resiko kesehatan masyarakat yang mempunyai potensi untuk menimbulkan suatu keadaan darurat kesehatan masyarakat dan juga untuk menstabilkan ekonomi negara ditengah pandemi covid-19. penelitian ini membahas mengenai problematika yang ada antara penerapan sistem karantina wilayah dan PSBB dalam penanggulangan covid-19. Tujuan dari penelitian ini adalah untuk memahami apa itu Sistem Karantina Wilayah dan Sistem PSBB dalam masa Pandemi Covid-19 serta apa problematika yang terjadi dengan penerapannya ini sehingga masyarakat dapat mengetahui mengapa pemerintah menerapkan sistem ini untuk penanggulangan penyebaran virus Covid-19. Dalam pembahasan ditemukan adanya beberapa kendala-kendala yang terjadi dengan penerapan sistem karantina wilayah maupun PSBB. Dengan adanya berbagai problematika tersebut, diharapkan dalam hal ini pemerintah harus cermat dalam menentukan sistem kedaruratan mana yang harus digunakan dalam memutus pandemi covid-19 ini. The Covid-19 outbreak has now become a very serious problem in all countries of the world. The Indonesian government has also determined the state of public health emergencies related to the covid-19 pandemic by issuing 3 regulations. The issuance of this regulation as a form of public health protection from all diseases and / or from public health risk factors that have the potential to cause a public health emergency and also to stabilize the country's economy amid the covid-19 pandemic. This study discusses the problems that exist between the application of the regional quarantine system and the PSBB in coping with covid-19. The purpose of this research is to understand what the Regional Quarantine System and PSBB System were during the Covid-19 Pandemic and what problems occurred with their implementation so that the public can find out why the government implemented this system to combat the spread of the Covid-19 virus. In the discussion, it was found that there were several obstacles that occurred with the implementation of the regional quarantine system and PSBB. With these various problems, it is hoped that in this case the government must be careful in determining which emergency system should be used in deciding this covid-19 pandemic.


2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Vivas ◽  
M Duarte ◽  
A Pitta ◽  
B Christovam

Abstract Background The government investments in quality primary healthcare are the basis to strengthening the health systems and monitoring the public expenditure in this area is a way to assess the effectiveness and efficiency of the public health policies. The Brazil Ministry of Health changed, in 2017, the method of onlending federal resources to states and cities seeking to make the public funds management more flexible. This change, however, suppressed mandatory investments in primary healthcare. This research aims to determine the difference of expenditures on primary healthcare in Salvador, Bahia, Brazil metropolitan area before and after this funding reform, seeking to verify how it can impact the quality of primary healthcare services and programs. Methods This is an ecological time-series study that used data obtained in the Brazil Ministry of Health budget reports. The median and interquartile range of expenditures on primary healthcare (set as the percentage of total public health budget applied in primary care services and programs) of the 13 cities in the Salvador metropolitan area were compared two years before and after the reform. Results The median of expenditures on primary healthcare in Salvador metropolitan area was 25.5% (13,9% - 32,2%) of total public health budget before and 24.8% (20.8% - 30.0%) of total public health budget after the reform (-0.7% difference). Seven cities decreased the expenditures on primary healthcare after the reform, ranging from 1.2% to 10.8% reduction in the primary healthcare budget in five years. Conclusions Expenditures on primary healthcare in Salvador metropolitan area decreased after the 2017 funding reform. Seven of 13 cities reduced the government investments on primary healthcare services and programs in this scenario. Although the overall difference was -0.7%, the budget cuts ranged from 1.2% to 10.8% in the analyzed period and sample. More studies should assess these events in wide areas and with long time ranges. Key messages Public health funding models can impact the primary healthcare settings regardless of the health policy. Reforms in the funding models should consider the possible benefits before implementation. Funding models and methods that require mandatory investments in primary healthcare may be considered over more flexible ones.


2021 ◽  
Vol 8 (3) ◽  
pp. 205316802110328
Author(s):  
Naomi Egel ◽  
R. Lincoln Hines

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.


Author(s):  
Cody Minks ◽  
Anke Richter

AbstractObjectiveResponding to large-scale public health emergencies relies heavily on planning and collaboration between law enforcement and public health officials. This study examines the current level of information sharing and integration between these domains by measuring the inclusion of public health in the law enforcement functions of fusion centers.MethodsSurvey of all fusion centers, with a 29.9% response rate.ResultsOnly one of the 23 responding fusion centers had true public health inclusion, a decrease from research conducted in 2007. Information sharing is primarily limited to information flowing out of the fusion center, with little public health information coming in. Most of the collaboration is done on a personal, informal, ad-hoc basis. There remains a large misunderstanding of roles, capabilities, and regulations by all parties (fusion centers and public health). The majority of the parties appear to be willing to work together, but there but there is no forward momentum to make these desires a reality. Funding and staffing issues seem to be the limiting factor for integration.ConclusionThese problems need to be urgently addressed to increase public health preparedness and enable a decisive and beneficial response to public health emergencies involving a homeland security response.


Author(s):  
Mohammad Jahidur Rahman Khan ◽  
◽  
Selim Reza ◽  
Farzana Mim ◽  
Md Abdullah Rumman ◽  
...  

Rapid and accurate laboratory diagnosis of SARS-CoV-2 infection is crucial for the management of COVID-19 patients and control of the spread of the virus. At the start of the COVID-19 pandemic, Bangladesh had only one government molecular laboratory where real-time RT-PCR will be performed to diagnose SARS-CoV-2 infection. With the increasing number of suspected cases requiring confirmation diagnostic testing, there was a requirement to quickly expand capacity for large-scale testing. The government of Bangladesh established over 100 molecular laboratories within one year to test COVID-19. To fulfil the requirement for expanded testing, the government was compelled to recruit laboratory employees with inadequate experience, technical knowledge, and skills in molecular assays, particularly in processing specimens, interpreting results, recognizing errors, and troubleshooting. As a result, the risk of diagnostic errors, such as cross-contamination, is increased, as is that the risk of false-positive results, which might risk the patient’s health and undermine the efficacy of public health policies, public health response, surveillance programs, and restrictive measures aimed toward containing the outbreak. This review article aims to explain different sources of crosscontamination in the COVID-19 RT-PCR laboratories and the way to forestall them in efficient and practical ways.


2021 ◽  
Vol 167 (3-4) ◽  
Author(s):  
Ariane Wenger ◽  
Michael Stauffacher ◽  
Irina Dallo

AbstractLimiting global warming to 1.5 °C requires negative emission technologies (NETs), which remove carbon dioxide from the atmosphere and permanently store it to offset unavoidable emissions. Successful large-scale deployment of NETs depends not only on technical, biophysical, ecological, and economic factors, but also on public perception and acceptance. However, previous studies on this topic have been scarce. In 2019, Switzerland adopted a net zero greenhouse gas emissions by 2050 target, which will require the use of NETs. To examine the current Swiss public perception and acceptance of five different NETs, we conducted an online survey with Swiss citizens (N = 693). By using a between-subjects design, we investigated differences in public opinion, perception, and acceptance across three of the most used frames in the scientific literature — technological fix, moral hazard, and climate emergency. Results showed that the public perception and acceptance of NETs does not differ between the frames. The technological fix frame best reflected participants’ opinion, whereas participants perceived the moral hazard frame the least credible and the climate emergency frame the most unclear. Moreover, our findings confirm the public’s unfamiliarity with NETs. We found no strong opposition, as participants indicated a moderate acceptance and a neutral evaluation of all five NETs, with afforestation standing out as the most accepted and positively evaluated NET. We conclude that, in the future, the public debate on NETs should be intensified, and the public perception should be monitored regularly to inform the development of NETs.


2021 ◽  
Vol 7 (1) ◽  
pp. 139-161
Author(s):  
Steven Suprantio

The business world everywhere including those in Indonesia cannot but felt the brunt of economic slowdown caused by the public health emergency (the COVID 19 pandemic). Quite a few national and local businesses have had to close their operation and lay off all its employees. Although the consensus between the government, workers (individuals and unions) as well as employers is to prevent and avoid termination of employment at all costs, the Law No. 11 of 2020, re. Job Creation allows massive dismissal of employees due to economic necessity or state of emergency. This article shall critically examine how the prevailing law, Law No. 11 of 2020 re. Job Creation regulates termination of employment in case of state of emergency.  


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