Newswise — A new study suggests that the effectiveness of countries' strategic responses to the COVID-19 pandemic may be adversely affected by the limitations of current tools used to measure the barriers and facilitators to courses of action.

Published in the Journal of Global Health, the study has developed a new tool to help fill in existing knowledge gaps, and lead to more comprehensive, and effective pandemic responses to emerging challenges.

Led by City, University of London, an international, electronic, survey was conducted between May 5th and June 5th, 2020, to obtain citizens' perceptions of what the barriers and facilitators were to strategic responses to COVID-19 in their home countries.

From across 66 countries, 928 respondents participated in the survey, (including 81 respondents from the UK), 57 per cent of whom were health professionals.

They scored how influential (positively or negatively on a scale of +10/-10) they perceived the seven domains of the 'PESTELI' framework: Political, Economic, Sociological, Technological, Ecological, Legislative, and wider Industry; which is used extensively in the field of strategic management to assess macro-level influences on organisational decision-making.

Respondents were also asked to submit free text responses in the survey to explain the scores they provided. These were used in a thematic analysis to uncover further trends to inform a 103-item tool for use at the national level, produced from the collective findings.

In each of the countries surveyed, inhibiting political factors (with the exception of China) and facilitative technological factors attained the most extreme scores from respondents.

The impact of COVID-19 on the macro-environment was noted in three domains - sociological, ecological and industry.

The new 103-item tool mapped well to existing pandemic preparedness tools, including the Global Health Security Index; the International Health Regulations; the Pandemic Influenza Preparedness (PIP) framework and the Epidemic Preparedness Index, but also highlighted gaps in their coverage, which the authors argue may be exploited for better strategic responses moving forward.

Dr Raheelah Ahmad, Director of Global Engagement at the School of Health Sciences at City, University of London, and who led the study said:

"This is the first study to be conducted during a pandemic using a strategic management lens and can support contemporary assessment of how countries are responding and adapting. The timing of this study should allow assessment prior to probable resurgences as restrictions are lifted."



About City, University of London

City, University of London is a global higher education institution committed to academic excellence, with a focus on business and the professions and an enviable central London location.

City's academic range is broadly-based with world-leading strengths in business; law; health sciences; mathematics; computer science; engineering; social sciences; and the arts including journalism and music.

City has around 20,000 students (46% at postgraduate level) from more than 160 countries and staff from over 75 countries.

In the last REF, City doubled the proportion of its total academic staff producing world-leading or internationally excellent research.

More than 140,000 former students from over 180 countries are members of the City Alumni Network.

The University's history dates from 1894, with the foundation of the Northampton Institute on what is now the main part of City's campus. In 1966, City was granted University status by Royal Charter and the Lord Mayor of London became its Chancellor. In September 2016, City joined the University of London and HRH the Princess Royal became City's Chancellor.

Journal Link: Journal of Global Health