Lessons for Resilience
Consider new governance models to increase preparedness and ensure effective responses to future crises
The role of all levels of government in determining the success or failure of the COVID-19 response in different countries was recognized early in the pandemic. So, it is no surprise that multi-level governance and an integrated approach are generally accepted as key elements in achieving the best results to fight against the pandemic. The UN recognizes that governance systems are complex due to their interaction with the social, legal, political context of each country and region. Therefore, there is no “off-the-shelf” solution that can be universally applied. Considering this, the UN recommends:
- “Incorporating governance approaches into national, subnational, and local pandemic responses, that take into consideration local situations and needs
- Promote an integrated and cooperative approach between different levels of governance, to avoid competition/division, political confusion, and institutional friction
- Maintain and strengthen health care, social welfare, and other protections, by increasing funding to these areas and developing revenue sources such as progressive tax models
- Ensure that emergency preparedness is effectively integrated into health governance at all levels. The current pandemic is a learning opportunity for national, regional, and local governments and its lessons should contribute to build appropriate governance mechanisms
- Incorporate digital technologies into policy making and improved governance, by investing in the appropriate infrastructure, increasing the number of government services available online, and promoting digital inclusion
- Ensure crisis management strategies incorporate long-term recovery strategies that align with aspirational goals around social inclusion and sustainability. The current crisis offers a unique opportunity to rebuild and renew. Governments, at all levels, should consider new paths forward in order to not only improve resilience against future pandemics, but also to address pre-COVID problems such as inequality, climate change, migration, and the erosion of human rights”
Consider how to communicate with migrants and refugees about migration policies and re-settlement/community integration policies during COVID-19
Due to lockdown measures and temporary breaks to in-person public service provision, communicating specific information to migrants and refugees on their rights and obligations has been challenging. This includes communications on re-settlement programmes to support their integration into communities (see TMB Issue 29 for guidance on national resettlement programmes). Some countries have introduced temporary policy changes and targeted communication of such changes is crucial so that migrants are aware of the essential services that are available to them during the pandemic, e.g. Spain suspended the obligation to have valid documents in order to access essential public services such as healthcare and vaccination. National information strategies can be complemented locally by reaching out directly to migrants living in communities. Consider:
- Identify and establish contact with the leaders of refugee and migrant groups to communicate important messages
- Collaborate with migration support services, NGOs and local volunteers to develop a targeted online communications platform for migrants and refugees, e.g. “Migration Information Hub”, Leeds City Council, UK
- Use the platform to inform migrants about COVID-19 related issues and guidelines; access to health care, food, housing, work rights, visa status, signpost immigration services and detail any changes to policy measures
- Ensure alternative communication strategies are explored, such as information leaflets through migrations support services reach those who do not have access to the internet
- Provide information on how victims of discrimination can get help and support
- Collect further data and information on reaching specific groups through consultation with the relevant communities, to improve future preparedness for crisis communication with migrants and their families
- Ensure easy access to information by translating key material into the languages of migrant communities:
- Recruit translation volunteers to support the translation of information and development of multilingual media for the platform, e.g. YouTube videos
- Organise free workshops for migrants and refugees via Zoom, e.g. ‘How to access health services’, to inform on free services, including mental health facilities
- Develop and deliver targeted communication strategies to influence communities’ perceptions of migrants, working with local community leaders and groups, and organisations that support and advocate for migrants:
- Tackle and counter misinformation online to prevent prejudice against migrants and mitigate the negative impact of the health crisis on immigrant integration
- Set up a social media campaign that directly addresses the prevention of discrimination and spread of misinformation, e.g. “Somos Panas", Columbia
- Invite the public to help counter the spread of misinformation by sharing fact-based information with their own communities
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Global,
UN
https://www.unhcr.org/47f0a6db2.pdf
Consider the implications of local, national and global 'vaccinationalism'
There is not yet sufficient global supply of COVID-19 vaccines - echoing the challenges faced at the beginning of the pandemic when there was insufficient PPE. Variation across regions/countries in the availability of vaccine brings the risk of accentuating long-term health inequalities and could entrench wealth inequalities, as some regions/countries are yet to begin their vaccination programme. This could lead to challenging questions for officials and elected leaders on the prioritisation of who receives the vaccine. For example, "Is it right to vaccinate a low-risk person in Country A (that has vaccine) rather than a high risk, front line health worker in Country B (that does not have sufficient vaccine)?" Consider how vaccine distribution plans and priority groups may polarise public opinion on the value of life and risk, including:
- The UN note that a 'me first' approach could prolong the pandemic as well as cause further economic and human suffering
- Changes to vaccination supply plans or redirecting vaccine stock to other regions/countries to manage targets may heighten public discomfort and disturbance
- Creating tier systems for access to vaccines can lead to fracture lines emerging in society, prompting civil disturbances or protests which may also increase transmission and lead to local outbreaks
- Individuals not agreeing with their classification may reject authority and breach guidelines
- Negative publicity for officials in managing change and social order may impact coming elections
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United Kingdom
https://www.theguardian.com/world/2021/jan/21/covid-north-east-and-yorkshire-vaccine-supply-cut-to-catch-up-lagging-regions
Consider how to develop and disseminate learning from COVID-19 at local level
Formal learning from COVID-19 is beginning to take place at national and international levels, to capture rapid dissemination of information and lessons. Similar approaches at local government levels are identifying emerging trends in response and identifying gaps and opportunities for the future e.g. The Ney report on Local COVID-19 outbreaks: Lessons learnt and good practice from Leicestershire’s experiences of responding to a local surge in COVID-19 cases. Consider:
- Learning can capture information in cities or regions
- Learning can be undertaken by individual local governments or a consortium through mechanisms such as peer review (see ISO 22392)
- Lessons may be disseminated within a single locale or more widely. The may be between cities or regions or internationally with organisations such as the Global Resilient Cities Network
We provide a few examples of formalised international learning and the key issues addressed to provide consideration for similar pieces of work at local level.
- The UN has developed The Compendium of Digital Government Initiatives in response to the COVID-19 to capture emerging trends in digital responses of UN Member States against the COVID-19 pandemic, and provide a preliminary analysis of their main features
- The Health System Response Monitor (HSRM) collects and organises up-to-date information on the responses of health systems and also captures wider public health initiatives
- New Zealand’s Independent Review of COVID 19 Clusters in Aged Residential Care Facilities which provides lessons on care facilities for the elderly and recommendations for improvements
- Korea’s COVID-19: Testing Time for Resilience which includes information on holding elections during COVID-19
- Consideration of how to learn lessons through debrief, assessing performance and peer review
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United Kingdom
https://www.gov.uk/government/publications/local-covid-19-outbreaks-lessons-learnt-and-good-practice
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Korea, Democratic Peoples Republic of
https://www.mofa.go.kr/eng/brd/m_22596/view.do?seq=9&srchFr=&%3bsrchTo=&%3bsrchWord=&%3bsrchTp=&%3bmulti_itm_seq=0&%3bitm_seq_1=0&%3bitm_seq_2=0&%3bcompany_cd=&%3bcompany_nm=&page=1&titleNm