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NATIONAL HEALTH INSTITUTIONS, WORLD HEALTH ORGANISATION AND THE MANAGEMENT OF COVID-19 PANDEMIC IN NIGERIA (2020-2022)

FOLORUNSO, Gideon Ibukuntomiwa and Covenant University, Theses (2024) NATIONAL HEALTH INSTITUTIONS, WORLD HEALTH ORGANISATION AND THE MANAGEMENT OF COVID-19 PANDEMIC IN NIGERIA (2020-2022). ["eprint_fieldopt_thesis_type_phd" not defined] thesis, Covenant University.

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Abstract

The Coronavirus Disease (COVID-19) pandemic, which originated in Wuhan, China, in December 2019, rapidly became a global pandemic that ravaged the entire world. The effect was devastating despite global attention to the pandemic early enough. With its spread to over 200 countries, nearly 700 million cases, and about 7 million deaths, COVID-19’s global devastation has left long-lasting impacts that will take several years to heal. Hence, this study examines the health governance role of the Nigeria Centre for Disease Control and Prevention (NCDC), the World Health Organisation (WHO), and its frameworks on infectious diseases, focusing on managing the COVID-19 pandemic in Nigeria. The theory of global governance was adopted for this study. The theory posits that global organisations offer solutions to common problems beyond the scope of national governments, and the more general the problems and solutions an international organisation offers, the more influence and power it holds. The research adopted ex post facto and cross-sectional survey research designs. The data reviewed were sourced from PubMed, ScienceDirect, and WHO databases and a series of in-depth interviews conducted in Nigeria. Furthermore, an analysis based on the World Health Organisation’s health system strengthening framework, textual analysis, and social network analysis (SNA) was also conducted to demonstrate actor ties, roles, and collaborations. Findings revealed that there were a lot of actors who got involved in the COVID-19 response with varying degrees of collaboration. The Nigeria Centre for Disease Control and Prevention (NCDC) was pivotal in harnessing these collaborations and partnerships with other health organisations like the West African Health Organisation (WAHO), Africa CDC, and Coalition Against COVID-19 (CACOVID), among others. The research findings highlight the partnership between NCDC, Nigeria Institute of Medical Research (NIMR), private sector actors like CACOVID and global health organisations like Africa CDC and WAHO towards eliminating the health crisis. However, the preparedness for the outbreak was significantly low and inadequate in terms of contact tracing, quarantine facilities, and isolation centres, among others, significantly affecting the outcomes of the curative efforts to a large extent. The research findings highlighted the deployment of disease monitoring and reporting systems, the digitalisation of data gathering and analysis, and the private sector collaboration with the government. The findings expose the challenges of funding, accountability, and resource allocation that were hindrances to success. It also pointed out the regional and global structures that supported Nigeria with vaccines, technical support, information sharing, detection and prevention of newer strains, among others. Therefore, it is recommended that public-private partnerships such as CACOVID be strengthened to build more effective and efficient capacities for early warning and prevention of future outbreaks by increasing support, funding, and technical resources. In conclusion, the task of pandemic preparedness cannot be left to national institutions alone due to competing national needs, and neither can global health bodies cater for all nationalities in times of health crisis; therefore, private sector involvement in pandemic management should be encouraged.

Item Type: Thesis (["eprint_fieldopt_thesis_type_phd" not defined])
Uncontrolled Keywords: Coronavirus Disease (COVID-19), Disease Control, Health Governance, Health Management, Nigeria, World Health Organisation.
Subjects: H Social Sciences > H Social Sciences (General)
J Political Science > JA Political science (General)
J Political Science > JZ International relations
Divisions: Faculty of Law, Arts and Social Sciences > School of Social Sciences
Depositing User: Patricia Nwokealisi
Date Deposited: 04 Dec 2024 14:17
Last Modified: 04 Dec 2024 14:17
URI: http://eprints.covenantuniversity.edu.ng/id/eprint/18640

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