International Journal of Public Health (May 2022)

The Approach to the COVID-19 Pandemic in Georgia—A Health Policy Analysis

  • Ilia Nadareishvili,
  • Ana Zhulina,
  • Aleksandre Tskitishvili,
  • Gvantsa Togonidze,
  • David E. Bloom,
  • Karsten Lunze,
  • Karsten Lunze

DOI
https://doi.org/10.3389/ijph.2022.1604410
Journal volume & issue
Vol. 67

Abstract

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Objectives: This study aimed to analyze key COVID-19 pandemic-related policies and national strategic responses in light of Georgia’s political, socioeconomic and cultural backgrounds.Methods: We applied a policy triangle framework for policy analysis, performed document and media content analysis, and described pandemic trends statistically.Results: Early introduction of stringent restrictive measures largely prevented a first wave in March–May 2020. This was communicated as a success story, prompting a public success perception. With unpopular restrictions lifted and hesitancy to embrace evidence-informed policymaking ahead of nationwide parliamentary elections, SARS-CoV-2 infection spread rapidly and was met with an insufficiently coordinated effort. Facing health system capacity saturation an almost complete lockdown was re-introduced in late 2020. Factors as delayed immunization campaign, insufficient coordination and, again, little evidence-informed policymaking eventually led to another devastating COVID-19 wave in summer of 2021.Conclusion: Georgia’s pandemic health policy response was adversely impacted by a volatile political environment. National pandemic preparedness and response might benefit from an independent body with appointment procedures and operations shielded from political influences to effectively inform and communicate evidence-based pandemic policy.

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