Jun 14, 2024

Public workspaceThe Impact of World Pandemics on Health Services Management: The Covid 19 Experience in Nigeria and Australia

  • Charles C Okonkwo1,
  • Rasheda Khanam2,
  • Gavin Beccaria3,
  • Ezekiel U Nwose1,4
  • 1School of Health and Medical Sciences, University of Southern Queensland, Toowoomba Australia;
  • 2School of Business, University of Southern Queensland, Toowoomba Australia;
  • 3School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba Australia;
  • 4College of Medical and Health Sciences, Novena University, Ogume Nigeria
Open access
Protocol CitationCharles C Okonkwo, Rasheda Khanam, Gavin Beccaria, Ezekiel U Nwose 2024. The Impact of World Pandemics on Health Services Management: The Covid 19 Experience in Nigeria and Australia. protocols.io https://dx.doi.org/10.17504/protocols.io.x54v92ro1l3e/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: In development
We are still developing and optimizing this protocol
Created: June 13, 2024
Last Modified: June 14, 2024
Protocol Integer ID: 101746
Abstract
This research aims to evaluate the impact of COVID-19 pandemic on health services management using the COVID-19 experiences as the major means of measure. Secondary data would be used to compare the Low and Medium-Income Countries (LMIC) and the High-Income Countries (HIC), focusing on health systems in Nigeria as a LMIC and Australia as a HIC. The research will also develop and operationalise the concept of health care workers’ experiences during pandemics and investigate how the Covid-19 pandemic affected the health workplace, including its long- and short-term impact on HCWs health and wellbeing. This is with a view to exploring the key issues to this phenomenon and developing a theoretical framework for development of future service management intervention policies and strategies in the increasingly volatile health-care climate and workplace.
Abstract
Abstract
This research aims to evaluate the impact of COVID-19 pandemic on health services management using the COVID-19 experiences as the major means of measure. Secondary data would be used to compare the Low and Medium-Income Countries (LMIC) and the High-Income Countries (HIC), focusing on health systems in Nigeria as a LMIC and Australia as a HIC. The research will also develop and operationalise the concept of health care workers’ experiences during pandemics and investigate how the Covid-19 pandemic affected the health workplace, including its long- and short-term impact on HCWs health and wellbeing. This is with a view to exploring the key issues to this phenomenon and developing a theoretical framework for development of future service management intervention policies and strategies in the increasingly volatile health-care climate and workplace.
Introduction – conceptual framework
Introduction – conceptual framework
A conceptual framework has been developed for this study to manage the research process. The direct and indirect impacts provide a summary of the global impacts of the COVID-19 on health services management. As depicted in the figure below,

Fig 1: Conceptual framework
Fig 1: Conceptual framework
 
The protocol
The protocol
Study design: This was designed to be a comparative observation study and employing secondary data. Mixed methods statistical design would be as outlined (Table 1).
Table 1: Summary of research objectives and data sources.
Research objective Potential Sources Variables Qual or Quant Analytic Techniques
1 & 2 (Our World in Data, 2024) Location, stringency index, deaths Quantitative Panel data analysis
(OECD, 2023) Socioeconomic factors (SEC) Quantitative Time series data analysis
WHO Global Health Observatory†† Quantitative Cross sectional analysis
1 & 3 AIHW‡‡ Health system responses, Qualitative and Quantitative Critical Descriptive Analysis and panel data analysis
NCDC*† Health system response, Qualitative and quantitative Thematic Content Analysis
2 & 3 WHO COVID-19 Dashboard*‡ Location, population, deaths, vaccines Quantitative Cross sectional analysis
Oxford COVID-19 Government Response Tracker*†† Government response indicator, location, risk Quantitative and Qualitative Panel data analysis and Thematic content analysis
All 1 – 3 Literature review Systematic review Thematic and meta-analysis
Keys
SEC: Gender, Marital Status, Education Level, Location, Experience, Income, Age, Role
Health Workforce - OECD – re: (OECD, 2023)
††Global Health Workforce statistics database (who.int) – re: (World Health Organization, 2023, 2024a, 2024b)
*††COVID-19 Government Response Tracker | Blavatnik School of Government (ox.ac.uk) – re: (Blavatnik School of Government, 2023)

Setting and data: Secondary data of observational reports would be obtained from World Health Organization (WHO), our world in data, and WHO observatory as well as Australia Institute of Health and Welfare (AIHW) and Nigeria Centre for Disease Control (NCDC). The applications of different data to answer the various research objectives are as indicated (Table 1).

Ethical consideration: In this study, we will utilize secondary data from the World Health Organization (WHO) data dashboard, OECD, Our world in data and the Australian Institute of Health and welfare (AIHW). Thus, this study does not require approval from the Ethics Committee of the University of Southern Queensland, Australia.
The process – graphical illustrations


Fig 2: Illustrative statistical purposes of datasets
Fig 2: Illustrative statistical purposes of datasets


Fig 3: Illustrative use of datasets for objectives
Fig 3: Illustrative use of datasets for objectives

Conclusion – statement of significance
Conclusion – statement of significance
This study will help elucidate why Australia spent more in COVID-19 pandemic management compared to Nigeria, but also appears to have recorded more casualties. It is hoped that the findings would highlight lesson for HIC and LMIC to learn from each other.   
References
References
AIHW. (2022). Health workforce. Retrieved 5th June, 2024 from https://www.aihw.gov.au/reports/workforce/health-workforce#impact

Blavatnik School of Government. (2023). Covid-19 Government Response Tracker. Retrieved 5th June, 2024 from https://www.bsg.ox.ac.uk/research/covid-19-government-response-tracker

NCDC. (2023). An update of COVID-19 outbreak in Nigeria. Retrieved 5th June, 2024 from https://ncdc.gov.ng/diseases/sitreps/?cat=14&name=An%20update%20of%20COVID-19%20outbreak%20in%20Nigeria

OECD. (2023). Health Workforce. In Health at a Glance 2023 - OECD Indicators. https://www.oecd.org/health/health-at-a-glance/

Our World in Data. (2024). Estimated cumulative excess deaths per 100,000 people during COVID-19. Retrieved 5th June 2024 from https://ourworldindata.org/explorers/coronavirus-data-explorer

WHO. (2024). WHO COVID-19 dashboard. Retrieved 5th June, 2024 from https://data.who.int/dashboards/covid19/cases?n=c

World Health Organization. (2023). World health statistics 2023: monitoring health for the SDGs, sustainable development goals. Retrieved 5th June 2024 from https://www.who.int/publications/i/item/9789240074323

World Health Organization. (2024a). Global Health Workforce statistics database. Retrieved 5 June, 2024 from https://www.who.int/data/gho/data/themes/topics/health-workforce

World Health Organization. (2024b). World health statistics 2023: monitoring health for the SDGs, sustainable development goals. https://iris.who.int/bitstream/handle/10665/376869/9789240094703-eng.pdf?sequence=1