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Governance of the Covid-19 response: a call for more inclusive and transparent decision-making

2020; BMJ; Volume: 5; Issue: 5 Linguagem: Inglês

10.1136/bmjgh-2020-002655

2059-7908

Dheepa Rajan, Kira Koch, Katja Rohrer, Csongor Bajnoczki, Anna Socha, Maike Voss, Marjolaine Nicod, Valéry Ridde, Justin Koonin,

Health disparities and outcomes

► Not all countries make their Covid-19 task force membership list public-the available information varies by country.► There is currently a predominance of politicians, virologists and epidemiologists in the Covid-19 response at the country level.► Experts on non-Covid-19 health, social and societal consequences of Covid-19 response measures are, for the most part, not included in Covid-19 decisionmaking bodies.► There is little transparency regarding whom decision-making bodies are consulting as their source of advice and information.► From the available data on Covid-19 decisionmaking entities, female representation is particularly paltry.► In addition, civil society is hardly involved in national government decision-making nor its response efforts, barring some exceptions.► We need to be more inclusive and multidisciplinary:the Covid-19 crisis is not simply a health problem but a societal one-it impacts every single person in society one way or another.► Decision makers need to address more systematically the suffering from mental illness exacerbations, domestic violence, child abuse, child development delays, chronic diseases and so on, during lockdown.