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Learning from public health and hospital resilience to the SARS-CoV-2 pandemic: protocol for a multiple case study (Brazil, Canada, China, France, Japan, and Mali)

  • Ridde, Valéry1
  • Gautier, Lara2, 3
  • Dagenais, Christian2
  • Chabrol, Fanny1
  • Hou, Renyou1, 4
  • Bonnet, Emmanuel5
  • David, Pierre-Marie6, 7
  • Cloos, Patrick2, 8
  • Duhoux, Arnaud7, 8
  • Lucet, Jean-Christophe9, 10
  • Traverson, Lola1
  • de Araujo Oliveira, Sydia Rosana11
  • Cazarin, Gisele11
  • Peiffer-Smadja, Nathan9, 10, 12
  • Touré, Laurence13
  • Coulibaly, Abdourahmane13
  • Honda, Ayako14
  • Noda, Shinichiro15
  • Tamura, Toyomitsu15
  • Baba, Hiroko15
  • And 2 more
  • 1 Centre Population et Développement (Ceped), Institut de recherche pour le développement (IRD) Université de Paris, ERL INSERM SAGESUD, Paris, France , Paris (France)
  • 2 University of Montreal, Montréal, Québec, Canada , Montréal (Canada)
  • 3 Université de Montréal et CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montréal, Quebec, Canada , Montréal (Canada)
  • 4 Université Paris Nanterre/CNRS, Paris, France , Paris (France)
  • 5 Université Paris 1 Panthéon-Sorbonne, AgroParisTech, Institut de recherche pour le développement (IRD), Aubervilliers, France , Aubervilliers (France)
  • 6 Université de Montréal, Montréal, Canada , Montréal (Canada)
  • 7 CISSS de Laval, Montréal, Canada , Montréal (Canada)
  • 8 Université de Montréal, Montréal, Québec, Canada , Montréal (Canada)
  • 9 AP-HP, Bichat-Claude Bernard Hospital, Paris, France , Paris (France)
  • 10 Université de Paris, Paris, France , Paris (France)
  • 11 Oswaldo Cruz Fondacion, Recife, Brazil , Recife (Brazil)
  • 12 Imperial College London, London, UK , London (United Kingdom)
  • 13 MISELI, Bamako, Mali , Bamako (Mali)
  • 14 Hitotsubashi University, Tokyo, Japan , Tokyo (Japan)
  • 15 National Center for Global Health and Medicine, Tokyo, Japan , Tokyo (Japan)
  • 16 Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan , Tokyo (Japan)
Published Article
Health Research Policy and Systems
BioMed Central
Publication Date
May 06, 2021
DOI: 10.1186/s12961-021-00707-z
Springer Nature


BackgroundAll prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected health care systems and professionals in terms of their work. Finding effective ways to share the knowledge and insight between countries, including lessons learned, is paramount to the international containment and management of the COVID-19 pandemic. The aim of this project is to compare the pandemic response to COVID-19 in Brazil, Canada, China, France, Japan, and Mali. This comparison will be used to identify strengths and weaknesses in the response, including challenges for health professionals and health systems.MethodsWe will use a multiple case study approach with multiple levels of nested analysis. We have chosen these countries as they represent different continents and different stages of the pandemic. We will focus on several major hospitals and two public health interventions (contact tracing and testing). It will employ a multidisciplinary research approach that will use qualitative data through observations, document analysis, and interviews, as well as quantitative data based on disease surveillance data and other publicly available data. Given that the methodological approaches of the project will be largely qualitative, the ethical risks are minimal. For the quantitative component, the data being used will be made publicly available.DiscussionWe will deliver lessons learned based on a rigorous process and on strong evidence to enable operational-level insight for national and international stakeholders.

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