Coproducing Responses to COVID-19 with Community-Based Organizations: Lessons from Zhejiang Province, China

Culture and effectiveness of distance restriction policies: evidence from the COVID-19 pandemic

Natural disasters bring indelible negative impacts to human beings, and people usually adopt some post hoc strategies to alleviate such impacts. However, the same strategies may have different effects in different countries (or regions), which is rarely paid attention by the academic community. In the context of COVID-19, we examine the effect of distance restriction policies (DRP) on reducing human mobility and thus inhibiting the spread of the virus. By establishing a multi-period difference-in-differences model to analyse the unique panel dataset constructed by 44 countries, we show that DRP does significantly reduce mobility, but the effectiveness varies from country to country. We built a moderating effect model to explain the differences from the cultural perspective and found that DRP can be more effective in reducing human mobility in countries with a lower indulgence index. The results remain robust when different sensitivity analyses are performed. Our conclusions call for governments to adapt their policies to the impact of disasters rather than copy each other.

A community proactive health management model for family doctors in Shandong, China

Background Chronic disease management is an essential part of public health management and a fundamental means of slowing down the progression of major diseases. Unlike traditional medical care, proactive health management focuses on the combination of prevention and treatment. Proactive health management can reduce the re-admission rate of patients with chronic diseases, improve long-term prognosis, and effectively reduce the disability and mortality rates of major health events. This study aimed to establish a proactive health management model based on a grid-based medical service team arrangement, and to explore the effect of this model on managing chronic diseases in community health service institutions. Methods A grid-based medical service team was established in Binzhou, Shandong, China, consisting of general practitioners, nurses, public health doctors, health promoters and community grid liaison staff. Each team was responsible for several areas to monitor critical populations within the grid and compile statistics on the health management of these key populations in 2022-2023. Results A total of 2050 patients with coronary artery disease, 4973 patients with hypertension, and 1621 patients with type 2 diabetes were followed up in 2022. Compared with 155,612 resident health records in 2022, the number of records increased by 140.50% in 2023. The number of patients with hypertension under health management in 2023 increased by 50.92%; patients with type 2 diabetes increased by 74.65%; and the number of coronary artery disease increased by 42.00%. After the implementation of grid management, the hospitalisation rate for patients with type 2 diabetes significantly decreased in 2023 (P P >0.05). Conclusion The grid-based community proactive health management model makes full use of the advantages of community resources and improves the pertinence and coverage of community health services. Moreover, it reduces hospitalisation for patients with type 2 diabetes.

The Perspectives of Healthcare Professionals on the Strategies, Challenges, and Community Responses to Health System Response and Interventions Towards Lassa Fever Infections and Mortality in Sierra Leone

Background

Lassa fever is a critical public health issue in Sierra Leone that demands appropriate health system responses and interventions to mitigate infections and reduce mortality.

Methods

A qualitative study was conducted to delve into healthcare workers' experiences with Lassa fever management and interventions across diverse healthcare settings in Sierra Leone, including the Eastern Province and Freetown's Directorate of Health Security and Emergency (DHSE). Engaging ten key informants through purposive sampling, the study employed NVivo version 10 for a detailed thematic analysis using Query and Coding to systematically identify, classify, and organize key themes regarding knowledge, diagnostics, management roles, and community impact.

Results

The findings indicate a well-informed healthcare workforce but highlight gaps in early detection, diagnostic accuracy, and procedural standardization. Concerns were raised about the potential overestimation of disease incidence due to improved diagnostics, suggesting a historical under-detection of Lassa fever. The analysis underscores the need for a multifaceted management approach, emphasizing international collaboration and culturally sensitive community engagement to effectively tackle the disease. A significant concern identified is the high mortality rate resulting from delayed referrals and communication challenges within the health system, leading to actionable recommendations for enhancing Lassa fever response strategies. The study's thematic analysis provides a nuanced understanding of the challenges and areas for improvement, emphasizing the critical role of healthcare professionals in combating Lassa fever.

Conclusion

Combating Lassa fever in Sierra Leone demands an integrative strategy that extends beyond medical interventions to encompass educational and infrastructural enhancements. This research pays homage to the commitment of healthcare professionals, underscoring the importance of sustained support and recognition of their essential contributions to advancing Lassa fever management and interventions.

The Impact of Illegitimate Tasks on Volunteer Participation: The Perspective of Psychological Capital

How do illegitimate tasks in volunteering affect volunteer participation? Previous research has focused only on the unidimensional effects of illegitimate tasks on volunteer participation. This study used the Job Demands-Resources model to investigate the multidimensional effects of illegitimate tasks on volunteer participation and the potential mechanisms of the effects. Based on three waves of survey data from 1768 Chinese volunteers, we found that illegitimate tasks negatively affect volunteer attitudes and volunteer outcomes by reducing volunteers' psychological capital. This study develops a mediated model about the effects of illegitimate tasks on volunteer attitudes and outcomes. This study also makes related recommendations, such as asking volunteer organizations to offer stress-coping courses and encouraging volunteers to share their personal volunteering experiences.

How will the public health committees develop after COVID-19 pandemic in China? Exploration from mixed methods study in Pingshan District, Shenzhen

Introduction

The Public Health Committee has a long-standing presence in the Chinese Constitution. During the pandemic, it served as a grassroots self-governance organization and made significant contributions to China's community epidemic prevention and control system. Currently, 24 provinces in China have promoted the establishment of community public health committees.

Methods

To gather data, we conducted semi-structured interviews (n = 48) with the heads of superior departments of public health committees, the heads of public health committees, and the heads of community health centers, exploring aspects such as organizational structure, job responsibilities, and job security. In parallel, we administered a capacity-building survey to a sample of 23 community residents (n = 1,986) and performed regression analysis. Finally, we examined the impact of gender, age, and education level on the development of public health committees.

Results

Our study reveals that the development of public health committees displays features of administration across various dimensions, including personnel appointment, top-level design, medical professionalism, funding path dependence, and data path dependence. However, the decision-making function of the organization does not exhibit a significant impact.

Discussion

The construction of the Public Health Committee should demonstrate an "autonomization-administration" pendulum effect. Currently, due to the absence of decision-making functions within the Public Health Committee, autonomous organizations are exhibiting characteristics of administration. To prevent excessive autonomization or administrative nature in the development of committees, public health policies are continuously being refined based on the unique characteristics of public health committee construction. During exceptional circumstances or the initial stages of development, the establishment of public health committees should be primarily guided by administrative principles, utilizing political momentum to drive their progress. In contrast, during routine establishment phases or later stages of development, the establishment of public health committees should be primarily led by autonomization, restoring their capacity for self-decision making. It is essential to fully leverage the role of grassroots self-governance organizations, relying on the community to engage in self-management, self-education, and self-service within public health committees.

Towards a constructed order of co-governance: Understanding the state-society dynamics of neighbourhood collaborative responses to COVID-19 in urban China

The state-society relationship in neighbourhood governance has been a focal topic in the urban governance literature, though the existing scholarship was primarily drawn from non-crisis situations. Adopting a mixed-methods approach, this study investigates the intricate state-society dynamics manifested at the neighbourhood scale as state and societal actors collaborated during China's COVID-19 responses. Our study reveals a pattern of collaborative rather than confrontational dynamics between resident committees and other stakeholders during pandemic responses, which reflects the emergence of a constructed order of neighbourhood co-governance in urban China. Previous community-building reforms consolidated the political legitimacy, power and capacity of resident committees, which were empowered to play a critical coordinating role in bridging hierarchical state mobilisation and horizontal stakeholders in the collaborative pandemic responses. These findings contribute to a more nuanced understanding of neighbourhood co-governance in the international literature and provide lessons for resilience governance from a comparative lens.

Neighborhood Governance and Happiness during the COVID-19 Pandemic: An Empirical Analysis of Wuhan's Lockdown

The outbreak of COVID-19 posed a challenge to global governance, residents' happiness, and economic systems around the world. Since the crux of previous research centers on the reactions of both local and national governments, studies on how governance arrangement at the neighborhood level influences people's happiness during the crisis response remain insufficient. This paper aims to explore the relationship between neighborhood governance and residents' happiness based on first-hand data collected during Wuhan's first lockdown. This study highlights the significance of neighborhood governance in crisis response, which includes providing diverse public services, ensuring access to life's necessities, and offering prompt medical treatment. All of these factors are essential for maintaining overall satisfaction with governance and contributing to the happiness of individuals within the community. However, active governance actions do not always lead to favorable results. For example, increased group participation may lead to social conflicts among those involved, ultimately diminishing one's happiness. Furthermore, the COVID-19 pandemic has acted as a risk 'amplifier', exposing and exacerbating pre-existing hukou-based social inequalities in the governance process. The impact of the pandemic on citizen happiness is the cumulative effect of both the immediate social crisis brought on by the pandemic and long-standing structural inequalities. To improve people's happiness and establish inclusive policies, this paper advocates for a 'people-centered' urban governance that enhances public satisfaction and addresses the needs and priorities of migrant populations.

To what extent do young chinese elites comply with COVID-19 prevention and control measures?

BACKGROUND

During the COVID-19 pandemic, it is vital for individuals to comply with the government's prevention and control measures. This study aims to explore determinants of college students' compliance behaviour during the COVID-19 pandemic.

METHODS

This study conducted an online survey among 3,122 individuals aged 18 and above from March to November 2022 in China. Individuals' compliance behaviour was divided into protective behaviour (that includes wearing a mask, maintaining a physical distance, and getting vaccinated) and restrictive behaviour (that includes offering health codes and a nucleic acid test certificate). Individuals' compliance motivation was divided into calculated motivation (including the fear of being infected, the fear of being published, and previous experience of pandemic prevention) and normative motivation (including the sense of social responsibility and trust in government). We defined young people aged between 18 and 24 with a college degree as young elites, and constructed ordinary least squares linear regression to compare their compliance behaviour with young people without a college degree (young non-elites), and non-young people with a college degree (non-young elites).

RESULTS

Almost three years after the outbreak of the pandemic, Chinese individuals retained a high degree of compliance with COVID-19 prevention and control policies, particularly with respect to the provision of health codes. Young elites were more compliant with getting vaccinated, wearing a mask, providing health codes and testing results than their counterparts. The sense of social responsibility and trust in government were the major drivers of young elites' compliance behaviour during the pandemic. Young elites who were male, had a rural "hukou", and were not a member of the China Communist Party were more compliant with COVID-19 prevention and control measures.

CONCLUSION

This study found that young elites in China had high policy compliance during the COVID-19 pandemic. These young elites' compliance behaviour was driven by their sense of social responsibility and trust in government rather than the fear of being infected and the fear of being punished as a result of violating the regulations. We suggest that in the context of managing health crises, in stead of introducing punitive measures to enforce citizens to comply with the management measures, promoting citizens' sense of social responsibility and building a trusting relationship with citizens contrite to the enhancement of citizens' policy compliance.

The community proactive health management model based on the grounded theory: The case of Beijing, China

The 2019 coronavirus disease pandemic has been a governance challenge for countries and cities worldwide. In China, the community-based joint prevention and control governance mechanism is one of the highlights of the "Chinese experience" in fighting the pandemic. As aging accelerates, communities can take on more functions in managing the health of their residents. Especially in the post-pandemic era, the actual needs of community residents in terms of health, medical care, and elderly care need to be addressed. This paper uses a questionnaire to understand the current situation of community health management in Beijing, followed by the selection of four typical communities for in-depth interviews, and uses the triple process of open coding, selective coding, and theoretical coding of the grounded theory to analyze residents' needs and willingness for proactive health management. More than 80 concepts, 41 categories, and 6 master categories were obtained from 204 initial statements. The "logical line" of the relationship between the main categories was constructed, and we developed a conceptual model of community-based proactive health management, consisting of six dimensions: (1) perception and willingness, (2) primary population, (3) health behavior paradigm, (4) management mechanism, (5) information technology applications, and (6) facilities and services. The study aims to contribute to the community-based health management in China and for the international community and provide strategies to improve community-based health management.

Evaluating Community Capability to Prevent and Control COVID-19 Pandemic in Shenyang, China: An Empirical Study Based on a Modified Framework of Community Readiness Model

Community plays a crucial role in the successful prevention and control of the COVID-19 pandemic in China. However, evaluation of community capability to fight against COVID-19 is rarely reported. The present study provides a first attempt to assess community capability to combat COVID-19 in Shenyang, the capital city of Liaoning province in Northeast China, based on a modified framework of a community readiness model. We conducted semi-structured interviews with ninety key informants from fifteen randomly selected urban communities to collect the data. The empirical results indicate that the overall level of community capability for epidemic prevention and control in Shenyang was at the stage of preparation. The specific levels of the fifteen communities ranged from the stages of preplanning to preparation to initiation. Concerning the level of each dimension, community knowledge about the issue, leadership, and community attachment exhibited significant disparities between communities, while there were slight differences among communities on community efforts, community knowledge of efforts, and community resources. In addition, leadership demonstrated the highest overall level among all the six dimensions, followed by community attachment and community knowledge of efforts. Community resources displayed the lowest level, followed by community efforts. This study not only extends the application of the modified community readiness model to evaluate community capability of epidemic prevention in the Chinese community context, but also offers practical implications for enhancing Chinese communities' capabilities to deal with various future public health emergencies.

Dynamic analysis of NGO emergency relief goods supply: 2020 Hubei COVID-19 as a case

Intention

Global emergencies cause significant damage to lives, assets, and the economy. Therefore, the supply of relief goods is essential in emergency relief contexts, which is generally the function of non-government organizations (NGOs) as they have unique relief goods supply advantages. However, few studies have explored the influencing factors on NGO relief goods supply efficiency. To systematically explore the factors affecting supply efficiency, we aim to develop a supply chain model for simulating and providing policy suggestions.

Method

Taking the 2020 Hubei COVID-19 as case study, this research developed a system dynamic (SD) model for the NGO relief supply system to evaluate and quantify the impact of factor changes on relief supplies.

Conclusion

It was found that transportation and information delays aggravated the NGO emergency supply chain bullwhip effect and caused large supply fluctuations. The initial relief goods inventory was found to be a decisive factor in reducing shortages in disaster areas; however, government support was found to play only a limited role in reducing information and transportation delays.

Value

This study enriches NGO emergency supply chain literature and provides suggestions for guiding NGO relief goods supplies in the future.

Impacts of community-level grassroots organizations on household food security during the COVID-19 epidemic period in China

Purchasing food via community-level grassroots organizations was a new pattern of food patronage for Wuhan residents during the COVID-19 lockdown in 2020, but little attention was paid to it. The study examined the relationship between community-level grassroots organizations and household food insecurity based on an online survey of household food insecurity in Wuhan in March 2020. The study found that problems in all three domains of food insecurity including food anxiety, insufficient quality and inadequate quantity existed but were uneven. Community-level grassroots organizations played an important role in promoting food security including reducing worries about food supply and providing enough food intake, but did not ensure households had adequate food quality due to increasing food prices, fewer varieties of food and decreased food freshness. Compared to other grassroots organizations, the community committee had actually become an extension of the government to run administrative grassroots affairs before the epidemic, so its tight relationship with local government made it become the major grassroots power in ensuring household food security at the residential community level.

Community pandemic prevention and control measures and their influence on citizen satisfaction during the COVID-19 pandemic in China

At the forefront of the fight against the pandemic, the community' s measures and services would have a greater impact than ever before on citizen satisfaction. However, the influence of citizen satisfaction on community pandemic prevention and control measures (CPPCM) during the pandemic is poorly understood. This study aims to investigate the allocation of CPPCM and its impact on CS. The Chinese national data was analyzed for the outcome. (1) Pandemic prevention propaganda (PPP), disinfection (DT), and body temperature tests (BTTs) were the primary measures taken by the Chinese community. (2) The CS for pandemic prevention and control is high, and urban and central Chinese communities express greater satisfaction. (3) The impact of disinfection, body temperature tests, free supplies, and assistance purchasing supplies on CS was greater in rural areas than in urban areas. (4) Regional variations exist in the impact of CS on CPPCM. (5) The number of measures has an inverted U-shaped relationship with citizen satisfaction. This study also suggests that the government should disseminate information about pandemic prevention in a timely manner, provide basic health and medical services, and evaluate the measures taken to avoid the discount effect.

Risk Perception, Perceived Government Coping Validity, and Individual Response in the Early Stage of the COVID-19 Pandemic in China

As a major crisis event, the COVID-19 pandemic has affected the global economy, threatened the lives of the public, and caused varying degrees of impact on the public. Previous studies have shown that risk perception and government response had different impacts on the public, but they revealed more about the independent impact of risk perception and government response on the public. This study will comprehensively consider the impacts of these two factors on the behavior of the public in the early stage of the epidemic. We analyzed data from an online survey in the early days of the COVID-19 pandemic in China and categorized individual behaviors into three dimensions: entertainment and travel, work, and the stockpile of supplies. In addition, we defined the risk perception variables by two dimensions: knowledge of the epidemic itself and knowledge of the consequences of the epidemic. At the same time, we used an exploratory factor analysis to construct the variable of perceived government coping validity and then adopted the ordinal logit model for analysis. The results showed that in terms of entertainment and travel, people would not be affected even if they fully understood the epidemic itself; once they were aware of the negative social consequences of the epidemic, people would suspend entertainment and travel to prevent the spread of the virus. As for work or employment, people would not stop working or employment even if they realized the infectivity and harmfulness of the disease and its social consequences. Furthermore, fear of COVID-19 and the perception of uncontrolled COVID-19 significantly positively affected people's material stockpiling behavior. These results indicate that different risk perceptions had different effects on individual responses, and individual behaviors reflected different coping logics. In addition, the government's effective response to the epidemic would significantly reduce the negative impacts of the epidemic on the three dimensions of people's responses. These conclusions have certain policy implications for preventing and responding to outbreaks in other countries.

The public needs more: The informational and emotional support of public communication amidst the Covid-19 in China

Public communication is critical for responding to disasters. However, most research on public communication is largely focused on its informational support function, overlooking the emotional support that could equally offer. This study takes the lead to investigate their separate impacts. In particular, the variable public engagement, which is a function of the number of Shares, Likes, and Comments in a particular post, is introduced to benchmark the effect of public communication. Besides, considering the evolving nature of the crisis, their dynamic impacts across different COVID-19 pandemic stages are examined. Data from Dec 2019 to Jul 2020 were collected from 17 provincial government-owned social media (Weibo) accounts across COVID-19 in China with a Natural Language Processing-based method to compute the strengths of informational support and emotional support strength. An econometric model is then proposed to explore the impacts of two supports. The findings are twofold: the impact of emotional support on public engagement is empirically confirmed in the study, which is not in lockstep with the informational support; and their impacts on public communication are dynamic rather than static across stages throughout the crisis. We highlighted the importance of emotional support in public engagement by deriving its impact separately from informational support. The findings suggest incorporating both social supports to create stronger public communication tactics during crises.

Performing gender: Social workers' roles during the COVID-19 pandemic in China

Women social workers' roles during COVID-19 have been under-researched. We contribute to filling this gap by examining patriarchal inequalities in the pay and status of women social workers in Wuhan, China to determine whether change occurred when they replaced men in first-tier responder or protector roles when the government replaced men in frontline social work with women social workers. We conducted a qualitative investigation into these practitioners' work during the COVID-19 pandemic lockdown in Wuhan from 23 January to April 7, 2020 through 30 in-depth interviews of women social workers (11 working in Residents' Committees, 12 in NGOs from Wuhan and six other cities; and 7 in other local organizations). The findings highlight how women social workers' roles shifted during the pandemic from being second-tier responders to assuming the first-tier responder or 'protector' roles previously held by men while they continued their second-tier responders' and traditional caring roles. Despite this shift, the data show that women's demands for higher pay and status and involvement in decision-making structures remained unmet. Although women resisted unequal gender relations, doing men's roles as protectors loaded them with a 'triple' burden as protectors, second-tier responders and carers. The lack of gender equality for these women social workers highlights an urgency for policymakers and practitioners to promote gender equality by implementing women social workers' entitlements to pay parity, engagement in decision-making, and assumption of leadership roles, i.e., as men's equals.

Analysis of China's fight against COVID-19 from the perspective of policy tools-policy capacity

Judging from the number of confirmed cases, deaths, cures and the time taken to restore normal social and economic order, China is undoubtedly one of the most successful countries in fighting the COVID-19 pandemic, which highlights strong policy capacity of Chinese government using policy tools to solve policy problems efficiently. Based on the policy tools theory put forward by Roy Rothwell and Walter Zegveld, this paper analyzes the specific policy tools used in the prodromal period, breakout period, chronic period and resolution period of China's COVID-19 pandemic and further summarizes three characteristics: The comprehensive use of policy tools, staging of the use of policy tools in different periods and the dominant position of supply-oriented policy tools.

The Factors Influencing Public Satisfaction with Community Services for COVID-19: Evidence from a Highly Educated Community in Beijing

The satisfaction of highly educated citizens with community services for COVID-19 represents the attitude of the middle class and plays an important role in both the social and political stability of a country. The aim of this paper was to determine which factors influence public satisfaction with COVID-19 services in a highly educated community. Through a literature review and using the American Customer Satisfaction Index (ACSI) model, this paper constructed a public satisfaction model of community services for COVID-19 and proposed relevant research hypotheses. A community with many highly educated residents in Beijing was selected as the case study, where 450 official questionnaires were distributed based on the age ratio of residents, with 372 valid questionnaires being collected from May 2021 to July 2021. The study results obtained by a structural equation model (SEM) show that: (1) public satisfaction is significantly and positively influenced by quality perception (0.305 **), public demand (0.295 **), and service maturity (0.465 ***); (2) public satisfaction has a significantly positive effect on service image (0.346 ***) and public trust (0.232 **), and service image significantly affects public trust (0.140 *); (3) service maturity is positively influenced by public demand (0.460 ***) and quality perception (0.323 *); and (4) public demand is positively influenced by quality perception (0.693 ***) (* p < 0.05; ** p < 0.01; *** p < 0.00). The conclusions of the study can provide suggestions and recommendations to improve the satisfaction of highly educated residents with community healthcare services during the COVID-19 pandemic.

From Health Campaign to Interpersonal Communication: Does Traditional Diet Culture Hinder the Communication of the Chinese Gongkuai Campaign?

Interpersonal communication is beneficial in promoting individuals' tendency to accept health-campaign-targeted behavior. Based on the protective action decision model, this study investigated the key factors underlying individual's interpersonal communication on the Gongkuai campaign, which was carried out during Coronavirus disease 2019 (COVID-19). The main goal of the Gongkuai campaign was to change traditional communal eating habits and reduce public health risks. An online questionnaire survey involving 618 respondents was conducted in China after the 2020 Gongkuai campaign propagated, and the data were analyzed by using the structural equation modeling technique. The results indicated that health campaign exposure is a critical determinant of perceived campaign-related knowledge and health risk perception, which are significant predictors of interpersonal communication. Meanwhile, campaign-related knowledge can elicit risk perception. Furthermore, campaign exposure influenced interpersonal communication in ways that traditional diet culture did not predict. Risk perception was also unaffected by traditional diet culture. It is worth noting that individuals' agreement with traditional diet culture does not hinder health campaign-generated interpersonal communication in the context of public health crisis. Based on the findings, theoretical and policy implications for motivating interpersonal communication were discussed, and research limitations were pointed out.

China's community-based crisis management model for COVID-19: A zero-tolerance approach

At present, the zero-tolerance and co-existence approaches are the two basic concepts used to manage COVID-19. With the increase in vaccination rates and the continuing impact of the pandemic on people's lives, the co-existence approach has become the mainstream global practice. However, its high infection rate is still an inevitable fact. China was the first country to adopt the zero-tolerance approach to deal with COVID-19 and successfully control it. Due to its immediate effects and low infection rates, this approach has been used in China until now. Through the co-operation of the government and community, China has achieved precise regional lockdowns and patient identification. This article uses the CBCM model to interpret how China has achieved its zero-tolerance approach. Finally, the secondary hazards and applicability of China's CBCM model are discussed. This article draws the following conclusions: (1) China's CBCM basically replicates Singapore's crisis management model for SARS. With the co-operation of the community, it achieved universal coverage of prevention, detection and control; (2) Government leadership in dealing with major crises is very important; (3) In addition to relying on the extreme power of the government to realize China's CBCM model, the two major factors of a submissive society and collectivism have played an important role; (4) China's CBCM model is essentially an excessive anti-pandemic strategy.

Policy capacity during COVID-19 in Asia: A systematic literature review

COVID-19 has revealed the policy capacity of some governance institutions, both resilience and vulnerability. Hence, this circumstance has demanded public administration scholars and practitioners to rethink the existing governance practices, particularly in making effective crisis-related policies. This paper reviewed primary and secondary studies exploring the application of policy capacity competencies in facilitating COVID-19 handling in Asia. In achieving so, we did a systematic literature review of relevant studies published between January and October 2020. Applying the agreed search term to several databases, we found 2541 studies, while merely 30 were included for review. Findings from the studies are predominantly closely linked to operational capacity (n = 21). Other studies are related to political and analytical capacity (n = 14 and 7, retrospectively). We found that there are some dilemmas and inadequacy of understanding concerning the role of features in certain capacities (such as technology use versus individual privacy, the paradox of trust and legitimacy, or centralisation versus decentralisation), particularly in the time of crisis, which is a calling for future research.

Volunteer community service providers during the COVID‐19 crisis response in China: What are their personal needs and how to respond?

The needs of volunteer community service providers (VCSPs), who are the main responders to community crises, have received significantly less attention for the contributions they have been making during the COVID‐19 crisis. A mixed‐method research framework was used in this study, which involved semi‐structured interviews with 13 NGOs and questionnaire responses from 430 VCSPs in Hubei, China to assess the VCSPs' personal needs based on Maslow's hierarchy of needs. It was found that the VCSPs had safety, love, belonging, self‐esteem, and self‐actualization personal needs, all of which were closely related to family, partners, organizations, society and the government. The discussions revealed that the more experienced VCSPs needed special attention and family support was extremely significant for VCSPs in crisis. Several recommendations to meet VCSPs' personal needs are proposed that could have valuable reference value for emergency managers when organizing and supporting VCSPs in contingencies.

Global Experiences of Community Responses to COVID-19: A Systematic Literature Review

Objective

This study aimed to conduct a systematic review of the global experiences of community responses to the COVID-19 epidemic.

Method

Five electronic databases (PubMed, Embase, CINAHL, ScienceDirect, and Web of Science) were searched for peer-reviewed articles published in English, from inception to October 10, 2021. Two reviewers independently reviewed titles, abstracts, and full texts. A systematic review (with a scientific strategy for literature search and selection in the electronic databases applied to data collection) was used to investigate the experiences of community responses to the COVID-19 pandemic.

Results

This review reported that community responses to COVID-19 consisted mainly of five ways. On the one hand, community-based screening and testing for Coronavirus was performed; on the other hand, the possible sources of transmission in communities were identified and cut off. In addition, communities provided medical aid for patients with mild cases of COVID-19. Moreover, social support for community residents, including material and psychosocial support, was provided to balance epidemic control and prevention and its impact on residents' lives. Last and most importantly, special care was provided to vulnerable residents during the epidemic.

Conclusion

This study systematically reviewed how communities to respond to COVID-19. The findings presented some practical and useful tips for communities still overwhelmed by COVID-19 to deal with the epidemic. Also, some community-based practices reported in this review could provide valuable experiences for community responses to future epidemics.

Mechanisms of the Chinese Government's Efforts to Fight COVID-19: Integration of Top-down Interventions and Local Governance

The experiences and lessons of China's response to COVID-19 have been described in several studies, but the mechanisms of the Chinese government's efforts to fight COVID-19 have not been well characterized. Despite strong policy directives and orders from the central government, the response and handling of the epidemic also reflected distinctive characteristics of local governments in terms of their governance systems and capacities. In this article, the authors analyze public health policies and mechanisms of the Chinese government's response to COVID-19 based on the integration of top-down and local governance. A compendium of key events and measures provides the foundation for our analysis. Mechanisms related to leadership, emergency response, centralized mobilization, and accountability fully reflect the decisive measures for top-down interventions in the face of emergencies. China's policies and mechanisms to address the COVID-19 pandemic are consistent with its party-state bureaucracy and socioeconomic context. However, lower levels of government have used "repeated increments" and "one-size-fits-all" practices in the implementation of antiepidemic policies. Conservative local officials are more averse to social innovation and favor strict controls to manage the pandemic. Moreover, even under a unified system, there are substantial differences in the capacity and level of crisis management among local governments, especially in the mobilization of nonprofit organizations and volunteers. In this case study, we aim to expand the existing understanding of the tension between top-down interventions and local governance innovations.

Self-neglect among older adults admitted to a Chinese comprehensive hospital in the COVID-19 pandemic era: a cross-sectional study

This study aims to explore the prevalence of self-neglect and associated factors among older adults admitted to the hospital in the COVID-19 pandemic context. The cross-sectional study conducted at a Chinese comprehensive hospital between January and April 2021, 452 older adults were recruited to complete the Abrams Geriatric Self-Neglect Scale, Social Support Rate Scale, FRAIL scale, Barthel index, Patient Health Questionnaire-9, and 10-item Connor-Davidson Resilience Scale. Multivariate logistic regression was used to explore the factors associated with elder self-neglect. The results showed that the prevalence of self-neglect among our sample was 30.3%. Factors that were associated with the risk of elder self-neglect included male, having multiple children (≥4), receiving infrequent visits from children, frailty, and depression. There is a need to screen for self-neglect among older adults admitted to the hospital in the COVID-19 pandemic context. Tailored interventions are warranted to improve the quality of life of older adults.

New Direction of Sustainable Urbanization: The Impact of Digital Technologies and Policies on China’s In Situ Urbanization

As part of the process of sustainable urban planning in China, digital technologies have led to major practical and academic concerns. However, few scholars have focused on the impact of digital technologies on in situ urbanization from a policy–technology perspective. This interdisciplinary work aims to analyze how digital policies and their technologies contribute to the transformation of in situ urbanization patterns. This study follows the structure of law and policy research regarding the path of phenomenon presentation–institutional analysis–limitation interpretation. First, the legislation and policies for digitalization of the countryside has drastically changed the logic of how traditional in situ urbanization works. The concept of in situ urbanization 2.0 is used to describe this new phenomenon. Second, historical legitimacy, performance legitimacy, and socially sustainable reproduction are three reasons why rural digitalization reform has triggered in situ urbanization 2.0. Finally, the double dilemma of overreliance on technological change in the in situ urbanization 2.0 process is pointed out; these dilemmas need to be addressed through legislation and policy adjustments. Four recommendations for action are proposed to address these dilemmas. The findings of this research contribute to the literature on sustainable urban planning and rural digitalization reform.

Understanding the role of self-organizations in disaster relief during COVID-19: A case study from the perspective of co-production

This article examines the role of self-organizations, the spontaneous emergence of order in natural and physical systems in disaster relief during the outbreak of COVID-19 in Wuhan China. By investigating a selection of involved self-organizations, it adopts a co-production perspective by focusing on two cases during the process of delivering emergency responses with the government and citizens to combat the health crisis. Observations and case analysis have found that both government and citizen channel play a role in delivering disaster responses. In particular, self-organizations emerged in the process of delivering relief services are observed as a critical actor of change in terms of mobilizing resources and collaborating citizens to achieve personal safety and community resilience. First, government channels are primarily manifested in residential communities in obeying emergency orders and tasks. Second, citizen channels are practiced through the co-production of disaster responses mainly delivered by residents, nonprofit organizations and enterprises. The finding suggests that self-organizations in the co-production of disaster responses with the government and residents in Wuhan has been effective that eventually brought the health crisis under control. Policy implications generated from this health crisis may provide insightful lessons for government policy making and disaster management.

Children academic stress, mothers’ anxiety and Mother-Child relationship during COVID-19 in China

In this study, the researcher aims to examine and provide some knowledge of COVID-19 impact on mother-child relationship, children perceived academic stress and mothers' anxiety among families in mainland China (N = 1512). The researcher confirms that mental health symptoms resulting from Covid-19 are significant, with extensive impacts on mothers' anxieties, children's academic stress, and mother-child conflict and closeness. The researcher also show significant link between students' tremendous academic stress and students completing their final grade. The author highlights the need for health policies to expand families' psychological well-being especially in crisis time.

Identifying the non-governmental organizations' activities and challenges in response to the COVID-19 pandemic in Iran

Background

The spread and severity of the COVID-19 pandemic have been to such an extent that to shape an effective, collective response, governments need the participation of society and the cooperation of a wide range of civil society organizations and institutions. The objective of this study was to identify the activities of non-governmental organizations (NGOs) in response to the covid-19 pandemic in Iran and the challenges they confronted.

Methods

We conducted a qualitative analysis based on twenty-two individual, virtual, and semi-structured interviews. Interviewees were selected through purposeful and snowball sampling. All interviews were performed with active health-related NGO representatives willing to participate in the study and continued until data saturation. Data analysis was performed using qualitative content analysis.

Results

The activities and challenges raised by NGO representatives were identified in 6 main categories, including the need for the participation of NGOs in the fight against pandemics, response to the COVID-19 crisis in the society, challenges in providing services to the target group in the COVID-19 crisis, NGOs challenges in interacting with governmental and non-governmental institutions, information sources used by NGOs in the COVID-19 crisis and strategies to support NGOs in their efforts.

Conclusion

Considering the crucial challenges for their participation, such as the NGO access to the target groups, lack of communication network, and constructive interaction between government institutions and the NGOs, it is recommended to increase the capacity of these institutions and intervene to establish a constructive and long-term relationship with the government.

China's COVID-19 Control Strategy and Its Impact on the Global Pandemic

Public health crises are challenging for governments and health systems, and coronavirus disease 2019 (COVID-19) has presented huge challenges to humans worldwide. In the context of COVID-19 in China, we explore China's control strategies and challenges. Our analysis examines seven strategies: digital technology pandemic prevention, zero-case policy, all-staff nucleic acid testing, all-staff vaccinations, the long-term quarantine system, and the official accountability system. Additionally, it considers three challenges: repeated pandemic waves, increased downward pressure on the economy and social exhaustion. We identify the causes of these challenges, including social and natural factors, and the controls put in place. We contend that China's control strategies slowed the spread of the global pandemic and that Chinese vaccines have promoted global vaccine equity.

Stigma toward healthcare providers from patients during COVID-19 era in Jordan

AIM

This study aimed to explore healthcare providers' (HCP) stigmatization from patients during the COVID-19 outbreak in Jordan.

METHOD

A cross-sectional design was used. Data collection was conducted between May and July 2021. The research questionnaire included demographic information about participants and multiple statements that reflect stigma of participants toward HCPs. Regression analysis was conducted to assess the association between stigma and explanatory variables.

RESULTS

A total of 777 surveys were included in the study. Many people show high stigma toward HCPs during COVID-19 pandemic. Various factors including hearing news all time (p<.001), having children (p<.024), and smoking (p<.001) were significant in prediction stigma toward HCPs.

CONCLUSION

This one of few studies conducted in Jordan regarding the stigma toward HCP from other people with chronic diseases. Our study found that many people showed some stigma toward HCP during COVID-19. Stigmatization of HCP related to a pandemic is a lesson most people have not learned. It is not enough to cheer HCPs. A clear, sensible public education campaign about the public's risks by interacting with HCP is necessary.

A Case Study of Community-based, Cross-sectoral Crisis Response to the COVID-19 Pandemic: Serving Racialized Immigrant Communities

Crises-such as the COVID-19 pandemic-bring about myriad problems in magnitude (severity), dynamism (quality), and urgency (timing). Collaborative models that bring together actors from both the public and private sector have thus emerged for institutionalized and community-based crisis response. Such models aim particularly to reach vulnerable, hard-to-reach communities, such as racialized immigrant communities that are among those disproportionately impacted at times of crisis. This paper presents a case study of a community-based, cross-sectoral collaborative formed to respond to the COVID-19 pandemic and specifically targeting immigrant communities. Findings inform a conceptual framework that illustrates the integration of two spheres of service: crisis supports, characterized by a short-term approach, broad-based reach and general objectives; and settlement supports, characterized by their long-term approach, trust relations and targeted objectives, such as language supports and culturally appropriate outreach.

Mindful unlearning in unprecedented times: Implications for management and organizations

Crises trigger both learning and unlearning at both intra-organizational and inter-organizational levels. This article stresses the need to facilitate unlearning for effective crisis management and shows how we could use mindfulness practice to enhance unlearning and transformative learning in a crisis. This study proposes the conceptualization of mindful unlearning in crisis with different mechanisms to foster unlearning in three stages of crisis (pre-crisis, during-crisis, and post-crisis). These mechanisms include mindful awareness of impermanence and sensual processing (pre-crisis stage), mindful awareness of interdependence and right intention (crisis management stage), and mindful awareness of transiency and past experiences (post-crisis stage).

Which urban communities are susceptible to COVID-19? An empirical study through the lens of community resilience

Background

After the lockdown of Wuhan on January 23, 2020, the government used community-based pandemic prevention and control as the core strategy to fight the pandemic, and explored a set of standardized community pandemic prevention measures that were uniformly implemented throughout the city. One month later, the city announced its first lists of “high-risk” communities and COVID-19-free communities. Under the standardized measures of pandemic prevention and mitigation, why some communities showed a high degree of resilience and effectively avoided escalation, while the situation spun out of control in other communities? This study investigated: 1) key factors that affect the effective response of urban communities to the pandemic, and 2) types of COVID-19 susceptible communities.

Methods

This study employs the crisp-set qualitative comparative analysis method to explore the influencing variables and possible causal condition combination paths that affect community resilience during the pandemic outbreak. Relying on extreme-case approach, 26 high-risk communities and 14 COVID-19 free communities were selected as empirical research subjects from the lists announced by Wuhan government. The community resilience assessment framework that evaluates the communities’ capacity on pandemic prevention and mitigation covers four dimensions, namely spatial resilience, capital resilience, social resilience, and governance resilience, each dimension is measured by one to three variables.

Results

The results of measuring the necessity of 7 single-condition variables found that the consistency index of “whether the physical structure of the community is favorable to virus transmission” reached 0.9, which constitutes a necessary condition for COVID-19 susceptible communities. By analyzing the seven condition configurations with high row coverage and unique coverage in the obtained complex solutions and intermediate solutions, we found that outbreaks are most likely to occur in communities populated by disadvantaged populations. However, if lacking spatial-, capital-, and governance resilience, middle-class and even wealthy communities could also become areas where COVID-19 spreads easily.

Conclusions

Three types of communities namely vulnerable communities, alienated communities, and inefficient communities have lower risk resilience. Spatial resilience, rather than social resilience, constitutes the key influencing factor of COVID-19-susceptible communities, and the dual deficiencies of social resilience and governance resilience are the common features of these communities.

China's COVID-19 Vaccination Strategy and Its Impact on the Global Pandemic

Public health crises are challenging for governments and health systems. Vaccines are a key solution to viruses, and immunization has always played a critical role during public health crises in the past century. In the context of coronavirus disease 2019 (COVID-19), we explore China's vaccination strategies and challenges. Accordingly, we identify the causes of the high vaccination rate in China, including technical and nontechnical factors. Considering the impact of China's high vaccination rate on the global pandemic, we argue that it has strengthened China's opportunities and capabilities to participate in global development, enhanced the equity of vaccines and given the world community more choices.

COVID-19 and the New Normal of Organizations and Employees: An Overview

The COVID-19 pandemic has hit organizations and employees in every sector worldwide in unprecedented ways. It became extremely difficult for organizations and employees across sectors to operate under increased mobility restrictions. The pandemic effectively disrupted previous operational models and imbued changes such as telework and digital adoption that are pervasive and may potentially last beyond the pandemic. Amid these circumstances, it was essential to ask how organizations and employees will sustain themselves in the post-COVID-19 ”new normal”. Although so much research is conducted about COVID-19, there is no comprehensive view of the changes at the meso (organizational) and micro (individual) levels. This article aims to explain this using the emergency-learning-institutionalization-new normal (ELIN) framework, which is based on the timeline of the pandemic. The article aims to bring forth the overall trends in how organizations and employees are adapting to the pandemic, the lessons they have learned, and how they will change and adapt in a post-COVID-19 “new normal”. We have analyzed existing policy papers, articles published in business, public administration, nonprofit journals, and other studies to achieve this. We find an increasing trend towards the adoption of telework and digital tools at both meso- and micro-levels. The effective implementation of telework policies and digital transformation plans at the meso-level will ensure the sustainability of organizations and jobs in the new normal. Although these trends vary across sectors and within and across countries, there is an overall increase in the flexibility of organizations and employees in adopting new solutions, making them more open to innovation. The article makes important recommendations for organizations to make these transitions more sustainable in the medium and long term.

Feelings of Entrapment during the COVID-19 Pandemic Based on ACE Star Model: A Concept Analysis

This study aimed to analyze the concept of the "feelings of entrapment" during the COVID-19 (coronavirus disease 2019) pandemic using a systematic review. We included literature based on content and outcomes related to feelings of entrapment, such as antecedents, attributes, and consequences. The exclusion criteria were studies that did not have inappropriate subject, content, conceptual definition, and degree thesis was excluded. Walker and Avant's process of concept analysis was used in this systematic literature review. The attributes of the concept of feelings of entrapment during the COVID-19 pandemic were found to be feelings of: (1) being out of control, (2) no escape, (3) being trapped, (4) being robbed, and (5) hopelessness. The causes for these were identified as (1) the COVID-19 pandemic, (2) lockdown system, (3) restricted situation, (4) uncertain future, (5) economic hardship, and (6) poor coping abilities. Consequences of the concept were: (1) increased suicide, (2) decreased mental health, and (3) decreased well-being. In situations such as COVID-19, it is important need to know what feelings of entrapment's antecedents and attributes are to prevent suicide and enhance mental health and well-being. Based on the results of this study, counseling services, policies, and systems for relieving feelings of entrapment in the COVID-19 situation are recommended.

Government information disclosure and citizen coproduction during COVID-19 in China

While information campaigns have been widely recognized as a pillar of public health crisis management and heightened by the current COVID-19 pandemic, an insufficient number of studies have investigated the impact of information disclosure on influencing citizen cooperation crucial for emergency management. Focusing on generic information disclosure practices during the recovery period from January 19, 2020, to February 29, 2020, in China and by employing a difference-in-difference method, this study finds that information disclosure significantly enhanced citizen coproduction as measured by aggregated search queries of COVID-19-related information, and earlier disclosure yielded greater effect more quickly. Moreover, government capacity and citizens' trust in government at the local level significantly moderate the positive impact of information disclosure. This study uncovers the novel relationship between information disclosure and citizen coproduction during emergencies in the Chinese context.

Collaborative neighborhood governance and its effectiveness in community mitigation to COVID-19 pandemic: From the perspective of community workers in six Chinese cities

The COVID-19 pandemic is a governance challenge for nations and cities across the world. While early observations have primarily focused on government actions, neighborhoods are at the frontline for coordinating grassroots level joint actions to fight against the pandemic. We draw from the collaborative governance theory and develop a theoretical framework for understanding the horizontal and hierarchical dynamics of collaborative neighborhood governance during crisis responses in urban China. Using a large-scale questionnaire survey of frontline community workers operated in six Chinese cities in February 2020, we conduct statistical analyses and find that the effectiveness of neighborhood collaboration in the pandemic control is predicted by both neighborhood social capital (i.e. civic engagement and citizen participation) and hierarchical steering by the government through setting policy priorities and providing support. Our research contributes to the international literature on neighborhood governance dynamics and provides policy lessons for improving neighborhood governance capacity in crisis response situations.

Understanding the Evolution of Government Attention in Response to COVID-19 in China: A Topic Modeling Approach

The effective control over the outbreak of COVID-19 in China showcases a prompt government response, in which, however, the allocation of attention, as an essential parameter, remains obscure. This study is designed to clarify the evolution of the Chinese government's attention in tackling the pandemic. To this end, 674 policy documents issued by the State Council of China are collected to establish a text corpus, which is then used to extract policy topics by applying the latent dirichlet allocation (LDA) model, a topic modelling approach. It is found that the response policies take different tracks in a four-stage controlling process, and five policy topics are identified as major government attention areas in all stages. Moreover, a topic evolution path is highlighted to show internal relationships between different policy topics. These findings shed light on the Chinese government's dynamic response to the pandemic and indicate the strength of applying adaptive governance strategies in coping with public health emergencies.

Using fear appeal theories to understand the effects of location information of patients on citizens during the COVID-19 pandemic

During the COVID-19 pandemic, understanding the effects of location information of patients has significant theoretical and practical implications for public crisis management and health communication. Based on fear appeal theories, this research proposed a chain reaction model that links physical distance to the nearest patients, which is informed by the location information of patients, citizens' anxiety, attention to information and preventive behaviors. To test the hypothesized model, we conducted a study during the COVID-19 outbreak in mainland China in March 2020. The survey of 2061 people from 244 cities across 30 provinces showed that physical distance to confirmed cases has a significant influence on citizens' anxiety, which in turn can improve their preventive behaviors through the mediating factor of attention to information. In addition, this research also revealed the twofold effects of vertical collectivism as a personality trait on anxiety. These findings will provide support to help governments take actions to reduce citizens' anxiety and promote preventive behaviors.

Cross the river by feeling the stones: How did nonlocal grassroots nonprofits overcome administrative barriers to provide quick responses to COVID-19?

This field report explores how nonlocal grassroots organizations provided effective and quick responses during the initial stage of the COVID-19 outbreak in Wuhan and surrounding regions. Despite the lack of resources and local connections, they were able to overcome administrative failures and provide quick responses to the crisis. Built on a researcher-practitioner collaborative action research project, three strategies facilitating grassroots organizations' quick and effective responses are analyzed and discussed: putting pandemic relief as the strategic priority of their organizations, leveraging social media platforms to scale up existing organizational networks and foster cross-sector collaboration, and effective online trust-building. As COVID-19 unprecedently pushes nonprofits to transform how they deliver services and engage stakeholders, these findings have important policy and theoretical implications for an expanded view of how nonprofits may engage in disaster responses and how public and private funders may shift their funding strategies to cultivate such capacities of grassroots nonprofits.

Behavioral Implementation and Compliance of Anti-Epidemic Policy in the COVID-19 Crisis

Different countries have introduced different urgent policies to control the spread of the novel coronavirus. The compliance behavior of these anti-epidemic policies has always been an important concern to governments, and its effects need to be tested. In recent years, many scholars have paid attention to the mechanism and intervention of policy compliance behavior, which helps to explain the mechanism of anti-epidemic compliance behavior, and to improve the effectiveness of anti-epidemic policy. Therefore, considering the characters of youth groups in the context of the novel coronavirus, this study takes campus anti-epidemic compliance behavior as the research topic, based on 680 effective samples of college students in China, in order to examine the effectiveness of these policies using an investigation experiment. This study revealed that the 'Nudge' policy instrument was the most effective way to guide individuals' behavior during the coronavirus outbreak, the 'Sermon' instrument was the least recognized, and the 'Whip' instrument (a traditional and classical policy instrument) had its normal effect on individuals' behavior. Additionally, it found that high accessibility in policy implementation results in more significant policy behavior. By taking the effects of different policy behaviors into consideration, governments may produce better and more effective policy implementation and compliance during the anti-epidemic period.

Public Trust and Policy Compliance during the COVID-19 Pandemic: The Role of Professional Trust

Previous research has shown that public trust is vital for promoting policy compliance, particularly in times of crisis. However, the literature supporting this notion remains scarce, especially in countries which have successfully contained a pandemic despite showing a generally low level of public trust in the government. To address this topic, we conducted a cross-sectional study between February and March of 2020 to examine the relationship between public trust and the compliance of the general public in adopting personal protective measures introduced during the early phase of the coronavirus disease 2019 (COVID-19) outbreak in Thailand. We report our result from a hierarchical regression. We find a positive and significant relationship between public trust in the government and the likelihood of respondents adopting these precautions, more importantly, this relationship was fully mediated by the professional trust as the effect of public trust in the government on policy compliance was reduced by 0.118, namely from (β = 0.133, p < 0.001) to (β = 0.015, p > 0.05). Married respondents residing in the capital city, with a higher degree of worry were also more likely to comply with these safety measures. In conclusion, the finding sheds light on the dynamic relationship between public trust and policy compliance and offers some implications in times of a global health crisis.

In the name of COVID-19: legitimizing the exclusion of community participation in Ecuador's health policy

Global shifts toward a disease-oriented, vertical approach to health has involved limiting the right for communities to participate in decision-making. Ecuador's authoritarian legacy has forced civil society and social organizations to adopt 'coping strategies', while large protests recently derived into violent struggles. The country has been severely hit by the COVID-19 pandemic amid corruption scandals involving hospital and food purchases by government during the response. This study critically examines how Ecuador's government took into consideration 'community participation' as a value and tenet of health promotion. Our systematic textual analysis focuses on 53 consecutive resolutions by the National Emergency Operations Committee (EOC) leading the decision-making processes, which, explicitly requires community participation. Results show that the 'lifecycle' of the central government's evolving policy framing centered on law enforcement and the private sector, followed by the social sector. Further, there is no evidence of stakeholders from civil society or organizations taking part in decision-making. Having legitimized the exclusion of community participation in Ecuador's response to the COVID-19 pandemic, it is possible that the government will fail to consider the wider social implications of its impact. In particular, the limits to local governments becoming informed and making decisions without mediation by the National EOC will further impede community participation in health decision-making in the future. This implies that local knowledge and experiences will also not inform health policy.

Policy style, consistency and the effectiveness of the policy mix in China's fight against COVID-19

As the first country stricken by the COVID-19 pandemic, China deployed a policy response that was chaotic at the start but effective in the end. A complete account to explain China's COVID-19 experience should explain both. By examining policy changes in China's fight against the pandemic, I show that pandemic as an exogenous shock invalidated the normal policy logics followed by multiple policy actors, resulting in policy inconsistency and chaos. A policy mix comprised traditional measures, i.e. strict community lockdown, cross-jurisdictional mobilization of resources and officials' sanction contributed to the eventual effectiveness of China's response to the pandemic. I argue that the policy mix during crises should conform with rooted national policy style to be consistent and effective.

Social Policy Responses to the Covid-19 Crisis in China in 2020

The 2020 coronavirus pandemic has catapulted China into a serious social and political crisis. This article focuses upon how Chinese social policy has responded to the Covid-19 crisis. It reveals that the Chinese welfare state has woven a comprehensive social safety net to mitigate the social suffering of Chinese society in the mid- and post-crisis periods. Different types of social policy programs have been combined and synthesized, including social insurance, social assistance, and social welfare arrangements. Facing the challenges of the new risks caused by the pandemic, the collaboration of the Chinese state and intermediary social welfare organizations has played a crucial role in providing both cash benefits and social services (benefits in kind). For the first time, social policy in China has acted as a major player for coping with the negative outcomes of a pandemic. This article concludes that the pandemic-related crisis has justified an interventionist approach and logic, driven by the state’s welfare system, which favors a model of “big government”. However, this model also requires justification and legitimation.