A methodological approach to intra-action reviews - application and adaptation of existing global guidance during the COVID-19 pandemic response in Ireland, 2021

Author:

O’Connor Eoghan1ORCID,O’Riordan Mary2,Morrissey Mary C.3,Dever Niamh21,O’Mahony Cliodhna2,Romanowski Shem2,Boland Máirín42

Affiliation:

1. Specialist Registrar Training Programme, Health Service Executive, Dublin, Ireland

2. National Health Protection Service, Health Service Executive, Dublin, Ireland

3. National Health Intelligence Unit, Research and Evidence, Health Service Executive, Dublin, Ireland

4. Public Health and Primary Care Dept, School of Medicine, Trinity College Dublin, Ireland

Abstract

Many countries were under-prepared for the arrival of an emergency such as the COVID-19 pandemic. An intra-action review allows countries, systems and services to reflect on their preparedness and response to date, and revise their policies and approaches as needed. We describe the approach to undertaking an intra-action review of Ireland’s Health Protection COVID-19 response during 2021. A project team within National Health Protection developed a project plan, identified key stakeholders, trained facilitators and designed workshop programmes, employing integrated collaborative web tools. Multidisciplinary representatives participated in three half-day, independently facilitated workshops on challenges and solutions within specific response areas: communication, governance and cross-cutting themes such as staff well-being. An all-stakeholder survey sought further in-depth detail. Participants reviewed the ongoing pandemic response in terms of good practice and challenges and recommended implementable solutions. We customised our mixed-methods approach using existing ECDC/WHO guidance, producing consensus recommendations during Ireland’s fourth wave of COVID-19, with particular focus on pathways to implementation. Our adaptations may help others in formulating and customising methodological approaches. During an emergency, identifying and reflecting on good practices to retain, and areas for strengthening, with a clear action plan of implementing recommendations, will enhance preparedness now, and for future emergencies.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference28 articles.

1. The necessity for intra-action reviews during the COVID-19 pandemic.;Mayigane;Lancet Glob Health,2020

2. World Health Organization (WHO). Emergency Response Reviews. Geneva: WHO. [Accessed: 2 Dec 2022]. Available from: https://www.who.int/emergencies/operations/emergency-response-reviews

3. West Nile virus in Europe: after action reviews of preparedness and response to the 2018 transmission season in Italy, Slovenia, Serbia and Greece.;Riccardo;Global Health,2020

4. European Centre for Disease Prevention and Control (ECDC). Conducting in-action and after-action reviews of the public health response to COVID-19. Stockholm: ECDC; 4 Jun 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/conducting-action-and-after-action-reviews-public-health-response-covid-19

5. World Health Organization (WHO). Guidance for conducting a country COVID-19 intra-action review (IAR). Geneva: WHO; 23 Jul 2020. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-Country_IAR-2020.1

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