Information sharing, collaboration, and decision-making during disease outbreaks: The experience of Fiji

Document Type

Journal Article

Publication Title

Journal of Decision Systems

Publisher

Taylor & Francis

School

School of Science

RAS ID

39559

Funders

Indo-Pacific Centre for Health Security Department of Foreign Affairs and Trade Australia Bloomberg Philanthropies Vibrant Oceans Initiative

Comments

Nelson, S., Abimbola, S., Jenkins, A., Naivalu, K., & Negin, J. (2022). Information sharing, collaboration, and decision-making during disease outbreaks: The experience of Fiji. Journal of Decision Systems, 31(1-2), 171-188. https://doi.org/10.1080/12460125.2021.1927486

Abstract

With disease outbreaks rising, responsive and resilient systems are needed. Understanding how disease outbreaks are managed, and how governments, non-governmental organisations (NGOs), and international governmental organisations (IGOs) work together to respond is essential. Fifteen key informant interviews and one group interview were conducted with individuals in water and health sectors from the Fijian government, NGOs, and IGOs at the water catchment, divisional, and national levels about decision-making during outbreaks. Thematic analysis found changes in communication, collaboration, and coordination during an outbreak. Communication becomes open, transparent, frequent, and utilises informal pathways including social media. Collaboration increases and becomes more flexible, leading to changes in roles, responsibilities and decision-making. The flexibility helps resource and fund redistribution. Coordination guided by government priorities, funding, laws, adaptability, and flexibility, enables targeted actions including resource prioritisation. Maximising the communication, collaboration, and coordination amongst sectors during disease outbreaks and non-outbreak periods can strengthen system resilience and responsiveness.

DOI

10.1080/12460125.2021.1927486

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