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As Africa’s internet penetration rates increase, and a significant portion of the continent’s population turns to social media as a source of news, platforms like Facebook are increasingly becoming crucial for political, public health, and risk communication. Thus, it is useful to gain insights into how state authorities are using these platforms to communicate with citizens especially in times of crisis. This study sought to examine how state authorities in Ethiopia, Ghana, Sierra Leone, and Zimbabwe framed public crisis communication on Facebook during the COVID-19 lockdowns in the respective countries. Qualitative content analysis of Facebook posts by the state authorities in the four countries over a six-week period before and after the COVID-19 lockdowns yielded several frames or strategies employed by authorities in the case countries. These included; education, caution, cooperation, government measures, hope, nationalism, and scaremongering. Other frames included impact, militarisation, politicisation, and religion. The analysis establishes, as in several other countries, Facebook as a current and strategic choice in state-spearheaded crisis communication. Whereas the main frames were globally and regionally driven, other frames encapsulated national contexts drawing on national histories, patriotism, hopes and fears that sometimes seemed contradictory and capricious.

This chapter compares the literature on public and private sector collaboration and considers the implications for success in collaborative relationships between the sectors. It highlights key comparative drivers of intent for both types of organization, explores the relationship between them, and proposes a framework for primary investigation based on the relationship between the key areas of competitive positioning and level of risk. A case study analysis of two complex strategic partnership initiatives in Wales,¹ both involving collaboration between local health boards, local authorities, health trusts and other statutory, voluntary and private sector stakeholders is then used to illustrate the complexity of successfully managing relationships in this context.

The response of governments to the health crisis caused by COVID-19 has been different in each country. This chapter analyzes the reaction that the Mexican government had to the health crisis. At first, the context in which the pandemic occurs is described, characterized by high social and political polarization, a process of centralization of authority, a precarious health sector with limited institutional capacities, and government communication characterized by ambiguous and confusing messages. Subsequently, we discuss the tensions and limitations of state autonomy and the coordination mechanisms, such as the National Health Council. We also present the policies portfolio developed and implemented to address the health crisis, like the national healthy distance program, hospital reconversion, and the national vaccination program. Finally, we identify a series of challenges and learnings offered by the Mexican case to improve health crisis management in the future.

Purpose: This chapter describes the main features of the financing of health care expenditure in the French health care system.

Methodology/Approach: This chapter presents key reforms that have been implemented to make the health care system more sustainable in the main dimensions of care: ambulatory, hospital, pharmaceuticals and insurance coverage.

Findings: Overall, French public authorities have followed three paths to improve the sustainability of the health care system: reducing public expenses, generalising access to complementary health insurance and streamlining care toward the most disadvantaged individuals. Looking in the future, the sustainability of the French health care system will mainly rely on two areas of recommendations. The first area is to respect the national annual target for health insurance spending, with a focus on responsible prescriptions, optimised care pathways and increased use of primary and ambulatory care where possible. The second area is to increase efficiency on the short to medium terms. This includes an increased quality of the care toward patients with a disability or special needs, a clearer engagement of patients within their care pathways to increase treatment compliance, and more generally a search for coordinated care that is fair and appropriate.

The 2003 global outbreak of Severe Acute Respiratory Syndrome (SARS) was an abrupt reminder that infectious diseases pose a continuing threat to human health. In 1967, U.S. Surgeon General William H. Stewart declared “it was time to close the book on infectious diseases” (Garrett, 1994, citing W.H. Stewart, “A Mandate for State Action,” presented at the Association of State and Territorial Health Officers, Washington, DC, December 4, 1967). In the latter half of the twentieth century, many shared this bold view that medical science had vanquished infectious disease. As a result, public health struggled to remain relevant in the face of advances in pharmaceuticals, surgery, genetics and other areas that were becoming increasingly dominant in the quest to extend and enhance human life. SARS forced many to rethink the significance of public health and the crisis, though relatively short-lived, (for commentary on the disparities between the responses to HIV and SARS, see e.g. Altman (2003)) underscored the need to rebuild public health capacity that had been allowed to slip down the health system priority list.

This chapter identifies the reasons why widespread and large-scale development of DRT has not emerged in the past 10 years even though previous research and analysis had suggested that conditions existed to facilitate such development.

Drawing on personal experience of operating DRT networks, supplemented by an analysis of the operating environment, operational barriers to implementation are identified.

Research results into the identified inhibiting factors are presented and supplemented by personal experience and interviews with key individuals. A successful integrated approach that has allowed a large DRT network to develop is described.

Recent changes in financial and structural conditions affecting the suitability of DRT in the United Kingdom as a solution to unmet travel needs and as a cost-effective alternative to conventional passenger transport are described. It is suggested that these factors have the potential to overcome barriers to further development. However, remaining obstacles in the field of Telematics are identified which may need further attention.

Introduction of large-scale DRT networks will not only be more cost effective but also offset financially driven service reductions and allow unmet travel needs to be met.

The identification of financial, technical, legal and social obstacles to the widespread implementation of DRT allows barriers to be addressed and removed and the full benefits of DRT to be realised. At a time of financial constraint, this allows more economic and integrated passenger transport solutions to be introduced to benefit both end users and service commissioners.