Local municipalities experiences in managing the covid19 pandemic in Israel – a qualitative study

Abstract

Abstract Background Local municipalities have played a central role in the management of the COVID19 pandemic and the mitigation of its grave health, economic and social consequences. In Israel, 57 local municipalities (out of 257) are part of the Healthy Cities Network (HCN). HCN Municipalities have a strong commitment to health promotion and reducing health inequalities. This study explores Israeli local municipalities' management of the pandemic and assesses whether belonging to the HCN impacted this management. Methods Fourteen municipalities were chosen - seven HCN municipalities, matched to seven non-HCN municipalities. Matching was based on geographical location, socio-economic status, size and ethnicity. In each municipality semi-structured telephone interviews were conducted with the Mayor or CEO, Head of the Welfare Department, and the person responsible for health (in HCN municipalities this would be the HCN coordinator). Interviews were transcribed and coded using inductive thematic coding. Results (preliminary) Themes that emerged from all municipalities included: a) difference in the management during the first lockdown compared to following lockdowns and pandemic ‘routine'; b) difficulties with data management within the municipality; c) need for a central governmental contact; d) desire for more independence and control at the local level; e) distinct regional characteristics impact pandemic management. The Healthy Cities coordinator played a key role in some municipalities, but not in others. Conclusions Local municipalities in Israel had an essential role in the pandemic response, adapting their actions as the pandemic and governmental measures unfolded. Challenges and responses were similar across municipalities, regardless of their HCN status. However, in some municipalities, the role of the HCN coordinator was crucial for the pandemic response. Key messages Challenges and responses were similar across municipalities, regardless of their HCN status. In some municipalities, the role of the HCN coordinator was crucial for the pandemic response.