Photo by Jannes Van den wouwer on Unsplash
Photo by Jannes Van den wouwer on Unsplash

How governments lost the trust of their people during COVID-19

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Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Observational study: A study in which the subject is observed to see if there is a relationship between two or more things (eg: the consumption of diet drinks and obesity). Observational studies cannot prove that one thing causes another, only that they are linked.

People: This is a study based on research using people.

European governments lost the trust of their people as a result of their approaches to the first and second waves of COVID-19, according to international experts. The researchers analysed the different COVID-19 management strategies of Sweden, Germany and the UK, how involved experts were in decision making, and how tolerant each country was of debate around strategies. They then used survey data to compare this with the level of trust the public had in their government through the pandemic. The researchers say the UK's willingness to change and adapt strategies based on expert advice led to mixed messages, Germany's tolerance of public debate worked well initially but eventually overwhelmed the public, and Sweden's strategy of shutting down debate originally helped maintain trust but could have poor long term impacts.

Journal/conference: BMJ Global Health

Link to research (DOI): 10.1136/bmjgh-2021-006691

Organisation/s: Karolinska Institutet, Sweden

Funder: Parts of the salary of the first author is covered by a starting grant provided by the Swedish Research Council (grant number 2019-01906).

Media release

From: The BMJ

European governments struggled to manage pandemic well, finds 3-country study

Lack of transparency around policy and mixed messaging have fuelled public distrust

European governments have struggled to manage the pandemic well and maintain public trust, finds an analysis of the handling of the COVID-19 crisis by Germany, Sweden, and the UK, published in the open access journal BMJ Global Health.

A lack of transparency around policy decisions, mixed messaging, and increased questioning of government legitimacy and technical capacity fuelled public distrust, conclude the researchers.

The governments of Germany, Sweden and the UK all took different approaches to the handling of the first and second waves of the pandemic in 2020. And the researchers wanted to know which, if any, of these nations’ strategies worked well, with a view to informing future preparedness for similar crises.

They focused on differences in government structures, the role of academics/scientists, and communication with the public--particularly amid scientific uncertainty--between all three countries in 2020, in line with a previously published (Blanchet) resilience framework.

The researchers mapped the legitimacy of governance and decision-making; interdependence between the community and other actors, including scientists and the media; official messaging; and the capacity to deal with uncertainty.

They analysed the policies of each country in relation to these elements, drawing on information from government, public health agencies, and mass media websites as well as published research.

All three countries detected their first cases of SARS-CoV-2, the virus responsible for COVID-19 infection, in January 2020, triggering their first responses, but they only started to act more decisively when community transmission became apparent in early March.

The analysis revealed stark differences in responses to waves 1 and 2 of the pandemic, which were linked to pre-existing governing structures, the traditional role of academia, experience of crisis management and the communication of uncertainty—all of which influenced how much people trusted their government.

Germany allowed broad academic involvement and societal debate, but unlike the UK, didn’t have population-based data on which to base its decisions. The media were willing and able to reflect the evolving science and the difficulties of translating science into policy, however.

But uncertainty and the lack of evidence on how best to manage the COVID-19 pandemic—the main feature during the first wave—were only communicated explicitly in Germany, note the researchers.

Although this made it substantially easier to adapt messages over time, it overwhelmed the nation in the second wave, and the government was heavily criticised as a result.

In Sweden the communication of uncertainty was perceived as inappropriate on the grounds that it could stoke fear; different views weren’t given voice and scientists and academics were largely excluded: the government instead delegated the handling of the pandemic to its Public Health Agency.

The loss of public trust was less in Sweden than in the UK or Germany, but this approach might have hampered more critical debate, and it remains to be seen what impact the quasi-abdication of government responsibility will have in the long term, say the researchers.

In the UK, academics and scientists had a key role in generating information and in forcing the government to review its strategies. But this meant the public was then subjected to confusing and rapidly changing public health messaging.

All three country governments lost the trust of their people. The YouGov COVID-19 tracker revealed that people had more confidence in their governments during the first wave than in the second, with the steepest fall in confidence registered in the UK, tied to the lack of transparency in the government’s decision making process.

“Our hypothesis generating analysis suggests that crisis preparedness and resilience framing will need to encompass those governance structures beyond health that enable (i) strong and legitimate leadership, facilitating decentralised action; and (ii) trusted links to science and advisory bodies.

“A media structure which is prepared to communicate science and facilitate debate seems to support resilience” the researchers conclude, adding: “Cross-country learning should trump nationalism.”

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