ANALYZING PANDEMIC POLICIES WITH THE PROCESS MODEL COVID-19 EXPERIENCES AND ROADMAP FOR THE FUTURE

Year 2025, Volume: 10 Issue: 3, 256 - 273, 24.10.2025

Semanur Çelik , Erdal Eke

https://doi.org/10.33457/ijhsrp.1722058

Abstract

As clearly demonstrated by the global outbreak of COVID-19, pandemics require rapid, well-coordinated, and adaptive responses, often necessitating the comprehensive reevaluation of existing policies and the swift introduction of new, evidence-based strategies across different sectors. Among all sectors, healthcare systems were especially strained, requiring immediate adjustments in terms of infrastructure capacity, workforce allocation, technological integration, and crisis management protocols to maintain service delivery and minimize disruption. In light of these complex and dynamic realities, this study seeks to explore the comprehensive effects of pandemic-related policies, with a particular emphasis on the lessons learned and potential frameworks for managing future health emergencies more effectively. Central to the analysis is the application of the “policy process model,” which serves as a theoretical framework to examine the different stages of policy development and execution. The study analyzes each step of this model—namely, problem identification, policy formulation, policy adoption, implementation, and evaluation—by applying them to the context of the COVID-19 response and its multidimensional impacts. Through this structured and analytical approach, the research aims to offer valuable insights for public health officials, policymakers, and institutional leaders. Health policy analysis is a crucial method that offers important insights into the future. This study describes the process encompassing the policies and practices that emerged from Turkey's perspective in combating the COVID-19 pandemic. In this context, it can be stated that Turkey's policy process for the COVID-19 pandemic was managed significantly more successfully due to its previous preparations, and that there are also lessons to be learned for the development of international collaborations in pharmaceuticals, vaccines, and other areas.

Keywords

Policy Analysis , Covid-19 , Process Model , Health Policy

Ethical Statement

This paper is exempt from the Institutional Ethics Committee review since it does not involve human subjects.

References

• World Health Organization, (2023, March 28). Coronavirus disease (Covid-19) [Online]. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-COVID-19
• Clemente-Suárez, V., Navarro-Jiménez, E., Moreno-Luna, L., Saavedra-Serrano, M., Jimenez, M., Simón, J., Tornero-Aguilera, J. “The Impact of the COVID-19 Pandemic on Social, Health, and Economy”, Sustainability, 13(6314), 1-25, 2021.
• Berger, L., Berger, N., Bosetti, V., Gilboa, I., Hansen, L., Jarvis, C., Marinacci, M., Smith, R. “Rational Policymaking During A Pandemic”, PNAS, 118(4), 1-7, 2021.
• Anderson, J., Public Policymaking: An Introduction, Houghton Mifflin, Boston, 2003.
• Birkland, T., An Introduction to the Policy Process: Theories, Concepts, and Model of Public, Armonk: M.E. Sharpe, New York, 2001.
• World Health Organization. (2023, February 12). Supporting national health policies, strategies, plans [Online]. Avaible: https://www.who.int/activities/supporting-national-health-policies-strategies-plans
• Walt, G., Shiffman, J., Schneider, H., Murray, S., Brugha, R., Gilson, L., “Doing health policy analysis: methodologicaland conceptual reflections and challenges”, Health Policy and Planning, 23(5), 308-317, 2008.
• Cansever, İ., “Health policy analysis: concepts, methods, and techniques”, Journal of Public Administration and Policy, 3(3), 69-92, 2022.
• Walt, G., & Gilson, L., “Reforming the health sector in developing countries: the central role of policy analysis”, Health Policy And Planing, 9(4), 353-370, 1994.
• Kingdon, J., Agendas, Alternatives, and Public Policies, HarperCollins College Publishers, London, 1995.
• Buse, K., Mays, N., & Walt, G., Making Health Policy, Open University, New York, 2005.
• Reich, M., & Campos, P., A Guide to Applied Political Analysis for Health Reform, Harvard T.H. Chan School of Public Health, Boston, 2020.
• Sabatier, P., The Theories Of The Policy Process, Westview Press, New York, 2007.
• Ministry of Health of the Republic of Turkey, (2020, July 2). Pandemic [Online]. Available: https://covid19.saglik.gov.tr/TR-66494/pandemi.html
• Kayıkçı, S., “Analysis of influenza pandemic policy in Turkey: The Case of Covid-19,” Pamukkale University Journal of Social Sciences Institute, (43), 333-345, 2021.
• Our World In Data, (2025, May 11). Explore the global data on confirmed Covid-19 cases [Online]. Available: https://ourworldindata.org/covid-cases#article-citation
• World Health Organization, (2025, May 11). World health organization data [Online]. Available: https://data.who.int/
• Hill, M., The Public Policy Process, Pearson Longman, London, 2005.
• World Health Organization, (2023, December 15). Coronavirus disease 2019 (Covid-19) situation report [Online]. Available: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200312-sitrep-52-covid-19.pdf?sfvrsn=e2bfc9c0_4
• Ministry of Health of the Republic of Turkey, (2023, December 16). National pandemic influenza preparedness plan [Online]. Available: https://grip.saglik.gov.tr/depo/saglik-calisanlari/ulusal_pandemi_plani.pdf
• Turan, A., & Hamza Çelikyay, H., “Fighting Covid-19 in Turkey: policies and actors”, International Academy of Management Journal, 3(1), 1-25, 2020.
• Yener, D., (2020, March 24). Turkey's coronavirus response policy is guided by the ‘scientific advisory board’ [Online]. Available: https://www.aa.com.tr/tr/koronavirus/turkiyenin-koronavirusle-mucadele-politikasina-bilim-kurulu-yon-veriyor/1777215
• World Health Organization, Turkey's response to Covid-19 first impression, WHO Regional Office for Europe, Copenhagen, 2020.
• Demir, F., “The theoretical framework of public policy and policy analysis studies”, Dumlupınar University Journal of Social Sciences, (30), 107-120, 2011.
• Sidney, M., Policy Formulation: Design and Tools, in: Handbook Of Public Policy Analysis: Theory, Politics And Methods (Ed. F. Fishcher, G. Miller, & M. Sidney), CRC Press, London, pp. 79-89, 2007.
• Gedikkaya, F., “A window of opportunity for governance: the process of combating the covid 19 pandemic”, KMÜ Journal of Social and Economic Research, 24(43), 745-761, 2022.
• CEPI, (2024, May 30). CEPI and Gavi extend partnership to target future disease outbreaks [Online]. Available: https://cepi.net/cepi-and-gavi-extend-partnership-target-future-disease-outbreaks
• GAVI, (2023, December 31), About COVAX [Online]. Available: https://www.gavi.org/covax/ about
• IMF, (2024, December 11), Policy Responses to Covid-19 [Online]. Available: https://www.imf.org/en/Topics/imf-and-covid19/Policy-Responses-to-COVID-19
• Presidency of Religious Affairs of the Republic of Turkey, (2020, March 15), Statement from the Presidency of Religious Affairs regarding measures taken against the coronavirus, [Online]. Available: https://www.diyanet.gov.tr/tr-TR/Kurumsal/Detay/29397/diyanet-isleri-baskanligindan-koronaviruse-karsi-alinan-tedbirlerle-ilgili-aciklama
• Ministry of Interior of the Republic of Turkey, (2020, March 16), Coronavirus measures, [Online]. Available: http://www.antalya.gov.tr/icisleri-bakanligi---coronavirus-tedbirleri
• Ministry of Health of the Republic of Turkey, (2020, March 19), Regarding health facility inspections [Online]. Available: https://dosyamerkez.saglik.gov.tr/Eklenti/36989/0/saglik-tesislerinin-denetimipdf.pdf
• Ministry of Health of the Republic of Turkey, (2020, March 20), Pandemic hospitals, [Online]. Available: https://dosyamerkez.saglik.gov.tr/Eklenti/36907/0/pandemi-hastaneleripdf.pdf
• Ministry of Interior of the Republic of Turkey, (2020, March 21), Our ministry sent an additional circular on coronavirus precautions to the governors of 81 provinces, [Online]. Available: https://www.icisleri.gov.tr/bakanligimiz-81-il-valiligine-koronavirus-tedbirleri-konulu-ek-bir-genelge-daha-gonderdi
• Ministry of Interior of the Republic of Turkey, (2020, March 21), Circular on the curfew for people aged 65 and over and those with chronic illnesses, [Online]. Available: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi
• Ministry of Interior of the Republic of Turkey, (2020, March 21), Additional circular regarding restaurants within the scope of the fight against the coronavirus pandemic, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-salgini-ile-mucadele-kapsaminda-lokantalarla-ilgili-ek-genelge
• Karadağ, K., (2020, March 23), Health Minister Koca announced that seven more people have died from the coronavirus, [Online]. Available: https://www.aa.com.tr/tr/koronavirus/saglik-bakani-koca-koronavirusten-7-kisinin-daha-hayatini-kaybettigini-acikladi/1776704
• Wikipedia, (2020, April 10), Life Fits in a Home, [Online]. Available: https://tr.wikipedia.org/wiki/Hayat_Eve_S%C4%B1%C4%9Far
• Ministry of Interior of the Republic of Turkey, (2020, March 24), Additional Circular Regarding Markets in the Context of Combating the Coronavirus Pandemic, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-salgini-ile-mucadele-kapsaminda-marketlerle-ilgili-ek-genelge
• Ministry of Interior of the Republic of Turkey, (2020, March 26), Additional Circular Regarding Meetings Within the Scope of the Fight Against the Coronavirus Pandemic, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-salgini-ile-mucadele-kapsaminda-toplantilarla-ilgili-ek-genelge
• Ministry of Interior of the Republic of Turkey, (2020, March 27), Additional Circular Regarding Markets/Sales Locations Within the Scope of the Fight Against the Coronavirus Pandemic, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-salgini-ile-mucadele-kapsaminda-pazar-satis-yerleri-ile-ilgili-ek-genelge
• Ministry of Interior of the Republic of Turkey, (2020, March 27), Additional Circular Regarding Parks, Recreation Areas, and Picnic Areas Within the Scope of the Fight Against the Coronavirus Pandemic, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-salgini-ile-mucadele-kapsaminda-park-mesire-piknik-yerleri-ile-ilgili-ek-genelge
• Ministry of Interior of the Republic of Turkey, (2020, March 28), Circular to 81 Provincial Governors on Coronavirus Measures Regarding Airplane/Bus Travel, [Online]. Available: https://www.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-kapsaminda-ucakotobus-seferleri-genelgesi
• Ministry of Interior of the Republic of Turkey, (2020, March 29), Circular Regarding Commercial Taxis Within the Scope of Coronavirus Measures, [Online]. Available: https://www.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-kapsaminda-ticari-taksilerle-ilgili-genelge
• Presidency of the Republic of Turkey, (2020, March 30), Turkey is one of the countries closest to overcoming the spread of this disease compared to Europe and America, [Online]. Available: https://www.tccb.gov.tr/haberler/410/118079/-turkiye-avrupa-ve-amerika-ya-kiyasla-bu-hastaligin-yayilmasinin-ustesinden-gelmeye-en-yakin-ulkelerden-biridir-
• Wikipedia Contributors, (2023, December 14), COVID-19 Vaccination in Turkey, [Online]. Available: https://tr.wikipedia.org/wiki/T%C3%BCrkiye%27de_COVID-19_a%C5%9F%C4%B1lamas%C4%B1
• Ministry of Interior of the Republic of Turkey, (2021, March 3), Controlled Normalization Process in the Fight Against Coronavirus, [Online]. Available: https://www.icisleri.gov.tr/koronavirus-ile-mucadelede-kontrollu-normallesme-sureci
• Ministry of Family, Labor, and Social Services of the Republic of Turkey, (2021, December 17), COVID-19 Pandemic Management and Action Plan, [Online]. Available: https://www.csgb.gov.tr/media/68340/kiplas-covid-19-pandemisi-yonetimi-ve-eylem-plani-26022021.pdf
• Countrymeters, (2025, May 31), Population of the world and countries, [Online]. Available: https://countrymeters.info/en
• Budak, F., Korkmaz, Ş., “A general assessment of the Covid-19 pandemic process: the case of Turkey”, Journal of Social Research and Management (SAYOD), (1), 62-79, 2020.
• World Health Organization, (2025, May 12), A Scientific Framework For Epidemic And Pandemic Research Preparedness, [Online]. Available: https://cdn.who.int/media/docs/default-source/consultation-rdb/who-report-scientific-approach-pandemic-preparedness.pdf?sfvrsn=1f209cb3_4&utm
• Williams, B., Jones, C., Welch, V., True, J., “Outlook of pandemic preparedness in a post-COVID-19 world”, Nature, 8(178), 1-12, 2023.
• OECD, “Ready for the next crisis? Investing in health system resilience”, OECD Publishing, 2023.
• Shen, Y., Liu, Y., Krafft, T., Wang, Q., “Progress and challenges in infectious disease surveillance and early warning”, Medicine Plus, 2(1), 1-19, 2025.
• Salmon, S., Brinkwirth, S., Loi, G., Basseal, J., “Global outbreak alert and response network deployments during the COVID-19 pandemic, WHO western pacific region”, Western Pac Surveill Response Journal, 15(5), 1-7, 2024.
• World Health Organization, (2025, January 06), WHO Results Report 2024 shows health progress across regions overcoming critical challenges, [Online]. Available: https://www.who.int/news/item/12-05-2025-who-results-report-2024-shows-health-progress-across-regions-overcoming-critical-challenges?utm
• Winkelmann, J., Reichebner, C., Shuftan, N., (2025, January 06), Physical infrastructure, [Online]. Available: https://eurohealthobservatory.who.int/monitors/hsrm/all-updates/hsrm/germany/physical-infrastructure?utm
• OECD, “Securing medical supply chains in a post pandemic world”, OECD Health Policy Studies, 2024.
• OECD, “Dealing with digital security risk during the coronavirus (COVID-19) crisis”, OECD Publishing, 2020.
• World Bank Group, State of Social Protection Report 2025: The 2-Billion-Person Challenge, World Bank Publications, Washington, 2025
• World Health Organization, Global Strategy on Digital Health 2020-2025, World Health Organization, Geneva, 2021
• Ministry of Health of the Republic of Turkey, (2022, February 10), Regulation on the Provision of Remote Health Services, [Online]. Available: https://www.resmigazete.gov.tr/eskiler/2022/02/20220210-2.htm
• UNESCO, COVID-19 and higher education: Today and tomorrow; Impact analysis, policy responses and recommendations, IESALC, 2020.
• World Health Organization, Global Vaccine Action Plan, World Health Organization, Geneva, 2020.
• CDC, (2025, January 06), U.S. centers for disease control and prevention, [Online]. Available: https://www.cdc.gov/covid/vaccines/covid-19-vaccine-effectiveness.html
• Figueiredo, A., Simas, C., Karafillakis, E., Paterson, P., Larson, H., “Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study”, The Lancet, 396(10255), 898-908, 2020.
• Türkoğlu, M., Kantaş Yılmaz, F., “Health Policy Analysis: Health Policies Implemented During the Covid-19 Pandemic in Turkey”, Turkish Journal of Social Policy, 2(1), 11-29, 2021.
• Koç, İ., “Comparative Analysis of Financial Measures and Incentives Implemented During the Covid-19 Pandemic: Comparison of Türkiye and Selected EU Countries”, Journal of Politics, Economics and Management Research, 8(2), 123-152, 2020.
• Tavas, A., “Analysis of Covid-19 Process and Epidemic Management Strategies in Turkey with The R Program”, International Social Mentality and Researcher Thinkers Journal, 7(43), 630-642, 2021.