{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:12:37Z","timestamp":1790791957855,"version":"4.1.0"},"reference-count":100,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":43,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN 172676"],"award-info":[{"award-number":["FRN 172676"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The health systems\u2019 response to the COVID-19 pandemic controlled the virus\u2019s spread but exposed fragmented systems and operational challenges globally. Understanding these issues is essential for enhancing health system capabilities and improving future pandemic responses. This study explored the perspectives of health policymakers in Northwest Territories (NWT), Canada, on the challenges to responding to COVID-19 and implementing the necessary public health measures in the jurisdiction. This study utilized a qualitative descriptive design and a community-based participatory research approach. Framework analysis, guided by the World Health Organization\u2019s Health Emergency and Disaster Risk Management framework, was used for data analysis. The Consolidated Criteria for Reporting Qualitative Research were followed. Convenience sampling was used to recruit policymakers working in NWT. Data were collected between June and August 2021 from 65 policymakers using semi-structured interviews. Participants worked in territorial (71.7%), regional (14.3%), and community (14.3%) organizations. Four themes were identified: governance (e.g. unclear roles and responsibilities, policy lag, and limited community consultation), public risk communication (e.g. complexity of information and language barriers), community-level (e.g. community\u2019s distrust of the health system and geographic barriers), and health system challenges (e.g. limited human resource capacity and material resources, absence of robust information systems). To build a resilient health system in NWT for future pandemics, it is essential to define roles and responsibilities, collaborate with healthcare providers and community leaders, develop efficient data infrastructure, and enhance system capacity. Effective communication and fostering trust between the government and communities are important.<\/jats:p>","DOI":"10.1093\/heapro\/daaf159","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T11:50:53Z","timestamp":1758628253000},"source":"Crossref","is-referenced-by-count":3,"title":["Challenges faced by health policymakers responding to COVID-19 in remote communities in Northwest Territories, Canada"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8131-7493","authenticated-orcid":false,"given":"Moutasem","family":"Zakkar","sequence":"first","affiliation":[{"name":"Indigenous and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta , 1-126 Li Ka Shing Centre for Health Research Innovation, 8602 112 Street, Edmonton, Alberta , T6G 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Geriatric Medicine, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta , 1-198 Clinical Sciences Building, 11350 83 Avenue, Edmonton, Alberta , T6G 2B7","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"DeLancey","sequence":"additional","affiliation":[{"name":"Aurora College , Information Bag 9700, 5004 54 Street, Yellowknife, Northwest Territories , X1A 2R6","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Irlbacher-Fox","sequence":"additional","affiliation":[{"name":"Hot\u0131\u00ec ts\u2019eeda Northwest Territories SPOR SUPPORT Unit \u00a0 1000, 4920 52 Street, Yellowknife, Northwest Territories , X1A 3T1","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Corriveau","sequence":"additional","affiliation":[{"name":"Independent Public Health Consultant for Northwest 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