INTRODUCTION
The Covid-19 pandemic took Malaysia by surprise, as it did most other countries. The first wave of cases came about as the country faced a political crisis, which led to a rapid change of government at the federal level in early March 2020 when the Pakatan Harapan administration fell. The newly formed Perikatan Nasional coalition—comprising Parti Pribumi Bersatu Malaysia (Bersatu), Parti Islam Se-Malaysia (PAS) and the United Malays National Organization (UMNO)—took over. It is important to note that the Perikatan Nasional government took over with only a slim majority of 113 parliamentary seats out of 222. In July 2021, UMNO officially withdrew its support from the Perikatan Nasional government, leading to political and policy uncertainty and instability.
Between 2020 and 2022, there was also a second change in the top leadership position, when in August 2021 the Prime Minister was replaced with another member of the same coalition—but from a different party—and the Cabinet was reshuffled significantly. Consequently, Malaysia had three different health ministers in as many years and it was amid high levels of political instability that the pandemic took hold in several increasingly devastating waves.
Following the March 2020 federal government change, four states—Kedah, Perak, Malacca and Johor—also changed government. Then, in September 2020, Sabah held a state election due to political defections from the ruling coalition, leading to a fifth change in state government. Three other state elections took place in 2021 and 2022 (in Malacca, Sarawak and Johor), and although the incumbent coalitions retained power, the Chief Minister of Johor was replaced. Such rapid political changes over a short period of time would be expected to and did disrupt policy coordination at the state level.
The policy coordination required to handle a national health crisis tested the robustness of the institutions and leadership. Indeed, Malaysia needed efficient horizontal and vertical coordination to facilitate effective pandemic management. Instead, changes in the individuals helming federal government agencies crucial to this coordination within health and socio-economic spheres meant interrupted administration.
Although Malaysia is a constitutional federation, law- and policymaking has been historically highly centralized (Hutchinson 2014; Ostwald 2017). During the pandemic and the political crisis between 2020 and 2022, the federal government continued this centralized approach and adopted top-down approaches to managing Covid-19 through federal laws and regulations. In several cases, federal-state relations became fractious when disagreements arose, particularly when the federal government did not conduct meaningful prior consultation with the states.