Pub Date : 2024-01-19DOI: 10.1016/j.puhip.2024.100470
Zada Pajalic , Sofia Elisabeth G. Olsen , Annabel Hamre , Benedicte Sørensen Strøm , Celine Clausen , Diana Saplacan , Gunilla Kulla
Objectives
This paper aims to map home-living older adults' subjective perceptions, evaluations, and interpretations of various welfare technologies.
Study design
Systematic literature review.
Methods
The study was designed as a systematic literature review of qualitative studies. This systematic literature review was carried out according to the PRISMA statement and was prospectively registered in PROSPERO registration number CRD42020190206. The international electronic bibliographic databases included AMED, Academic, CINAHL, Cochrane Reviews, EMBASE, Google Scholar, MEDLINE via PubMed, Scopus, and Web of Science. The scientific evidence was synthesized using qualitative analysis. All aspects of the study method followed COREQ guidelines.
Results
Following a detailed systematic search and screening of 1405 studies, 10 were included in the systematic review. The study shows that implementing Welfare Technology seems to prolong older adults' independent living in their own homes and was perceived as a complement to face-to-face contact with health care providers.
Conclusions
This study indicated that older adults consider accepting Welfare Technology as it contributes to a sense of security and empowerment in their everyday lives.
研究设计系统性文献综述方法本研究设计为定性研究的系统性文献综述。本系统性文献综述根据 PRISMA 声明进行，并在 PROSPERO 注册号 CRD42020190206 中进行了前瞻性注册。国际电子文献数据库包括 AMED、Academic、CINAHL、Cochrane Reviews、EMBASE、Google Scholar、MEDLINE via PubMed、Scopus 和 Web of Science。通过定性分析对科学证据进行了综合。研究方法的所有方面都遵循了 COREQ 指南。结果在对 1405 项研究进行详细的系统搜索和筛选后，有 10 项研究被纳入系统综述。研究表明，实施福利技术似乎可以延长老年人在自己家中独立生活的时间，并被视为与医疗服务提供者面对面接触的补充。结论这项研究表明，老年人考虑接受福利技术，因为它有助于在日常生活中增强安全感和能力。
{"title":"Home living older adults' subjective perceptions, evaluation, and interpretations of various welfare technology: A systematic review of qualitative studies","authors":"Zada Pajalic , Sofia Elisabeth G. Olsen , Annabel Hamre , Benedicte Sørensen Strøm , Celine Clausen , Diana Saplacan , Gunilla Kulla","doi":"10.1016/j.puhip.2024.100470","DOIUrl":"10.1016/j.puhip.2024.100470","url":null,"abstract":"<div><h3>Objectives</h3><p>This paper aims to map home-living older adults' subjective perceptions, evaluations, and interpretations of various welfare technologies.</p></div><div><h3>Study design</h3><p>Systematic literature review.</p></div><div><h3>Methods</h3><p>The study was designed as a systematic literature review of qualitative studies. This systematic literature review was carried out according to the PRISMA statement and was prospectively registered in PROSPERO registration number CRD42020190206. The international electronic bibliographic databases included AMED, Academic, CINAHL, Cochrane Reviews, EMBASE, Google Scholar, MEDLINE via PubMed, Scopus, and Web of Science. The scientific evidence was synthesized using qualitative analysis. All aspects of the study method followed COREQ guidelines.</p></div><div><h3>Results</h3><p>Following a detailed systematic search and screening of 1405 studies, 10 were included in the systematic review. The study shows that implementing Welfare Technology seems to prolong older adults' independent living in their own homes and was perceived as a complement to face-to-face contact with health care providers.</p></div><div><h3>Conclusions</h3><p>This study indicated that older adults consider accepting Welfare Technology as it contributes to a sense of security and empowerment in their everyday lives.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100470"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000077/pdfft?md5=2be7a930beb33f135837d6ba73ce655c&pid=1-s2.0-S2666535224000077-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-17DOI: 10.1016/j.puhip.2024.100467
Shannon E. MacDonald , Laura Reifferscheid , Yuba Raj Paudel , Joan Robinson
Objectives
In Alberta, Canada, the COVID-19 vaccination program for children aged 5–11 years was launched on November 26, 2021. Our objectives were to determine the cumulative vaccine coverage, stratified by age, during the first thirteen months of vaccine availability, and investigate factors associated with vaccine uptake.
Study design
This retrospective cohort study used population-based administrative health data.
Methods
We determined cumulative vaccine coverage among 5–11 year olds, stratified by year of age, during the first thirteen months of vaccine availability and used a modified Poisson regression to evaluate factors associated with vaccine uptake.
Results
Of 377,103 eligible children, 44.8 % (n = 168,761) received one or more doses of COVID-19 vaccine during the study period (9.7 % received only one dose, while 35.1 % received 2 doses). Almost 90 % of initial doses were received within the first two months of vaccine availability. We found a step-wise relationship between increasing child age and higher vaccine coverage.
Conclusions
Plateaued vaccine uptake indicates a need to adapt programmatic efforts to encourage parents to act on positive vaccination intentions, and reach the large contingent of parents who have reported that they remain undecided. In order to promote vaccine uptake, messaging around vaccine safety and need should be tailored to child age, rather than uniformly applied across the 5–11 year age range.
{"title":"Patterns in COVID-19 vaccination among children aged 5–11 years in Alberta, Canada: Lessons for future vaccination campaigns","authors":"Shannon E. MacDonald , Laura Reifferscheid , Yuba Raj Paudel , Joan Robinson","doi":"10.1016/j.puhip.2024.100467","DOIUrl":"https://doi.org/10.1016/j.puhip.2024.100467","url":null,"abstract":"<div><h3>Objectives</h3><p>In Alberta, Canada, the COVID-19 vaccination program for children aged 5–11 years was launched on November 26, 2021. Our objectives were to determine the cumulative vaccine coverage, stratified by age, during the first thirteen months of vaccine availability, and investigate factors associated with vaccine uptake.</p></div><div><h3>Study design</h3><p>This retrospective cohort study used population-based administrative health data.</p></div><div><h3>Methods</h3><p>We determined cumulative vaccine coverage among 5–11 year olds, stratified by year of age, during the first thirteen months of vaccine availability and used a modified Poisson regression to evaluate factors associated with vaccine uptake.</p></div><div><h3>Results</h3><p>Of 377,103 eligible children, 44.8 % (n = 168,761) received one or more doses of COVID-19 vaccine during the study period (9.7 % received only one dose, while 35.1 % received 2 doses). Almost 90 % of initial doses were received within the first two months of vaccine availability. We found a step-wise relationship between increasing child age and higher vaccine coverage.</p></div><div><h3>Conclusions</h3><p>Plateaued vaccine uptake indicates a need to adapt programmatic efforts to encourage parents to act on positive vaccination intentions, and reach the large contingent of parents who have reported that they remain undecided. In order to promote vaccine uptake, messaging around vaccine safety and need should be tailored to child age, rather than uniformly applied across the 5–11 year age range.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100467"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000041/pdfft?md5=2c7ff6992ef10109abeee4f254d2f67f&pid=1-s2.0-S2666535224000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139549562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.1016/j.puhip.2024.100464
Anastasia Fadeeva , Marco Tomietto , Ajay Tiwari , Emily Mann , Giuseppe Serra , Matthew D. Kiernan
Objective
To construct an indicator for assessing the complexity of UK veterans’ needs.
Study design
Cross-sectional, secondary analysis.
Methods
The study applied principal component (PCA) analysis as the method to determine the weights of different needs based on their interactions with each other, the effectiveness of the model was evaluated using bootstrapping. The dataset on UK veterans’ support provided by the “Soldiers, Sailors, Airmen and Families Associations” (SSAFA) (N = 35,208) was considered. The grant applications for different categories of support were used as indicators of different needs. The dimensions of breadth (number of different needs) and depth (number of grant applications to address the need) were incorporated in the assessment of complexity.
Results
The complex needs indicator for the current sample was validated. The majority of cases had a complexity score of 1 or less.
Conclusions
The research suggested and tested an assessment method for the complexity of veterans’ needs, that may be positively associated with higher risk of adverse health outcomes. This indicator can be used by decision-makers for risk stratification of the veteran population, thus supporting the allocation of resources in a more effective way.
{"title":"Validation of a complex needs indicator for veterans in the UK using a composite indicators’ method","authors":"Anastasia Fadeeva , Marco Tomietto , Ajay Tiwari , Emily Mann , Giuseppe Serra , Matthew D. Kiernan","doi":"10.1016/j.puhip.2024.100464","DOIUrl":"10.1016/j.puhip.2024.100464","url":null,"abstract":"<div><h3>Objective</h3><p>To construct an indicator for assessing the complexity of UK veterans’ needs.</p></div><div><h3>Study design</h3><p>Cross-sectional, secondary analysis.</p></div><div><h3>Methods</h3><p>The study applied principal component (PCA) analysis as the method to determine the weights of different needs based on their interactions with each other, the effectiveness of the model was evaluated using bootstrapping. The dataset on UK veterans’ support provided by the “Soldiers, Sailors, Airmen and Families Associations” (SSAFA) (N = 35,208) was considered. The grant applications for different categories of support were used as indicators of different needs. The dimensions of breadth (number of different needs) and depth (number of grant applications to address the need) were incorporated in the assessment of complexity.</p></div><div><h3>Results</h3><p>The complex needs indicator for the current sample was validated. The majority of cases had a complexity score of 1 or less.</p></div><div><h3>Conclusions</h3><p>The research suggested and tested an assessment method for the complexity of veterans’ needs, that may be positively associated with higher risk of adverse health outcomes. This indicator can be used by decision-makers for risk stratification of the veteran population, thus supporting the allocation of resources in a more effective way.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000016/pdfft?md5=7464880844de8706e43fc04edfd13e5b&pid=1-s2.0-S2666535224000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139391838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-27DOI: 10.1016/j.puhip.2023.100462
Robyn Allan , Lucy McCann , Lucy Johnson , Maya Dyson , John Ford
Background
An unequal distribution of the social determinants of health drives health inequalities. Existing training fails to communicate the impossible circumstances that disadvantaged groups face. Game-based learning is increasingly used as an innovative method with the potential to enhance health staff's ability to address health inequalities, but its effectiveness is unknown. Therefore, the aim of this systematic review was to evaluate the effectiveness of ‘equity-focused’ game-based learning in training health staff.
Study design
Systematic Review.
Methods
Three databases (Ovid Medline, Embase, Web of Science) and a citation search were systematically searched for articles from January 2010 to July 2023, reporting on effectiveness of ‘equity-focused’ game-based learning. Titles and abstracts were screened using eligibility criteria to identify relevant studies. Data was extracted and the ROBINS-I tool was used to assess quality.
Results
The search identified 7615 articles, of which thirteen were included involving 2412 healthcare workers. A variety of game-based learning tools were found to have an overall positive effect on motivation, knowledge, attitudes, and engagement of health staff. However, the significance of the results varied depending on specific game context. All included studies were judged to have serious to critical risk of bias.
Conclusions
Game-based learning has the potential to improve the effectiveness of ‘equity-focused’ training for health staff. Educators and researchers should further collaborate to expand the tools available and evaluate their effectiveness on long-term clinical practice.
{"title":"A systematic review of ‘equity-focused’ game-based learning in the teaching of health staff","authors":"Robyn Allan , Lucy McCann , Lucy Johnson , Maya Dyson , John Ford","doi":"10.1016/j.puhip.2023.100462","DOIUrl":"https://doi.org/10.1016/j.puhip.2023.100462","url":null,"abstract":"<div><h3>Background</h3><p>An unequal distribution of the social determinants of health drives health inequalities. Existing training fails to communicate the impossible circumstances that disadvantaged groups face. Game-based learning is increasingly used as an innovative method with the potential to enhance health staff's ability to address health inequalities, but its effectiveness is unknown. Therefore, the aim of this systematic review was to evaluate the effectiveness of ‘equity-focused’ game-based learning in training health staff.</p></div><div><h3>Study design</h3><p>Systematic Review.</p></div><div><h3>Methods</h3><p>Three databases (Ovid Medline, Embase, Web of Science) and a citation search were systematically searched for articles from January 2010 to July 2023, reporting on effectiveness of ‘equity-focused’ game-based learning. Titles and abstracts were screened using eligibility criteria to identify relevant studies. Data was extracted and the ROBINS-I tool was used to assess quality.</p></div><div><h3>Results</h3><p>The search identified 7615 articles, of which thirteen were included involving 2412 healthcare workers. A variety of game-based learning tools were found to have an overall positive effect on motivation, knowledge, attitudes, and engagement of health staff. However, the significance of the results varied depending on specific game context. All included studies were judged to have serious to critical risk of bias.</p></div><div><h3>Conclusions</h3><p>Game-based learning has the potential to improve the effectiveness of ‘equity-focused’ training for health staff. Educators and researchers should further collaborate to expand the tools available and evaluate their effectiveness on long-term clinical practice.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001088/pdfft?md5=2e7bd70e36dd3d6da537c4342146596c&pid=1-s2.0-S2666535223001088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139399160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-27DOI: 10.1016/j.puhip.2023.100461
Anne Harvet, Matthew Hobbs
{"title":"Beyond the 2023 FIFA Women's World Cup Australia - New Zealand: Public health advocacy and the absence of health-conscious sport sponsorship","authors":"Anne Harvet, Matthew Hobbs","doi":"10.1016/j.puhip.2023.100461","DOIUrl":"https://doi.org/10.1016/j.puhip.2023.100461","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001076/pdfft?md5=7665a81ce49f25ff7f85def41c5fafef&pid=1-s2.0-S2666535223001076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139406068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-27DOI: 10.1016/j.puhip.2023.100463
Mohammed A. Issah, Roger A. Atinga, Anita A. Baku
Objective
This study aimed to comparatively examine how public and private hospitals adhered to the COVID-19 safety protocols, and the factors associated with, and barriers to adherence in Ghana.
Study design
A case study design drawing on quantitative and qualitative methods to determine adherence to, and barrier of adherence to the COVID-19 protocols.
Method
A sample of 283 staff participated in the quantitative study, while in-depth interviews were conducted among management staff across the public and private hospitals. Data were analyzed using descriptive statistics, independent t-test to compare differences in adherence and logistic regression model to identify the factors associated with adherence to the COVID-19 protocols.
Results
The regression results showed that adherence to the COVID-19 protocols in public and private hospitals were significantly associated with staff training on adherence in public (OR = 2.08; p < 0.01) and private (OR = 1.44; p < 0.05), and knowledge on adherence in public (OR = 3.12; p < 0.01) and private (OR = 11.45; p < 0.01) hospitals. Adherence to the protocol varied significantly between public and private hospitals (0.001 > p < 0.05), with an effect size ranging from small to large. Clients’ behavioural factors and poor stocking of PPEs due to financial challenges were reported as barriers to adherence in both hospital types.
Conclusion
Adherence to the COVID-19 protocols was more pronounced in public hospitals than private hospitals suggesting the need for interventions targeting the latter to promote client and staff safety.
本研究旨在比较研究加纳公立医院和私立医院如何遵守 COVID-19 安全协议，以及遵守协议的相关因素和障碍。研究设计采用案例研究设计，利用定量和定性方法确定遵守 COVID-19 协议的情况和障碍。研究采用描述性统计和独立 t 检验对数据进行分析，以比较遵守情况的差异，并采用逻辑回归模型确定与遵守 COVID-19 协议相关的因素。结果回归结果显示，公立医院和私立医院对COVID-19方案的依从性与公立医院（OR = 2.08; p <0.01）和私立医院（OR = 1.44; p <0.05）的员工依从性培训以及公立医院（OR = 3.12; p <0.01）和私立医院（OR = 11.45; p <0.01）的员工依从性知识显著相关。公立医院和私立医院对方案的依从性差异显著（0.001 > p <0.05），效应大小从大到小不等。结论：公立医院对 COVID-19 协议的遵守情况比私立医院更明显，这表明有必要针对私立医院采取干预措施，以促进客户和员工的安全。
{"title":"Adherence to COVID-19 protocols: A comparative study of public and private hospitals in Ghana","authors":"Mohammed A. Issah, Roger A. Atinga, Anita A. Baku","doi":"10.1016/j.puhip.2023.100463","DOIUrl":"https://doi.org/10.1016/j.puhip.2023.100463","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to comparatively examine how public and private hospitals adhered to the COVID-19 safety protocols, and the factors associated with, and barriers to adherence in Ghana.</p></div><div><h3>Study design</h3><p>A case study design drawing on quantitative and qualitative methods to determine adherence to, and barrier of adherence to the COVID-19 protocols.</p></div><div><h3>Method</h3><p>A sample of 283 staff participated in the quantitative study, while in-depth interviews were conducted among management staff across the public and private hospitals. Data were analyzed using descriptive statistics, independent <em>t</em>-test to compare differences in adherence and logistic regression model to identify the factors associated with adherence to the COVID-19 protocols.</p></div><div><h3>Results</h3><p>The regression results showed that adherence to the COVID-19 protocols in public and private hospitals were significantly associated with staff training on adherence in public (OR = 2.08; p < 0.01) and private (OR = 1.44; p < 0.05), and knowledge on adherence in public (OR = 3.12; p < 0.01) and private (OR = 11.45; p < 0.01) hospitals. Adherence to the protocol varied significantly between public and private hospitals (0.001 > p < 0.05), with an effect size ranging from small to large. Clients’ behavioural factors and poor stocking of PPEs due to financial challenges were reported as barriers to adherence in both hospital types.</p></div><div><h3>Conclusion</h3><p>Adherence to the COVID-19 protocols was more pronounced in public hospitals than private hospitals suggesting the need for interventions targeting the latter to promote client and staff safety.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266653522300109X/pdfft?md5=e80555704224e346a3b6f69758f3c23e&pid=1-s2.0-S266653522300109X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139111531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vaccination against SARS-CoV-2 has been deployed in France since January 2021. Without specific action for different population subgroups, the inverse equity hypothesis postulates that people in the most deprived neighbourhoods will be the last to benefit. The article aims to study whether the inverse care law has been verified in the context of vaccination against SARS-CoV-2 from a vaccination centre of a hospital in the Paris region.
Methods
We performed a spatial analysis using primary data from the vaccination centre of the Avicenne Hospital in Bobigny from January 8th to September 30th, 2021. Primary data variables include the vaccinated person's date, age, and postal address. Secondary data calculates access times between residential neighbourhoods and the vaccination centre and social deprivation index. We performed flow analysis, k-means aggregation, and mapping.
Results
32,712 people were vaccinated at the study centre. Vaccination flow to the hospital shows that people living in the most disadvantaged areas were the last to be vaccinated. The number of people immunized according to the level of social deprivation then scales out with slightly more access to the vaccination centre for the most advantaged. The furthest have travelled more than 100 km, and more than 1h45 of transport time to get to this vaccination centre.
Conclusion
The study confirms the inverse equity hypothesis and shows that vaccination preparedness strategies must consider equity issues. Public health interventions should be implemented according to proportionate universalism and use community health, health mediation, and outreach activities for more equity.
{"title":"COVID-19 vaccination at a hospital in Paris: Spatial analyses and inverse equity hypothesis","authors":"Valéry Ridde , Gaëlle André , Olivier Bouchaud , Emmanuel Bonnet","doi":"10.1016/j.puhip.2023.100459","DOIUrl":"https://doi.org/10.1016/j.puhip.2023.100459","url":null,"abstract":"<div><h3>Background</h3><p>Vaccination against SARS-CoV-2 has been deployed in France since January 2021. Without specific action for different population subgroups, the inverse equity hypothesis postulates that people in the most deprived neighbourhoods will be the last to benefit. The article aims to study whether the inverse care law has been verified in the context of vaccination against SARS-CoV-2 from a vaccination centre of a hospital in the Paris region.</p></div><div><h3>Methods</h3><p>We performed a spatial analysis using primary data from the vaccination centre of the Avicenne Hospital in Bobigny from January 8th to September 30<sup>th</sup>, 2021. Primary data variables include the vaccinated person's date, age, and postal address. Secondary data calculates access times between residential neighbourhoods and the vaccination centre and social deprivation index. We performed flow analysis, k-means aggregation, and mapping.</p></div><div><h3>Results</h3><p>32,712 people were vaccinated at the study centre. Vaccination flow to the hospital shows that people living in the most disadvantaged areas were the last to be vaccinated. The number of people immunized according to the level of social deprivation then scales out with slightly more access to the vaccination centre for the most advantaged. The furthest have travelled more than 100 km, and more than 1h45 of transport time to get to this vaccination centre.</p></div><div><h3>Conclusion</h3><p>The study confirms the inverse equity hypothesis and shows that vaccination preparedness strategies must consider equity issues. Public health interventions should be implemented according to proportionate universalism and use community health, health mediation, and outreach activities for more equity.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001052/pdfft?md5=85b173e46c092680fd6a4e22d1ff63f6&pid=1-s2.0-S2666535223001052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-20DOI: 10.1016/j.puhip.2023.100460
Susan Hampshaw, Jo Morling, Michelle Black
{"title":"Investing in research infrastructure to address health inequalities: Learning by doing","authors":"Susan Hampshaw, Jo Morling, Michelle Black","doi":"10.1016/j.puhip.2023.100460","DOIUrl":"10.1016/j.puhip.2023.100460","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100460"},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001064/pdfft?md5=ae382706109a41437818e91a31aae2ad&pid=1-s2.0-S2666535223001064-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-16DOI: 10.1016/j.puhip.2023.100457
Syed Masud Ahmed , Mahruba Khanam , Noshin Sayiara Shuchi
Background
On January 30, 2020, WHO declared COVID-19 as a Global Public Health Emergency. The first three COVID-19 cases in Bangladesh were confirmed on March 8, 2020. Thus, Bangladesh got substantial time to prepare the people and the health systems to respond to the outbreak However, neither the health ministry nor the government was found to rise to the occasion and provide the necessary stewardship for a coordinated and comprehensive response.
Objective
The importance of governance to mount an evidence-based pandemic response cannot be overemphasised. This study presents critical reflections on the Bangladesh government's COVID-19 response through a review of selected papers, with expert deliberations on the review findings to consolidate emerging lessons for future pandemic preparedness.
Study design
A scoping review approach was taken for this study.
Methods
Documents focusing on COVID-19 governance were selected from a repository of peer-reviewed articles published by researchers using data from Bangladesh (n = 11).
Results
Findings reveal Bangladesh's COVID-19 response to be delayed, slow, and ambiguous, reflecting poorly on its governance. Lack of governance capability in screening for COVID-19, instituting quarantine and lockdown measures in the early weeks, safety and security of frontline healthcare providers, timely and equitable COVID-19 testing, and logistics and procurement were phenomenal. The pandemic unmasked the weaknesses of the health system in this regard and “created new opportunities for corruption.” The failure to harmonise coordination among the government's different agencies for the COVID-19 response, along with poor risk communication, which was not culture-sensitive and context-specific. Over time, the government initiated necessary actions to mitigate the pandemic's impact on the lives and livelihoods of the people. Diagnostic and case management services gained strength after some initial faltering; however, the stewardship functions were not seamless.
Conclusions
Shortage of healthcare workers, incapability of health facilities to cater to COVID-19 suspects and cases, absence of health system resilience, and corruption in procurement and purchases were limited the government's COVID-19 response. These need urgent attention from policymakers to better prepare for the next epidemic/pandemic.
{"title":"COVID-19 pandemic in Bangladesh: A scoping review of governance issues affecting response in public sector","authors":"Syed Masud Ahmed , Mahruba Khanam , Noshin Sayiara Shuchi","doi":"10.1016/j.puhip.2023.100457","DOIUrl":"10.1016/j.puhip.2023.100457","url":null,"abstract":"<div><h3>Background</h3><p>On January 30, 2020, WHO declared COVID-19 as a Global Public Health Emergency. The first three COVID-19 cases in Bangladesh were confirmed on March 8, 2020. Thus, Bangladesh got substantial time to prepare the people and the health systems to respond to the outbreak However, neither the health ministry nor the government was found to rise to the occasion and provide the necessary stewardship for a coordinated and comprehensive response.</p></div><div><h3>Objective</h3><p>The importance of governance to mount an evidence-based pandemic response cannot be overemphasised. This study presents critical reflections on the Bangladesh government's COVID-19 response through a review of selected papers, with expert deliberations on the review findings to consolidate emerging lessons for future pandemic preparedness.</p></div><div><h3>Study design</h3><p>A scoping review approach was taken for this study.</p></div><div><h3>Methods</h3><p>Documents focusing on COVID-19 governance were selected from a repository of peer-reviewed articles published by researchers using data from Bangladesh (n = 11).</p></div><div><h3>Results</h3><p>Findings reveal Bangladesh's COVID-19 response to be delayed, slow, and ambiguous, reflecting poorly on its governance. Lack of governance capability in screening for COVID-19, instituting quarantine and lockdown measures in the early weeks, safety and security of frontline healthcare providers, timely and equitable COVID-19 testing, and logistics and procurement were phenomenal. The pandemic unmasked the weaknesses of the health system in this regard and “created new opportunities for corruption.” The failure to harmonise coordination among the government's different agencies for the COVID-19 response, along with poor risk communication, which was not culture-sensitive and context-specific. Over time, the government initiated necessary actions to mitigate the pandemic's impact on the lives and livelihoods of the people. Diagnostic and case management services gained strength after some initial faltering; however, the stewardship functions were not seamless.</p></div><div><h3>Conclusions</h3><p>Shortage of healthcare workers, incapability of health facilities to cater to COVID-19 suspects and cases, absence of health system resilience, and corruption in procurement and purchases were limited the government's COVID-19 response. These need urgent attention from policymakers to better prepare for the next epidemic/pandemic.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001039/pdfft?md5=c458087cd487e990c4909d27f6315560&pid=1-s2.0-S2666535223001039-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1016/j.puhip.2023.100458
Cyprian M. Mostert , Olivera Nesic , Chi Udeh-Momoh , Murad Khan , Thomas Thesen , Edna Bosire , Dominic Trepel , Karen Blackmon , Manasi Kumar , Zul Merali
{"title":"Who should pay the bill for the mental health crisis in Africa?","authors":"Cyprian M. Mostert , Olivera Nesic , Chi Udeh-Momoh , Murad Khan , Thomas Thesen , Edna Bosire , Dominic Trepel , Karen Blackmon , Manasi Kumar , Zul Merali","doi":"10.1016/j.puhip.2023.100458","DOIUrl":"https://doi.org/10.1016/j.puhip.2023.100458","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"7 ","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535223001040/pdfft?md5=4eceef243e01b3c3af13dc51507a36ec&pid=1-s2.0-S2666535223001040-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138769565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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