scholarly journals ‘We are not the virus’: stigmatization and discrimination against frontline health workers

Author(s):  
Jeff Clyde G Corpuz

Abstract During the current COVID-19 pandemic, several forms of stigma and discrimination have been reported worldwide mainly from toward Asian descent, those with international travel history, and frontline health workers. In response to the situation of stigmatization and discrimination against frontline healthcare workers, the author proposes several ways on how the public and the Philippine government might create safety guidelines by revisiting the international and local laws. Thus, there is an urgent need to end the stigma, discrimination and other forms of inhumane treatment against our frontline health workers. They are not the virus.

2020 ◽  
Author(s):  
DIPAK PRASAD UPADHYAYA ◽  
Rajan Paudel ◽  
Daniel J Bromberg ◽  
Dilaram Acharya ◽  
Kaveh Khoshnood ◽  
...  

Abstract Background The health sector's effectiveness during a pandemic primarily depends on the availability, knowledge, skills, perceptions, and motivations of frontline healthcare workers. In this study, we aimed to investigate the contextual factors associated with the knowledge, perceptions, and the willingness of frontline healthcare workers to work during the COVID-19 pandemic in Nepal. Methods A total of 1051 frontline health-workers from all seven Nepalese provinces were included in this web-based cross-sectional study, which was conducted in May 2020. Using a 5-point Likert scale questionnaire, we collected information on knowledge, perceptions, and the willingness of frontline healthcare workers to work during the COVID-19 pandemic. Multivariable logistic regression was applied to identify independent associations between predictors and outcome variables. Results Of the 1051 frontline health-workers, 17.2% were found to have inadequate knowledge on COVID-19, 63.6% reported unsatisfactory perceptions of government response, and 35.9% showed an unwillingness to work during the pandemic. Health workers at local health facilities (AOR: 0.35; 95% CI: 0.17-0.68) and those with chronic diseases were less likely to have adequate knowledge of COVID-19. Nurses (AOR: 2.10; 95% CI: 1.38-3.18), health-workers from Karnali Province (AOR: 2.62; 95% CI: 1.52-4.53), and those who had adequate knowledge of COVID-19 (AOR: 3.86; 95% CI: 2.51-6.16) were more likely to have satisfactory perception towards government response to COVID-19. In addition, laboratory-workers, health workers from Karnali province, and those with adequate knowledge (AOR: 1.81; 95% CI: 1.27-2.58) were more likely to work during the COVID-19 pandemic. Conclusions We concluded that frontline healthcare workers have some gaps in knowledge-related to COVID-19; about two-thirds of them had a negative perception of government response, and nearly one-third of them were unwilling to work. These observations demonstrate that prompt actions are required to improve health-worker knowledge of COVID-19, address negative perceptions to government responses, and motivate them to provide healthcare services during the pandemic. Keywords: COVID-19, Health-workers, Knowledge, Perception, Willingness


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 554 ◽  
Author(s):  
Dipak Prasad Upadhyaya ◽  
Rajan Paudel ◽  
Dilaram Acharya ◽  
Kaveh Khoshnood ◽  
Kwan Lee ◽  
...  

This study investigated the contextual factors associated with the knowledge, perceptions, and the willingness of frontline healthcare workers (FHWs) to work during the COVID-19 pandemic in Nepal among a total of 1051 FHWs. Multivariable logistic regression analysis was applied to identify independent associations between predictors and outcome variables. Of the total study subjects, 17.2% reported inadequate knowledge on COVID-19, 63.6% reported that they perceived the government response as unsatisfactory, and 35.9% showed an unwillingness to work during the pandemic. Our analyses demonstrated that FHWs at local public health facilities, pharmacists, Ayurvedic health workers (HWs), and those with chronic diseases were less likely, and male FHWs were more likely, to have adequate knowledge of COVID-19. Likewise, nurses/midwives, public health workers, FHWs from Karnali and Far-West provinces, and those who had adequate knowledge of COVID-19 were more likely to have satisfactory perceptions towards the government response. Further, FHWs—paramedics, nurse/midwives, public health workers, laboratory workers—FHWs from Karnali Province and Far-West Province, and those with satisfactory perceptions of government responses to COVID-19 were predictors of willingness to work during the COVID-19 pandemic. These results suggest that prompt actions are required to improve FHWs’ knowledge of COVID-19, address negative perceptions of government responses, and motivate them through specific measures to provide healthcare services during the pandemic.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Yen-Ju Lin ◽  
Cheng-Fang Yen ◽  
Yu-Ping Chang ◽  
Peng-Wei Wang

This study aimed to compare the differences in motivation to receive a COVID-19 vaccination between frontline physicians and nurses and the Taiwanese public. The associations of threat and coping appraisals, as described in Protection Motivation Theory (PMT), with motivation to receive COVID-19 vaccination were compared between these groups, too. We recruited 279 frontline physicians and nurses and 768 members of the public by a Facebook advertisement. Participants’ motivation to receive COVID-19 vaccination, perceived severity of and vulnerability to COVID-19, self-efficacy and response efficacy of COVID-19 vaccination, response cost of COVID-19 vaccination, and knowledge about the mechanism of COVID-19 vaccination in light of PMT were determined. The results demonstrated that frontline health workers had higher motivation to receive COVID-19 vaccination than the public. Response efficacy and knowledge of COVID-19 vaccination were positively associated with motivation to receive COVID-19 vaccination in both frontline health workers and the public, whereas perceived vulnerability, perceived severity, and response cost of COVID-19 vaccination were positively associated with motivation in the public but not in frontline physicians and nurses. The factors related to motivation to receive COVID-19 vaccination should be considered when designing programs to increase motivation to receive COVID-19 vaccination among frontline health workers and the public.


2021 ◽  
Vol 9 (09) ◽  
pp. 678-689
Author(s):  
I. Hanine ◽  
◽  
I. Hmamouchi ◽  
S. Belbachir ◽  
M. Chtibi ◽  
...  

Introduction: On March 11th 2020, the World Health Organization declared the infection of the virus severe acute respiratory syndrome coronavirus 2 or SARS-COV-2 a pandemic. The virus, which was first discovered in China in Wuhan province in December 2019, has affected more than 100 million people and more than two million deaths in more than 200 countries.Along with other epidemics and pandemics, the existence of this virus has led to psychiatric disorders in people in or without direct contact with the disease, especially frontline healthcare workers. Objective: To assess the impact of the virus on medical personnel working in Morocco, in particular stress, depression and sleep disorders. Methodology: To explore this topic, we used an anonymity questionnaire based on, in addition to individual status and conditions, scales assessing stress, depression and sleep.The questionnaire was sent via social networks to health personnel working in Morocco in the various hospitals and departments treating patients infected with this virus.The CES-D (Center of Epidemiological Studies - Depression) scales for depression, the PSS-10 (Cohens Perceived Stress Scale) for perceived stress and ISI (C. Morins Insomnia Severity Index) for disorders of sleep, were chosen given their frequent use in a number of studies on the same topic. Results: After sorting our responsesrigorously, we were able to collect 376 responses, of which 53.5% were women, with an average age of 28.45 years, 23.9% were nurses, 14.4% general practitioners, 19, 7% of internal doctors 37.2% of residents or specialists and 4.8% occupied other functions such as medical transport. 66% of our candidates were at the level of the different university hospital centers of Morocco.Our candidates respectively occupied 39.1% 28.2% 29% and 25.8% triage positions, observation of suspected cases, the COVID sector and resuscitation.Regarding our results, it was observed that 71% of our participants presented moderate stress, 44.9% had a risk of developing depression and 53.7 had insomnia of varying severity.The female sex, the lack of medical, surgical and psychiatric history influence the occurrence of the three abnormalities studied, it should also be noted that these last three maintain a relationship of influences between them. Conclusion: The exploration of stress, depression and insomnia revealed an impact of the state of health on the daily life of front-line health workers in Morocco.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Salwa Attia Mohamed

Organization justice refers to the extent to which employees perceive workplace procedure, interactions, and outcomes to be fair in nature. So, this study aimed to investigate the relationship between organizational justice and quality performance among health care workers. The study was conducted at the Public Hospital in Fayoum, Egypt. The study included a convenience sample of 100 healthcare workers (60 nurses and 40 physicians) that were recruited. Tools used for data collection included (1) questionnaire sheet which is used to measure health workers’ perception of organizational justices. It includes four types: distributive, procedural, interpersonal, and informational justice. (2) Quality performance questionnaire sheet: this tool was used to examine health workers’ perception regarding their quality performance. It contained three types: information, value, and skill. The results revealed that a positive correlation was found between organizational justice components and quality performance among the various categories of health workers’ perception(P≤0.05). It has been recommended to replicate the study on a larger probability sample from different hospital settings to achieve more generalizable results and reinforce justice during organization of ministry centers in Egypt.


2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Javed Akram ◽  
Shehnoor Azhar ◽  
Khalid Saeed Khan ◽  
Arifa Aman

Objectives: To evaluate patient safety attitudes of the frontline health workers in a hospital of Lahore, Pakistan. Methods: A self-administered Safety Attitudes Questionnaire (SAQ) survey was deployed in five hospitals across Lahore, Pakistan (July 2019 to June 2020). A total of 1250 consecutive consenting nurses and postgraduate trainee physicians of under five years working experience were recruited. Assessment for each of the six subdomains (teamwork climate, safety climate, job satisfaction, stress recognition, perception of management, working conditions) was done on a 0-100 scale. Multivariate analyses examined their relationship with job cadre (nurses and physicians), duration of respondents’ work experience (< 2 years, 3 - 4 years, > 4 years), and hospital sector (private and public). Results: The response rate was 97% (1212 individuals; 765 nurses, 447 physicians). Nurses scored less than physicians in teamwork climate (-2.4, 95% CI -4.5 – -0.2, p=0.02) and stress recognition (-10.6, 95% CI -13.5 – -7.7, p<0.001), but more in perception of management (4.2, 95% CI 1.5 – 6.8, p=0.002) and working conditions (3.4, 95% CI 0.66 – 6.2, p=0.01). Increasing work experience was related to greater scores in all subdomains. Private hospitals scored generally higher than public ones. Conclusion: Duration of job experience was positively correlated with patient safety attitudes of hospital staff. These finding could serve as the baseline to shape staff perceptions by cadre in both public and private sector hospitals. doi: https://doi.org/10.12669/pjms.38.1.4964 How to cite this:Arkam J, Azhar S, Khan KS, Aman A. Patient safety attitudes of frontline healthcare workers in Lahore: A multicenter study. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4964 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Author(s):  
Ljiljana Pantović

AbstractThe WHO and UNICEF launched The Baby-Friendly Hospital Initiative (BFHI) in 1991 with the goal of promoting breastfeeding. Four years later, this initiative was adopted in Serbia (then Yugoslavia). Although Serbia has officially been a part of the BFHI for over 26 years, less than 13% of children are currently exclusively breastfed for the first 6 months of life. Drawing on interviews, observations and document review, this chapter offers ethnographic insight into why the BFHI in Serbia has met with little success. I argue that the principles and practices of the initiative to promote breastfeeding have been both thinly learned and thinly applied by healthcare workers and therefore have had little positive impact on women’s empowerment to breastfeed or the rates of breastfeeding in the country. I show how the global Baby-Friendly Hospital Initiative implemented in Serbia in the early 1990s and the national level policies which renewed it in 2018 were severely constrained by social, political and economic conditions that hindered the uptake of the program by frontline health workers – namely the devastating effects of the civil war and international sanctions in the 1990s, and the deleterious effects of IMF policies on the Serbian healthcare system since the 2000s. The pressure of time due to high workloads, and understaffed hospitals, in combination with unsustainable national funds for implementation may contribute to the reality of the thin implementation of BFHI.


2021 ◽  
Vol 11 (1) ◽  
pp. 1-2
Author(s):  
Sunil Kumar Joshi

Occupational health and safety (OHS) is essential for every professional especially healthcare workers who work day and night serving patients. According to the WHO, health workers should not face any kind of workplace violence during their professional activities. Attention should also be paid to the mental and psychological health of healthcare workers and their protection should be of paramount importance. OHS related policies, rules and regulations have been formulated in Nepal. According to the law, the responsibility of the OHS of the employees has to be taken by the concerned organization. In Nepal, during the COVID-19 pandemic, health workers have to take the risk of infecting themselves while providing care for the patients. This has led to the infection of thousands of health workers and we have also lost quite a few healthcare workers in the line of duty in Nepal. On one hand, there is a psychological fear of acquiring COVID-19 infection in healthcare workers despite adopting health and safety measures, while on the other hand, in case of infection they will have to pay for the treatment from their own pockets. Sometimes ICU and ventilator services are not available not only in their working hospital but also in government referral health institutions which have given rise to incidences that healthcare workers themselves have to be admitted to other hospitals for the treatment. In such a situation, not just mental but also a financial burden has been added to the healthcare workers.


2018 ◽  
Vol 25 (3) ◽  
pp. 177 ◽  
Author(s):  
ModupeRebekah Akinyinka ◽  
OlumuyiwaOmotola Odusanya ◽  
EstherOluwakemi Oluwole ◽  
BabatundeAdeniran Odugbemi ◽  
OmowunmiQubrat Bakare ◽  
...  

2020 ◽  
Author(s):  
Megan Halbrook ◽  
Adva Gadoth ◽  
Rachel Martin-Blais ◽  
Ashley Grey ◽  
Deisy Contreras ◽  
...  

AbstractBeginning April 8, 2020, we enrolled 1787 frontline heath workers who were asymptomatic for COVID-19 into a longitudinal surveillance study. During that time 4 healthcare workers and 6 first responders tested positive for SARS-CoV-2 by RT-PCR. Additionally, 43 healthcare workers and 55 first responders had detectable IgG antibodies to SARS-CoV-2.


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