scholarly journals Roles of subdistrict health office personnel and village health volunteers in Thailand during the COVID-19 pandemic

2021 ◽  
Vol 14 (9) ◽  
pp. e244765
Author(s):  
Tares Krassanairawiwong ◽  
Chartchay Suvannit ◽  
Krit Pongpirul ◽  
Kriang Tungsanga

In Thailand, 40 000 subdistrict health centre (SDHC) personnel and >1 million village health volunteers (VHVs) are responsible for primary healthcare of 23 million households in 75 032 villages. They were trained, made household visits, gave hygiene advice, participated in the ‘Big Cleaning Day’ campaign, produced cloth face masks, proactively identified high-risk visitors and monitored quarantined cases. 7.4 million Thais received basic education on hygiene, 1.3 million villagers joined the campaign and 3.6 million handmade cloth face masks were produced. In March 2020, 3.9 million households were visited, and 40 000 high-risk cases were detected. The intensity of proactive case findings increased to 12.6 million home visits and 834 000 cases were detected in April 2020. Almost 800 000 cases complied with the 14-day mandatory home quarantine, of which 3.6% developed symptoms suspected of respiratory tract infection. VHVs and SDHC personnel could efficiently contribute to the prevention and control of COVID-19 in Thailand.

2020 ◽  
Vol 15 (3) ◽  
pp. 18-22 ◽  
Author(s):  
Phudit Tejativaddhana ◽  
Wichukorn Suriyawongpaisal ◽  
Vijj Kasemsup ◽  
Thunwadee Suksaroj

Taiwan and Thailand have effectively responded to the COVID-19 pandemic more so than more advanced health systems. Both countries have an effective focus on primary healthcare and multi- sectoral collaboration with effective and open communication of powerful health messages. In the case of Thailand, the central role of village health volunteers has also made a significant contribution. The lessons from recent experiences need to be further evaluated to consolidate the lessons learned in anticipation of meeting continuing and future challenges.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Titiporn Tuangratananon ◽  
Sataporn Julchoo ◽  
Mathudara Phaiyarom ◽  
Warisa Panichkriangkrai ◽  
Nareerut Pudpong ◽  
...  

Abstract Background In response to an increased health burden from non-communicable diseases (NCDs), primary health care (PHC) is effective platform to support NCDs prevention and control. This study aims to assess Thailand’s PHC capacity in providing NCDs services, identify enabling factors and challenges and provide policy recommendations for improvement. Methods This cross-sectional mixed-method study was conducted between October 2019 and May 2020. Two provinces, one rich and one poor, were randomly selected and then a city and rural district from each province were randomly selected. From these 4 sites in the 2 provinces, all 56 PHC centres responded to a self-administrative questionnaire survey on their capacities and practices related to NCDs. A total of 79 participants from Provincial and District Health Offices, provincial and district hospitals, and PHC centres who are involved with NCDs participated in focus group discussions or in-depth interviews. Results Strong health infrastructure, competent staff (however not with increased workload), essential medicines and secured budget boost PHC capacity to address NCDs prevention, control, case management, referral and rehabilitation. Community engagement through village health volunteers improves NCDs awareness, supports enrolment in screening and raises adherence to interventions. Village health volunteers, the crucial link between the health system and the community, are key in supporting health promotion and NCDs prevention and control. Collaboration between provincial and district hospitals in providing resources and technical support enhance the capacity of PHC centres to provide NCDs services. However, inconsistent national policy directions and uncertainty related to key performance indicators hamper progress in NCDs management at the operational level. The dynamic of urbanization and socialization, especially living in obesogenic environments, is one of the greatest challenges for dealing with NCDs. Conclusion PHC centres play a vital role in NCDs prevention and control. Adequate human and financial resources and policy guidance are required to improve PHC performance in managing NCDs. Implementing best buy measures at national level provides synergies for NCDS control at PHC level.


2005 ◽  
Vol 10 (48) ◽  
Author(s):  
G Zagrebneviene ◽  
V Jasulaitiene ◽  
B Morkunas ◽  
S Tarbunas ◽  
J Ladygaite

On 7 October 2004, the Vilnius Public Health Centre reported five shigellosis cases in Vilnius, all typed as Shigellosis sonnei, to the National Centre for Communicable Diseases Prevention and Control. Preliminary patient data suggested that the infections were all acquired from unpasteurised milk curds bought from two markets in Vilnius.


2021 ◽  
Author(s):  
Carolyn Ingram ◽  
Vicky Downey ◽  
Mark Roe ◽  
Fionn Cléirigh Büttner ◽  
Yanbing Chen ◽  
...  

Workplaces are high-risk environments for SARS-CoV-2 outbreaks and subsequent community transmission. Identifying, understanding, and implementing effective workplace SARS-CoV-2 infection prevention and control (IPC) measures is critical to protect workers, their families, and communities. A rapid review and meta-analysis were conducted to synthesize evidence assessing the effectiveness of COVID-19 IPC measures implemented in global workplace settings through April 2021. Medline, Embase, PubMed, and Cochrane Library were searched for studies that quantitatively assessed the effectiveness of workplace COVID-19 IPC measures. Included studies comprised varying empirical designs and occupational settings. Measures of interest included surveillance measures, outbreak investigations, personal protective equipment (PPE), changes in work arrangements, and worker education. Sixty-three studies from international healthcare, nursing home, meatpacking, manufacturing, and office settings were included, accounting for ~280,000 employees. Meta-analyses showed that combined measures (0.2% positivity; 95%CI 0-0.4%) were associated with lower post-intervention employee COVID-19 positivity estimates than single measures like asymptomatic PCR testing (1.7%; 95%CI 0.9-2.9%) and universal masking (24%; 95%CI 3.4-55.5%). Modelling studies showed that combinations of (i) timely and widespread contact tracing and case isolation, (ii) facilitating smaller worker cohorts, and (iii) effective use of PPE can reduce workplace transmission. Comprehensive COVID-19 IPC measures incorporating swift contact tracing and case isolation, PPE, and facility zoning, can effectively prevent workplace outbreaks. Masking alone should not be considered as sufficient protection from SARS-CoV-2 outbreaks in workplace environments at high risk of virus transmission.


2014 ◽  
Vol 5 (14) ◽  
pp. 73 ◽  
Author(s):  
Roya Kelishadi ◽  
Kamal Heidari ◽  
Ziba Farajzadegan ◽  
Rezvan Pashmi ◽  
Saeed Bagheri ◽  
...  

Author(s):  
Xiang-Sha Kong ◽  
Feng Liu ◽  
Hai-Bo Wang ◽  
Rui-Feng Yang ◽  
Dong-Bo Chen ◽  
...  

AbstractAt the end of 2019, an outbreak of unknown pathogen pneumonia occurred in China, then it was named corona virus disease 2019 (COVID-19). With the rapid spread of COVID-19, a series of strict prevention and control measures were implemented to cut the spread of the epidemic. Influenza as a respiratory tract infection disease as COVID-19 might also be controlled. To assess the effects, we used the total passenger numbers sent in mainland China from 2018 to 2020 and the daily number of railway passenger (DNRP) flow in 2020 during Spring Festival travel rush to reflect the population movement and further to analyze newly and cumulative confirmed COVID-19 and influenza. We found that with implementing the series measures on COVID-19, not only COVID-19, but also influenza mitigated in China. The prevention and control measures for COVID-19 might be used in controlling respiratory tract diseases, and reducing the national health economic burden. When other countries issue measures on COVID-19 and influenza, they should consider adopting more aggressive epidemic prevention and control strategies.


2021 ◽  
Vol 9 ◽  
Author(s):  
Xiong He ◽  
Chunshan Zhou ◽  
Yuqu Wang ◽  
Xiaodie Yuan

COVID-19 is a highly infectious disease and public health hazard that has been wreaking havoc around the world; thus, assessing and simulating the risk of the current pandemic is crucial to its management and prevention. The severe situation of COVID-19 around the world cannot be ignored, and there are signs of a second outbreak; therefore, the accurate assessment and prediction of COVID-19 risks, as well as the prevention and control of COVID-19, will remain the top priority of major public health agencies for the foreseeable future. In this study, the risk of the epidemic in Guangzhou was first assessed through logistic regression (LR) on the basis of Tencent-migration data and urban point of interest (POI) data, and then the regional distribution of high- and low-risk epidemic outbreaks in Guangzhou in February 2021 was predicted. The main factors affecting the distribution of the epidemic were also analyzed by using geographical detectors. The results show that the number of cases mainly exhibited a declining and then increasing trend in 2020, and the high-risk areas were concentrated in areas with resident populations and floating populations. In addition, in February 2021, the “Spring Festival travel rush” in China was predicted to be the peak period of population movement. The epidemic risk value was also predicted to reach its highest level at external transportation stations, such as Baiyun Airport and Guangzhou South Railway Station. The accuracy verification showed that the prediction accuracy exceeded 99%. Finally, the interaction between the resident population and floating population could explain the risk of COVID-19 to the highest degree, which indicates that the effective control of population agglomeration and interaction is conducive to the prevention and control of COVID-19. This study identifies and predicts high-risk areas of the epidemic, which has important practical value for urban public health prevention and control and containment of the second outbreak of COVID-19.


2020 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Praveen Kulkarni ◽  
D. Sunil Kumar ◽  
Siddalingappa Hugara ◽  
Renuka Manjunath ◽  
M. R. Narayana Murthy

Objectives: Dengue, among all the vector-borne diseases, continues to be a major public health problem in India. Dengue once considered being problem in urban areas, now it is increasingly found in rural areas. Thus, empowering the village level functionaries like members of Village Health Sanitation and Nutrition Committee (VHSNC) can help in prevention and control of dengue in the rural areas. The present study was conducted to assess the effectiveness of educational intervention on perception regarding dengue and its prevention among VHSNC members. Material and Methods: This prospective interventional study was conducted among all 305 VHSNC members of two randomly selected primary health centers of Mysuru talukas for the period of 6 months. Baseline levels of perception on dengue were collected using a pre-tested structured questionnaire. Educational intervention on various domains of dengue and its prevention was provided using audiovisual aids, handouts, and group discussion. Endline survey was conducted 1 month after the education sessions to assess the effectiveness intervention. Results: A total of 305 VHSNC members participated in the study. In pre-test survey, only 189 (61.9%) had ever heard of disease dengue. In post-test survey, 274 (91.3%) had heard of dengue. There was a statistically significant improvement in perception regarding, preventable nature of dengue, mode of transmission, breeding and biting habits of mosquito, source reduction measures, and personal protective measures against mosquito bites following educational intervention. Conclusion: Educational intervention was found to be effective in empowering village level stake holders like VHSNC members regarding dengue and its prevention.


2021 ◽  
Vol 1 ◽  
pp. 1892-1902
Author(s):  
Putu Kartika Setianing Arini

AbstractComprehensive midwifery care is care which is a function and activity that provides services for clients who have problems or needs in health including the period of pregnancy in Ny. R with High Risk Maternal Age 37 years and Pregnancy Distance 11 Years, ovarian cysts, and Reactive Covid-19, delivery of sectio caesarea covid-19, postpartum, and normal newborns. The purpose of writing is to be able to provide comprehensive midwifery care for Ny. R In Gegjlik Village, the Work Area of the Kajen I Health Center, Pekalongan Regency in 2021 in accordance with standards, competencies, authorities, and properly documented The data collection method used by the author during the pandemic is in accordance with the Covid-19 Prevention and Control Guidelines of the Ministry of Health of the Republic of Indonesia : washing hands, wearing masks, maintaining distance, avoiding crowds, and reducing mobility.Keywords: Comprehensive midwifery care; Pregnancy; Ovarian cysts; Reactive Covid-19; Sectio Caesarea covid-19; Postpartum; Normal newborns. AbstrakAsuhan kebidanan Komperhensif adalah asuhan yang merupakan fungsi dan kegiatan yang memberikan pelayanan klien yang mempunyai masalah atau kebutuhan dalam kesehatan meliputi masa kehamilan pada Ny. R dengan Risiko Tinggi yaitu Usia Ibu 37 tahun dan Jarak Kehamilan 11 Tahun ,kista ovarium, dan Reaktif Covid-19, persalinan sectio caesarea covid-19, nifas , dan bayi baru lahir nonatus normal. Tujuan penulisan yaitu Dapat memberikan Asuhan Kebidanan Komprehensif Pada Ny. R Di Desa Gegjlik Wilayah Kerja Puskesmas Kajen I Kabupaten Pekalongan Tahun 2021 sesuai dengan standar, kompetensi, kewenangan, dan di dokumentasikan dengan benar Metode pengumpulan data yang digunakan penulis pada masa pandemi sudah sesuai dengan Pedoman Pencegahan dan Pengendalian Covid-19 Kementerian Kesehatan Republik Indonesia : mencuci tangan, memakai masker, menjaga jarak, menghindari kerumunan, dan mengurangi mobilitas.Kata kunci: Asuhan kebidanan Komperhensif; Kehamilan; Kista ovarium; Reaktif Covid-19; Sectio caesarea covid-19; Nifas; Bayi baru lahir nonatus normal


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