scholarly journals Perceptions and experiences of the public regarding the COVID-19 pandemic in Nepal: a qualitative study using phenomenological analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043312
Author(s):  
Navin Bhatt ◽  
Bandana Bhatt ◽  
Soniya Gurung ◽  
Suresh Dahal ◽  
Amrit Raj Jaishi ◽  
...  

ObjectivesPerceptions of people regarding COVID-19 influences their health behaviour in terms of seeking public health services. This helps the government in planning appropriate public health strategies. Therefore, this study intends to explore the perceptions of people towards COVID-19 and their experiences during the pandemic in Nepal.Design, setting and participantsThis qualitative study was conducted among the public in Kathmandu, Kanchanpur, Bajura and Jhapa districts of Nepal. Eight focus group discussions and 40 in-depth interviews were conducted by using a maximum variation sampling method.ResultsThe findings were organised into the following themes: General understanding of COVID-19, Disease prevention, Source of information and misconceptions, Expectation and challenges; and Personal and societal consequences of COVID-19, social distancing and lockdown. There was a good general understanding among respondents about COVID-19, personal preventive measures and population-level strategies. They responded that the use of masks, sanitisers, handwashing and proper lockdown would help to prevent the disease. The respondents acknowledged the vital role of media in increasing awareness. Participants also expressed concerns over the misleading news spread by some media. The lack of social interaction, isolation and loss of income were raised as pertinent issues by the participants as potentially leading to psychological consequences. Health workers and public both raised concerns over inadequate Personal Protective Equipment, under-prepared health system, unorganised public quarantine centres, and public violation of lockdownConclusionsThis study reports participants’ views on disease prevention measures such as maintaining personal hygiene, adhering to physical distancing, and using personal protective equipments. Additionally, it illuminates the confusion among public due to conflicting public health messages from different sources of information which was deemed as misleading by the participants. This research sheds light on people’s perspectives and experiences that can inform population-targeted policies in the future.

2020 ◽  
Vol 34 (4) ◽  
pp. 373-376 ◽  
Author(s):  
Sharmistha Sharma ◽  
Jeevan Bhatta

PurposeThe purpose of this paper is to depict the current scenario of coronavirus diseases 2019 (COVID-19) in Nepal, how the government is tackling this pandemic as well as look at the public health challenges that Nepal is facing and might face in the future.Design/methodology/approachThis paper is a viewpoint of COVID-19 activities conducted in Nepal.FindingsNepal is vulnerable to COVID-19, as it shares borders with China and India. Cases have started to be seen in different parts of Nepal. Government of Nepal has started various measures to control the spread of the virus such as deploying health workers, information sharing via different mediums. However, there are still many challenges that the government and public health officials need to be concerned about as well.Originality/valueThis paper provides information about the situation of COVID-19 in Nepal, how the government is handling, and public health challenges that may arise. This paper can be beneficial for further public health interventions.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Clark ◽  
S Neil-Sztramko ◽  
M Dobbins

Abstract Issue In 2019, the government of the Canadian province of Ontario announced major changes to the structure, governance and funding of public health services. Throughout these changes, publicly funded local and regional public health organizations are still expected to provide effective, evidence-informed programming to their communities. The National Collaborating Centre for Methods and Tools (NCCMT) has facilitated collaborations to support Ontario public health through this transition. Description of the problem In order to support evidence-informed public health in Ontario during this transition, the NCCMT reached out to current and potential partners, within and beyond the public health sector for a multidisciplinary approach. We conducted a needs assessment for an evidence review repository, which would allow public health practitioners to share and build upon each other's work. Finally, demonstrating the value of public health to policymakers can be inherently challenging as the return on investment in public health is often very long term. We partnered with health units in varying capacities to find and synthesize evidence to advocate for continued investment in public health. Results This initiative has provided important lessons in developing and maintaining strong partnerships. Looking beyond the public health sector can establish mutually beneficial partners and allies in other disciplines. A key finding was the need to establish infrastructure to support collaboration and resource sharing. Finally, we learned that big picture questions like demonstrating the value of public health require many different perspectives, inputs and areas of expertise. Lessons Through this initiative, we have developed a multidisciplinary, collaborative approach to supporting evidence-informed public health through times of major restructuring. This approach can be applied to future changes to public health on smaller or larger scales, or within other geographic regions. Key messages Multidisciplinary approaches can support collaboration, unity and advocacy in times of change. Establishing infrastructure to support collaboration and sharing of resources is valuable.


2018 ◽  
Vol 22 (4) ◽  
pp. 510-520
Author(s):  
N. Nurlaela Arief ◽  
Siti Karlinah ◽  
Yanti Setianti ◽  
Sri Susilawati

Purpose The purpose of this paper is to analyze how media plays a role in the issue of counterfeit vaccines. Specifically, to describe how the government communicators manage issues of counterfeit vaccines in Indonesia. Even though a public health emergency situation is very hard to predict, monitoring issues in media is crucial before communicating with the public. This will help improve public trust on the importance of vaccines. Design/methodology/approach The study collected data from June until December 2016. The research method employed quantitative content analysis of data obtained from media monitoring and interviews. Findings The results show that the issue of fake vaccines received great attention from the media with a total of 1,724 news headlines on the topic. The government communicators were responsive in handling this issue by providing sources of information for key influencers when it arose. Since the majority of media sentiment was positive, the research also proposes a model for the future managing of issues on counterfeit vaccines. Research limitations/implications Limited to managing issues on media about counterfeit vaccines and how government communicators and stakeholders communicated during the crisis. It is suggested that future research should focus on the emotional perspective of parents whose children were affected by counterfeit vaccines. Practical implications This research is worthwhile for Public Relations Practitioners in government health institutions, such as the Ministry of Health, the National Agency for Food and Drugs Control and PR practitioners in Hospitals and Pharmacies to overcome another communication crisis in a public health emergency. Social implications To increase awareness in Indonesia about the importance of vaccines and to educate the public about using government vaccines without fear. Originality/value This research is new as the topic about counterfeit vaccines has not been brought up before. This has the potential to have a considerable impact to local communities, as well as a wider impact on global health systems.


Author(s):  
Hendra Nelva Saputra ◽  
Alfiah Fajriani

The changes in the social order of life in the new normal era due to the Covid-19 pandemic have caused various sectors of the work environment to create new habitual adaptation policies so that the service process continues to run well. One method used was to use poster media to be displayed in the office environment as a media for health protocol information. The purpose of this research was to create a poster based on augmented reality videos that were suitable for use as media for information on health protocols in public health centers in Kendari City. The research model for augmented reality media development uses a model developed by Lee & Owens that consists of four stages: assessment/analysis, design, development, implementation, and evaluation. Based on the findings in this study, obtaining the media expert's assessment results provided a feasibility level of 91.58%, categorized as very feasible. The tests conducted on material experts obtained a feasibility level of 89.09% that categorized as very feasible. Poster-based on augmented reality videos have been tested on Puskesmas health workers with a mean percentage of assessment of 80.42% that categorized as suitable for use. In comparison, the test results obtained from the public health services visitors obtained a percentage of 81.25% that have been categorized as suitable for use. The tests carried out on all test subjects showed that the poster-based on augmented reality videos was very suitable for use as a health promotion media at Puskesmas in Kendari City.


2019 ◽  
Vol 16 (2) ◽  
Author(s):  
Sri Retno Widyorini

Health as one of the elements of general welfare must be realized through various health efforts in the context of comprehensive and integrated health development supported by a national health system. Health workers who will carry out health services to the community must have a STR (Surat Tanda Registrasi/Registration Certificate) issued by the government as the person in charge of public health services. Physicians as one of the health workers are responsible for providing health services in accordance with applicable legislation namely Law Medical Practice and Doctor's Code of Ethics. Doctors who practice health services to the community at the hospital are bound by the Doctor's Code of Ethics and are also bound by the Hospital By Laws as an internal provision of the hospital.


2020 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
Iip Permana ◽  
Ulfia Izzati

Health is a fundamental thing in human life. Healthy development is an investment for the development of Indonesian communities, therefore increasing community awareness, willingness, and abilities is a must. Benchmarking of success in health development is the creation of quality public health services. Increasing challenges in health development, impacting on public health services become less optimal. The government tries to improve the quality of public health services by creating various innovations through digital technology. Andalas Community Health Center as part of the government improves the quality of health services through Ayo Ceting Program, which aims to prevent stunting in the District of East Padang. Ayo Ceting consists of three program packages namely, WhatsApp Group for Pregnant Mothers, Rumah Gizi and Digital Education: The Ayo Ceting Android-based application. This study aims to determine the implementation of Ayo Ceting innovation at Andalas Public Health Center, Padang City. This research uses a qualitative descriptive approach, where research is conducted to obtain and collect in-depth data directly from the research location regarding the use of Ayo Ceting applications. The informants in this study were health workers responsible for the stunting prevention innovation program at the Andalas Public Health Center in Padang. Based on the explanation from sources, Ayo Ceting innovation increasing people's knowledge and understanding of Stunting and it prevention and empowering the community itself to actively report their health data. Furthermore, it provides more effective and efficient public services, and finally, the community can obtain information with access and a more attractive appearance


2021 ◽  
Vol 1 (2) ◽  
pp. 97-99
Author(s):  
Farianingsih Farianingsih ◽  
Sri Wahyuningsih

The Community Cares for Health or abbreviated as KMPK is a forum that is an important slice of thepuzzle of an embodiment of governance in the health sector. The main idea is to provide a facilitatorbetween the service provider (supply side) and the service user (demand side) to create an increasein the quality of health services at the Public health services, especially during the pandemic. Thepurpose of the study: to improve services at the Public Health Center during the pandemic with theKMPK innovation. Research method: is descriptive through the KMPK program in 2020 internalevaluation indicators and external evaluation indicators). Results: there was an increase in Publichealth services activities throughout Lumajang Regency from before and after 2020. The increase inactivities assessed from an internal evaluation by the KMPK towards JPP and Rekomtek (coveringthe achievement of the realization of the Service Improvement Promise, the number of publiccomplaints, problems, and obstacles as well as solutions that have been implemented) taken). Meanwhile, the external evaluation was carried out by the Health Office using the Meeting method to evaluate the activities that had been carried out and the obstacles faced as well as the selected alternative solutions (including childbirth by health workers and births by traditional birth attendants, IMD achievements and exclusive breastfeeding achievements, Community Satisfaction Index). Conclusion: Through this KMPK innovation, provides significant added value to the improvement/improvement of services at Public health services throughout Lumajang Regency quickly, precisely, and according to community expectations.  


Author(s):  
Nurul Rofiqo ◽  
Agus Perdana Windarto ◽  
Dedy Hartama

This study aims to utilize Clushtering Algorithm in grouping the number of people who have health complaints with the K-means algorithm in Indonesia. The source of this research data was collected based on the documents of the provincial population which had health complaints produced by the National Statistics Agency. The data used in this study are data from 2013-2017 consisting of 34 provinces. The method used in this research is K-means Algorithm. Data will be processed by clushtering in 3 clushter, namely clusther high health complaints, clusther moderate and low health complaints. Centroid data for high population level clusters 37.48, Centroid data for moderate population level clusters 27.08, and Centroid data for low population level clusters 14.89. So that obtained an assessment based on the population index that has health complaints with 7 provinces of high health complaints, namely Central Java, Yogyakarta, Bali, West Nusa Tenggara, East Nusa Tenggara, South Kalimantan, Gorontalo, 18 provinces of moderate health complaints, and 9 other provinces including low health complaints. This can be an input to the government to give more attention to residents in each region who have high health complaints through improving public health services so that the Indonesian population becomes healthier without health complaints.Keywords: data mining, health complaints, clustering, K-means, Indonesian residents


2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.


Urban History ◽  
1994 ◽  
Vol 21 (2) ◽  
pp. 237-250 ◽  
Author(s):  
Michael Sigsworth ◽  
Michael Worboys

What did the public think about public health reform in mid-Victorian Britain? Historians have had a lot to say about the sanitary mentality and actions of the middle class, yet have been strangely silent about the ideas and behaviour of the working class, who were the great majority of the public and the group whose health was mainly in question. Perhaps there is nothing to say. The working class were commonly referred to as ‘the Great Unwashed’, purportedly ignorant and indifferent on matters of personal hygiene, environmental sanitation and hence health. Indeed, the writings of reformers imply that the working class simply did not have a sanitary mentality. However, the views of sanitary campaigners should not be taken at face value. Often propaganda and always one class's perception of another, in the context of the social apartheid in Britain's cities in the mid-nineteenth century, sanitary campaigners' views probably reveal more about middle-class anxieties than the actual social and physical conditions of the poor. None the less many historians still use such material to portray working-class life, but few have gone on to ask how public health reform was seen and experienced ‘from below’. Historians of public health have tended to portray the urban working class as passive victims who were rescued by enlightened middle-class reformers. This seems to be borne out at the political level where, unlike with other popular movements of the 1840s and after, there is little evidence of working-class participation in, or support for, the public health movement.


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