scholarly journals Tuberculosis in times of COVID-19

2021 ◽  
pp. jech-2021-217529
Author(s):  
Alexandra Jaye Zimmer ◽  
Joel Shyam Klinton ◽  
Charity Oga-Omenka ◽  
Petra Heitkamp ◽  
Carol Nawina Nyirenda ◽  
...  
Keyword(s):  
Service Delivery ◽  
Health System ◽  
Swiss Cheese ◽  
Middle Income ◽  
Middle Income Countries ◽  
Swiss Cheese Model ◽  
The Impact ◽  
Cheese Model ◽  
Low And Middle Income

The COVID-19 pandemic has caused widespread disruptions to tuberculosis (TB) care and service delivery in 2020, setting back progress in the fight against TB by several years. As newer COVID-19 variants continue to devastate many low and middle-income countries in 2021, the extent of this setback is likely to increase. Despite these challenges, the TB community can draw on the comprehensive approaches used to manage COVID-19 to help restore progress and mitigate the impact of COVID-19 on TB. Our team developed the ‘Swiss Cheese Model for Ending TB’ to illustrate that it is only through multisectoral collaborations that address the personal, societal and health system layers of care that we will end TB. In this paper, we examine how COVID-19 has impacted the different layers of TB care presented in the model and explore how we can leverage some of the lessons and outcomes of the COVID-19 pandemic to strengthen the global TB response.

scholarly journals The impact of introducing new vaccines on the health system: Case studies from six low- and middle-income countries

Vaccine ◽  
2014 ◽  
Vol 32 (48) ◽  
pp. 6505-6512 ◽  
Author(s):  
Helen E.D. Burchett ◽  
Sandra Mounier-Jack ◽  
Sergio Torres-Rueda ◽  
Ulla K. Griffiths ◽  
Pierre Ongolo-Zogo ◽  
...  
Keyword(s):  
Health System ◽  
Case Studies ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Impact ◽  
New Vaccines ◽  
Low And Middle Income

scholarly journals The health sector cost of different policy responses to COVID-19 in low- and middle- income countries

2020 ◽  
Author(s):  
Sergio Torres Rueda ◽  
Sedona Sweeney ◽  
Fiammetta Bozzani ◽  
Anna Vassall
Keyword(s):  
Health System ◽  
Health Sector ◽  
Fiscal Impact ◽  
Middle Income ◽  
Middle Income Countries ◽  
Policy Responses ◽  
Bed Capacity ◽  
One Year ◽  
The Impact ◽  
Low And Middle Income

Much attention has focussed in recent months on the impact that COVID-19 has on health sector capacity, including critical care bed capacity and resources such as personal protective equipment. However, much less attention has focussed on the overall cost to health sectors, including the full human resource costs and the health system costs to address the pandemic. Here we present estimates of the total costs of COVID-19 response in low- and middle-income countries for different scenarios of COVID-19 mitigation over a one year period. We find costs vary substantially by setting, but in some settings even mitigation scenarios place a substantial fiscal impact on the health system. We conclude that the choices facing many low- and middle- income countries, without further rapid emergency financial support, are stark, between fully funding an effective COVID-19 reponse or other core essential health services.

scholarly journals Mobile consulting (mConsulting) and its potential for providing access to quality healthcare for populations living in low-resource settings of low- and middle-income countries

2020 ◽  
Vol 6 ◽  
pp. 205520762091959 ◽  
Author(s):  
Frances Griffiths ◽  
Jocelyn Anstey Watkins ◽  
Caroline Huxley ◽  
Bronwyn Harris ◽  
Jonathan Cave ◽  
...  
Keyword(s):  
Health System ◽  
Middle Income ◽  
Quality Healthcare ◽  
Middle Income Countries ◽  
Published Evidence ◽  
Potential Benefits ◽  
The Many ◽  
Realist Methodology ◽  
The Impact ◽  
Low And Middle Income

Objective The poorest populations of the world lack access to quality healthcare. We defined the key components of consulting via mobile technology (mConsulting), explored whether mConsulting can fill gaps in access to quality healthcare for poor and spatially marginalised populations (specifically rural and slum populations) of low- and middle-income countries, and considered the implications of its take-up. Methods We utilised realist methodology. First, we undertook a scoping review of mobile health literature and searched for examples of mConsulting. Second, we formed our programme theories and identified potential benefits and hazards for deployment of mConsulting for poor and spatially marginalised populations. Finally, we tested our programme theories against existing frameworks and identified published evidence on how and why these benefits/hazards are likely to accrue. Results We identified the components of mConsulting, including their characteristics and range. We discuss the implications of mConsulting for poor and spatially marginalised populations in terms of competent care, user experience, cost, workforce, technology, and the wider health system. Conclusions For the many dimensions of mConsulting, how it is structured and deployed will make a difference to the benefits and hazards of its use. There is a lack of evidence of the impact of mConsulting in populations that are poor and spatially marginalised, as most research on mConsulting has been undertaken where quality healthcare exists. We suggest that mConsulting could improve access to quality healthcare for these populations and, with attention to how it is deployed, potential hazards for the populations and wider health system could be mitigated.

scholarly journals The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries

2021 ◽  
Vol 22 ◽  
Author(s):  
Chris Bullen ◽  
Jessica McCormack ◽  
Amanda Calder ◽  
Varsha Parag ◽  
Kannan Subramaniam ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Impact ◽  
Low And Middle Income

Abstract Background: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). Aim: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. Methods: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. Findings: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. Conclusions: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

Sign in / Sign up

Export Citation Format

Share Document