scholarly journals Covid-19 Preparedness and Response Capability: A Case Study of the Hanoi Primary Healthcare System

2021 ◽  
Vol 14 ◽  
pp. 117863292110192
Author(s):  
Minh Van Hoang ◽  
Anh Tuan Tran ◽  
Trang Thu Vu ◽  
Tuan Kim Duong

This study examined the coronavirus disease 2019 (COVID-19) preparedness and response of the health system (HS) in Hanoi, Vietnam, and identified enabling factors and barriers. This cross-sectional, mixed-methods study was conducted in 4 urban and peri-urban districts that included some wards with COVID-19-positive cases and some without. The US Centers for Disease Control and Prevention (CDC) analytical frameworks were used. Overall, 10% of health facilities (HFs) failed to fully implement COVID-19 risk determination; 8.8% failed to fully implement stronger community partnerships with local stakeholders to support public health (PH) preparedness; 35% and 2.5% incompletely implemented and did not implement evaluation of PH emergency operations, respectively; 10% did not identify communication channels to issue public information, alerts, warnings, and notifications; 25% incompletely implemented identification, development of guidance, and standards for information; 72.5% had good preventive and treatment collaboration; and 10% did not fully implement procedures for laboratory testing and reporting results. Enablers included sufficient infrastructure and equipment, strong leadership, and good cross-public-sector collaboration with police and military forces. Barriers included workforce constraints, overburdened and inconsistent reporting systems, inappropriate financial mechanisms, ambiguous health governance, and lack of private-sector engagement. Nonetheless, the HS preparedness and response were satisfactory, although further coordinated efforts in evaluation, coordination, communication, and volunteering remain necessary.

Author(s):  
Corey H Basch ◽  
Grace C Hillyer ◽  
Zoe C Meleo-Erwin ◽  
Christie Jaime ◽  
Jan Mohlman ◽  
...  

BACKGROUND Accurate information and guidance about personal behaviors that can reduce exposure to severe acute respiratory syndrome coronavirus 2 are among the most important elements in mitigating the spread of coronavirus disease 2019 (COVID-19). With over 2 billion users, YouTube is a media channel that millions turn to when seeking information. OBJECTIVE At the time of this study, there were no published studies investigating the content of YouTube videos related to COVID-19. This study aims to address this gap in the current knowledge. METHODS The 100 most widely viewed YouTube videos uploaded throughout the month of January 2020 were reviewed and the content covered was described. Collectively, these videos were viewed over 125 million times. RESULTS Fewer than one-third of the videos covered any of the seven key prevention behaviors listed on the US Centers for Disease Control and Prevention website. CONCLUSIONS These results represent an important missed opportunity for disease prevention.


10.2196/18807 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e18807 ◽  
Author(s):  
Corey H Basch ◽  
Grace C Hillyer ◽  
Zoe C Meleo-Erwin ◽  
Christie Jaime ◽  
Jan Mohlman ◽  
...  

Background Accurate information and guidance about personal behaviors that can reduce exposure to severe acute respiratory syndrome coronavirus 2 are among the most important elements in mitigating the spread of coronavirus disease 2019 (COVID-19). With over 2 billion users, YouTube is a media channel that millions turn to when seeking information. Objective At the time of this study, there were no published studies investigating the content of YouTube videos related to COVID-19. This study aims to address this gap in the current knowledge. Methods The 100 most widely viewed YouTube videos uploaded throughout the month of January 2020 were reviewed and the content covered was described. Collectively, these videos were viewed over 125 million times. Results Fewer than one-third of the videos covered any of the seven key prevention behaviors listed on the US Centers for Disease Control and Prevention website. Conclusions These results represent an important missed opportunity for disease prevention.


2020 ◽  
Author(s):  
Orr Shauly ◽  
Gregory Stone ◽  
Daniel Gould

BACKGROUND COVID-19 is a rapidly developing threat to most people in the United States and abroad. The behaviors of the public are important to understand, as they may have a tremendous impact on the course of this novel coronavirus pandemic. OBJECTIVE This study intends to assess the US population’s perception and knowledge of the virus as a threat and the behaviors of the general population in response. METHODS A prospective cross-sectional study was conducted with random volunteers recruited through Amazon Mechanical Turk, an internet crowdsourcing service, on March 24, 2020. RESULTS A total of 969 participants met the inclusion criteria. It was found that the perceived severity of the COVID-19 pandemic significantly differed between age groups (<i>P</i>&lt;.001) and men and women (<i>P</i>&lt;.001). A majority of study participants were actively adhering to the Centers for Disease Control and Prevention guidelines. CONCLUSIONS Though many participants identified COVID-19 as a threat, many failed to place themselves appropriately in the correct categories with respect to risk. This may indicate a need for additional public education for appropriately defining the risk of this novel pandemic.


10.2196/26392 ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. e26392
Author(s):  
Corey H Basch ◽  
Joseph Fera ◽  
Isabela Pierce ◽  
Charles E Basch

Background Over the past decade, there has been an increasing secular trend in the number of studies on social media and health. Objective The purpose of this cross-sectional study was to examine the content and characteristics of TikTok videos that are related to an important aspect of community mitigation—the use of masks as a method for interrupting the transmission of SARS-CoV-2. Methods In total, 100 trending videos with the hashtag #WearAMask (ie, a campaign on TikTok), along with 32 videos that were posted by the World Health Organization (WHO) and involved masks in any way (ie, all related WHO videos at the time of this study), were included in our sample. We collected the metadata of each post, and created content categories based on fact sheets that were provided by the WHO and the US Centers for Disease Control and Prevention. We used these fact sheets to code the characteristics of mask use. Results Videos that were posted on TikTok and had the hashtag #WearAMask garnered almost 500 million views, and videos that were posted by the WHO garnered almost 57 million views. Although the ratio of the number of trending #WearAMask videos to the number of WHO videos was around 3:1, the #WearAMask videos received almost 10 times as many cumulative views as the WHO videos. In total, 68% (68/100) of the trending #WearAMask videos involved humor and garnered over 355 million cumulative views. However, only 9% (3/32) of the WHO videos involved humor. Furthermore, 27% (27/100) of the trending #WearAMask videos involved dance and garnered over 130 million cumulative views, whereas none of the WHO videos involved dance. Conclusions This study is one of the first to describe how TikTok is being used to mitigate the community spread of COVID-19 by promoting mask use. Due to the platform’s incredible reach, TikTok has great potential in conveying important public health messages to various segments of the population.


Author(s):  
Fen Zeng ◽  
Zhenjiang Shen

Walking maintains an indisputable advantage as a simple transport mode over short distances. Various situations have shown that when staying in a walk-friendly built environment, people are more likely to walk and interact with their surroundings. Scholars have reported some evidence of the influence of neighbourhood environments on personal walking trips. Most existing studies of the correlation between the built environment and walking, however, have been conducted in the West and are cross-sectional, which leaves a gap in addressing the causality between built environments and walking under the intervention of regeneration measures. This study takes a historic district of a mid-sized city in China as the research area and reports the changes in the traditional residential district’s built environment caused by the implementation of urban regeneration. In this paper, we use physical and perceptual indicators to measure the walkability of the built environment. We identify the changed content of the built environment’s walkability and the change of residents’ walking behaviour through longitudinal and quasi-longitudinal methods. The conclusion shows that the implementation of a regeneration project of the historic district has greatly changed perceived walkability, which has significantly promoted residents’ recreational walking trips, especially among the population of middle-aged and elderly people in the district. The conclusion that the built environment’s change promotes recreational walking is contrary to the research performed in sprawling Western contexts such as in the US, and it provides a meaningful supplement for research on the topic in an Asian context.


10.2196/19768 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e19768
Author(s):  
Orr Shauly ◽  
Gregory Stone ◽  
Daniel Gould

Background COVID-19 is a rapidly developing threat to most people in the United States and abroad. The behaviors of the public are important to understand, as they may have a tremendous impact on the course of this novel coronavirus pandemic. Objective This study intends to assess the US population’s perception and knowledge of the virus as a threat and the behaviors of the general population in response. Methods A prospective cross-sectional study was conducted with random volunteers recruited through Amazon Mechanical Turk, an internet crowdsourcing service, on March 24, 2020. Results A total of 969 participants met the inclusion criteria. It was found that the perceived severity of the COVID-19 pandemic significantly differed between age groups (P<.001) and men and women (P<.001). A majority of study participants were actively adhering to the Centers for Disease Control and Prevention guidelines. Conclusions Though many participants identified COVID-19 as a threat, many failed to place themselves appropriately in the correct categories with respect to risk. This may indicate a need for additional public education for appropriately defining the risk of this novel pandemic.


2020 ◽  
Author(s):  
Corey H Basch ◽  
Joseph Fera ◽  
Isabela Pierce ◽  
Charles E Basch

BACKGROUND Over the past decade, there has been an increasing secular trend in studies of social media and health. OBJECTIVE The purpose of this cross-sectional study was to examine the content and characteristics of TikTok videos related to an important aspect of community mitigation, namely use of masks as a way to interrupt transmission of SARS-CoV-2. METHODS One-hundred trending video with the hashtag #WearAMask, a campaign on TikTok, along with 32 videos posted by the World Health Organization (WHO) that included masks in any way (to date) were included in the sample. Metadata on each post and content categories created using fact sheets from WHO and the US Centers for Disease Control and Prevention (CDC) inform characteristics that were coded. RESULTS Videos posted using the hashtag #WearAMask garnered almost a half billion views, (n = 494,824,395) and videos posted by the WHO garnered over 57 million views. While the ratio of trending #WearAMask to WHO videos was ~3:1, the #WearAMask videos received almost 10 times as many cumulative views. A total of 68% of the trending #WearAMask videos used humor (garnering over 355 million cumulative views), but only three of the WHO videos used humor, and while 27% of the trending #WearAMask videos used dance (garnering over 130 million cumulative views), none of the WHO videos used dance. CONCLUSIONS This study is one of the first to describe how TikTok is being used for community mitigation of COVID-19 by promoting mask use. Because of its incredible reach, there is great potential to convey important public health messages to various segments of the population.


2011 ◽  
Vol 14 (9) ◽  
pp. 1658-1662 ◽  
Author(s):  
Ashley Setala ◽  
Joel Gittelsohn ◽  
Kristen Speakman ◽  
Jane Oski ◽  
Tammy Martin ◽  
...  

AbstractObjectiveTo understand the barriers to farmer participation in Farm-to-Table (F2T) programmes and to identify possible solutions to these obstacles.DesignCross-sectional analysis of farmer perspectives on F2T programmes.SettingThree service units on the Navajo Nation (Chinle, Tuba City and Fort Defiance).SubjectsForty-four Navajo farmers.ResultsMost participants reported that farming on the Navajo Nation is getting harder (61 %) but that it is very important to maintain Navajo farming traditions (98 %). A modest number of farmers (43 %) expressed interest in participating in an F2T programme. All farmers reported that childhood obesity was a very serious or serious problem in the Navajo Nation. The farmers expressed support for an F2T programme if key barriers to farming, including water access and pest control, could be addressed. Key barriers to participation identified included lack of fruits and vegetables to sell, sale price of crops and lack of certification of produce by the US Food and Drug Administration.ConclusionsNavajo farmers are aware of the burden of childhood obesity on the Navajo Nation and feel that an F2T programme could be beneficial. To successfully implement a Farm-to-Table programme, the barriers to participation identified will need to be addressed.


2019 ◽  
Author(s):  
Aldo von Wangenheim ◽  
Alexandre Savaris ◽  
Adriano Ferretti Borgatto ◽  
Andrei de Souza Inácio

ABSTRACTWith the objective to perform a first evaluation of the impact of the integration of a graphic spatial epidemiology tool that allows quasi-realtime georeferenced data visualization into a telemedicine infrastructure, this work presents GISTelemed, an online module specialized on indexing structured and semi-structured data, as well as querying the indexed content using structured and free-text search.We evaluated GISTelemed accordingly to the guidelines published by the US Centers for Disease Control and Prevention and input provided by a questionnaire customized according to AdEQUATE (questionnAire for Evaluation of QUAlity in TElemedicine systems).39 healthcare professionals from 13 municipalities participated in the evaluation. We analyzed data from questionnaires using descriptive statistics, being Lernability and Comfort the characteristics that received the best evaluation. Quantitative evaluation based upon leprosis cases detected through tele-dermatology showed a sensitivity and PPV of respectively 77.2% and 95.3%. 22.8% of the cases detected were un-notified cases.Results from our case study show a good evaluation regarding the perceived software quality”. We conclude that the integration of spatial epidemiology tools to the STT/SC system, besides enabling visualization of data in maps, allowed users to analyze the evolution of morbidities and their co-occurrences.


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