scholarly journals Conflict and COVID-19: a double burden for Afghanistan’s healthcare system

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Don Eliseo Lucero-Prisno ◽  
Mohammad Yasir Essar ◽  
Attaullah Ahmadi ◽  
Xu Lin ◽  
Yusuff Adebayo Adebisi

Abstract The novel coronavirus disease (COVID-19) has put an additional strain on Afghanistan’s weak healthcare system. Prior to the pandemic, the government and its allies had already problems in providing high quality health services for the people in Afghanistan because of inadequate facilities, insecurities, and ongoing conflicts. This year, COVID-19 exacerbated the situation and overwhelmed the healthcare system even further. As predicted, an influx of migrants suspected of having COVID-19 contributed to community transmission and led to an increase of cases across the country. A series of deadly attacks on civilians and healthcare workers in the country poses an additional burden, and severely weakens healthcare structures in times where health services are indispensable. These circumstances make evident that the international community needs to provide more support for Afghanistan’s healthcare system and pass the United Nations resolution for a ceasefire in the country.

2019 ◽  
Vol 3 (2) ◽  
pp. 74-77
Author(s):  
Wajahat Hussain

The competitive healthcare system and healthcare environment, modern hospitals with substantial investment, healthcare reforms, availability of specialized persons in hospital management, health services management, the success of quality management programs in developed nations and high interest of international health organizations like WHO has led the developing countries like Pakistan to pay due attention to quality in national healthcare system.  Since the time of independence healthcare system in Pakistan is striving for improvements. Despite of the physical infrastructure and availability of qualified workforce for service delivery there are gaps in strategic and operational planning which resulted in poor quality health services. The leaders in healthcare has little awareness that the quality management is an organized specialty to improve the quality of healthcare. It is need of the hour that healthcare leaders in Pakistan must integrate quality improvement activities in strategic and operational planning process of healthcare system. This the only way to maximize the benefits of healthcare system and restore the rapidly deteriorating public trust.


2020 ◽  
Vol 4 (6) ◽  
pp. 192-195
Author(s):  
Ambo Dalle ◽  
Sri Purwantono ◽  
Bahtiar Bahtiar

Health centers are expected to provide quality health services that meet the needs of the customers. Health centers need to improve services in order to be able to compete, develop, and grow. This study describe the satisfaction of the customers for services provided by Kendal Health Center, Ngawi, Indonesia. The population of this study were community who utilized health services at the Kendal Health Center in 2016. The sample were selected using quota sampling. Each unit of service given a quota of 20 respondents, while auxiliary health center were quota of 10 respondents, because the customer visit at a auxiliary health center were lower. The variable was the satisfaction with services provided by health center. Data were collected by filling out questionnaires, then analyzed descriptively using spiderweb diagram. In general, the results of the study indicate that the quality of health center services was in the good category, and all service units had succeeded in exceeding the predetermined targets. Keywords: health center; service quality; public service


Author(s):  
Isaac Mhute ◽  
Hugh Mangeya ◽  
Ernest Jakaza

The human species is in great danger of extinction due to the novel coronavirus that was first detected in China around December 2019. By March 2021, the world had witnessed over 116million cases, of which 36,223 are Zimbabwean. The disease that the coronavirus stimulates is quite fatal and has seen 2.57million lives succumbing to it, of which 1483 are Zimbabwean, by the same date. No cure has been discovered for it yet, though scientific researchers have already discovered several vaccines with varying efficacies. Employing a socio-pragmatic approach, the chapter explores the impact of fake covid-19 social media communications on efforts to minimize infections and fatalities in Zimbabwe, an already endangered country. It accomplishes this by qualitatively analyzing purposively sampled fake communications in circulation on social media as well as some of the utterances and behaviors people make in response to them. The chapter demonstrates the negative impact of the communications on international mitigating efforts and emphasizes the need for the government, media practitioners and social workers to always be watchful for such misleading communications and in every case to quickly counter their impact by availing correct information to the people.


2022 ◽  
Vol 2 (4) ◽  
pp. 128-135
Author(s):  
Syamsuddin Maldun ◽  
Saenab Saenab ◽  
Hasriani Hasriani ◽  
Imran Ismail

Quality health services are a hope for every Indonesian people, because this is closely related to one aspect of fulfilling basic life needs for humans, therefore it requires commitment from these health service providers, especially hospitals in supporting the implementation of government programs through the Healthy Indonesia Card. The purpose of this study is to determine and analyze the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar City using qualitative research methods. The results showed that the implementation of the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar in general was in accordance with the South Sulawesi Provincial Regulation regarding health providers and regarding cooperation in providing free health services, and presidential regulation (Perpres) Number 64 of 2020 concerning National health insurance. This is reflected in the implementation of services provided by the Sayang Rakyat Hospital to patients using the Healthy Indonesia Card (KIS) (PBI) which do not differentiate from general patients or other insurance users, provided that the patient has met the terms and conditions as a KIS patient (PBI). All medical expenses for KIS patients (PBI) who undergo outpatient or inpatient treatment are entirely borne by the government.


An infectious disease caused by a novel coronavirus called COVID-19 has raged across the world since December 2019. The novel coronavirus first appeared in Wuhan, China, and quickly spread to Asia and now many countries around the world are affected by the epidemic. The deaths of many patients, including medical staff, caused social panic, media attention, and high attention from governments and world organizations. Today, with the joint efforts of the government, the doctors and all walks of life, the epidemic in Hubei Province has been brought under control, preventing its spread from affecting the lives of the people. Because of its rapid spread and serious consequences, this sudden novel coronary pneumonia epidemic has become an important social hot spot event. Through the analysis of the novel coronary pneumonia epidemic situation, we can also have a better understanding of sudden infectious diseases in the future, so that we can take more effective response measures, establish a truly predictable and provide reliable and sufficient information for prevention and control model.


2020 ◽  
Author(s):  
Ayomide Ilori

UNSTRUCTURED This study investigated self-policing COVID-19 and civic responsibilities in Lagos Metropolis, Nigeria adopting an online qualitative interview due to the current lockdown that denied field (face to face) interview. Fifty out of the feedbacks from the online interview were picked randomly to arrive at the conclusion of this study. The feedbacks suggested that there is adequate awareness of the COVID-19 pandemic among the people living in Lagos Metropolis, Nigeria and that they are following the directives of federal and state governments in an effort to reduce the community transmission of the infectious diseases. However, the ban on public gatherings and movements has made it impossible for many homes to meet their basic needs especially feeding. The government provided palliatives have also been largely insufficient to cater for the vulnerable. There could be a crisis (such as hunger) and the breakdown of law and order if the government does not increase their capacity to mitigate the hardship which the ongoing lockdown has imposed on the people. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1101/2020.05.08.20092080


2022 ◽  
Vol 22 (1) ◽  
pp. 1-30
Author(s):  
Ashima Yadav ◽  
Dinesh Kumar Vishwakarma

Towards the end of 2019, Wuhan experienced an outbreak of novel coronavirus, which soon spread worldwide, resulting in a deadly pandemic that infected millions of people around the globe. The public health agencies followed many strategies to counter the fatal virus. However, the virus severely affected the lives of the people. In this paper, we study the sentiments of people from the top five worst affected countries by the virus, namely the USA, Brazil, India, Russia, and South Africa. We propose a deep language-independent Multilevel Attention-based Conv-BiGRU network (MACBiG-Net) , which includes embedding layer, word-level encoded attention, and sentence-level encoded attention mechanisms to extract the positive, negative, and neutral sentiments. The network captures the subtle cues in a document by focusing on the local characteristics of text along with the past and future context information for the sentiment classification. We further develop a COVID-19 Sentiment Dataset by crawling the tweets from Twitter and applying topic modeling to extract the hidden thematic structure of the document. The classification results demonstrate that the proposed model achieves an accuracy of 85%, which is higher than other well-known algorithms for sentiment classification. The findings show that the topics which evoked positive sentiments were related to frontline workers, entertainment, motivation, and spending quality time with family. The negative sentiments were related to socio-economic factors like racial injustice, unemployment rates, fake news, and deaths. Finally, this study provides feedback to the government and health professionals to handle future outbreaks and highlight future research directions for scientists and researchers.


The deadly coronavirus has affected not only the lives of the people but also the economies of all states of the world. Mainly the lockdown to control the spread of the virus has affected economies. The primary objective of this study was to explore the impacts of novel coronavirus pneumonia on the economy of Pakistan and the government response to it. It has also severely affected the already vulnerable economy of Pakistan by limiting the economic activities, a lot of industrial units and small and medium-sized enterprises either stopped or limited their productions, foreign trade decreased by 40.74 percent, affected the services sector, reduced the tax collection volume, 2.06 million people lost their jobs, increased poverty ratio, tourism industry ruined, and GDP recorded negative for the first time in the history (0.38 percent). The pandemic not only affected the economy of the state but also severely affected the individual economies. The government of Pakistan released some relief packages for industries and poor people but could not control the impacts of a pandemic on the economy. Pakistan is required to formulate and implement comprehensive microeconomic policies to reduce economic losses.


2008 ◽  
Vol 38 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Faizullah Kakar ◽  
Abdul Hamid Ahmadzai ◽  
Najibullah Habib ◽  
Asadullah Taqdeer ◽  
A Frederick Hartman

Although postconflict Afghanistan has some of the worst health indicators in the world, the government is working hard to rebuild the health infrastructure, extend services to underserved areas and improve the quality of health services. An outbreak of cholera El Tor O1 that struck Kabul and spread nationwide in 2005, prompted a collaborative response from the Afghan Ministry of Public Health, partner agencies, and the system established to provide the Basic Package of Health Services, of which diarrhoeal disease control is an essential component. This response illustrates that, with good preparation, it is possible to respond to an outbreak of cholera effectively. The very low mortality rate during the outbreak (0.1%) shows how a resource-poor country can succeed in providing high-quality health services with government commitment, coordinated action by partners, proper case management and treatment and expanded access to services.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Singh ◽  
K Sharma

Abstract Background World Health Organization (WHO) declared that the outbreak of novel coronavirus (2019-nCoV) constituted a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and characterized the novel coronavirus disease (COVID-19) as a pandemic on 11 March 2020. India enacted such measures early on for effective mitigation and suppression to reduce community transmission, including an onerous national lockdown. The impact of the health system governance is quite apparent among all stakeholders including the public in such emergency contexts. Methods We compiled the daily data on the number of COVID-19 cases, recoveries and deaths from January 30th until June 16th, 2020. Different stages were categorized from post PHEIC declaration (pre-lockdown) phase to lockdown phases and unlocking phase as implemented. The several measures adopted by the national government were structured in four broad categories as Governance and socioeconomic, travel restrictions, lockdown and public health measures. These measures were compared during each phase. Results It was revealed that while the cases are rising the phased restrictions has helped in delaying the peak and remarkably interrupted the rate of transmission. The national average doubling rate was 3 days at the beginning which improved to 22 days. The basic reproduction number remained close to 1 during the last week of lockdown. However, the initial interruption of needed aid and technical support had negative social and economic impacts on the affected population. Conclusions As the situation abates following the measures adopted by the government, an articulate strategy of unlocking through increased testing and prompt isolation needs to be developed for more effective reduction and protecting the livelihoods allowing to further relax the lockdown measures. Key messages There is need for the local government to consider a strategic easing of the lockdown for protecting the rights of the most affected population. As the transmission rates are low, the easing of lockdown can be benefited from improved testing and prompt isolation.


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