scholarly journals Protecting and Promoting Systems for Essential Health Services During Rollout of COVID-19 Tools

2021 ◽  
Author(s):  
Kerry A. Millington
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Systems ◽  
Negative Impact ◽  
Scale Up ◽  
Rapid Review ◽  
Vaccine Hesitancy ◽  
Public Health Systems ◽  
Health Innovations ◽  
One Year

The COVID-19 pandemic has had a tremendous negative impact on economies of most countries around the world. COVID-19 has disrupted the ability of health systems to deliver on essential health services and has also exposed pre-existing vulnerabilities and inequities in public health systems. According to a key informant survey conducted by WHO, over one year into the COVID-19 pandemic, there still exist substantial disruptions to essential health services. This rapid review examines evidence on successful interventions that could enable adaptive approaches to help manage and respond future pandemics and mitigate the risk of collapse of the public health systems. Countries must use the opportunity provided by the deployment of COVID-19 vaccines to strengthen health services and health systems and find long-lasting solutions for similar future challenges. The review notes that there still exist gaps in preparedness and response to the Covid-19 pandemic. New variants of concern threaten the effectiveness of existing COVID-19 vaccines, vaccine hesitancy slowing rollout, including in Africa, and interrupted and limited supply of COVID-19 tools. More funding is required though to scale up adaptive measures which are working, accelerating new approaches and innovations to improve service delivery. This review also highlights briefly the plight of marginalised social groups, people living with disabilities, women and children during the pandemic. According to estimates by Global Fund, Gavi, Global Financing Facility, access to life-saving health interventions for women, children and adolescents in 36 of the world’s poorest countries has dropped by as much as 25% due to COVID-19. Countries must build on the momentum of health innovations during the COVID-19 crisis to build more resilient health systems that can withstand disruptions by future pandemics.

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

scholarly journals Public Health Systems and Services Research: Dataset Development, Dissemination, and Use

2009 ◽  
Vol 124 (3) ◽  
pp. 372-377 ◽  
Author(s):  
F. Douglas Scutchfield ◽  
Nikki Lawhorn ◽  
Rick Ingram ◽  
Debra Joy Pérez ◽  
Rick Brewer ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Systems ◽  
Easy Access ◽  
Public Health Services ◽  
Services Research ◽  
Data Resource ◽  
Public Health Systems ◽  
The Impact ◽  
Research Resources

Public health systems and services research (PHSSR) is defined as “a field of study that examines the organization, financing, and delivery of public health services within communities and the impact of those services.” PHSSR is a relatively young field and suffers from a paucity of research resources. In this article, we describe the development and utility of a data resource, housed on the Health Services and Sciences Research Resources website maintained by the National Library of Medicine, which provides easy access to instruments, indices, and datasets that are relevant to PHSSR researchers. We also investigate efforts to promote the use and dissemination of these data resources, including the awarding of research grants and the organization of a PHSSR conference.

scholarly journals We Need Strong Public Health Care to Contain the Global Corona Pandemic

2020 ◽  
Vol 50 (3) ◽  
pp. 276-277 ◽  
Author(s):  
Wim De Ceukelaire ◽  
Chiara Bodini
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Systems ◽  
Public Health Care ◽  
Public Health Systems ◽  
Corona Virus ◽  
Health Threats

The corona virus (COVID-19) outbreak has spread from China to over a hundred countries in less than 2 months. Now is the time to take stock and to assess the responses of different countries to the outbreak so far. What we can learn from the global Corona pandemic so far is that strong public health systems have the resilience to address massive health threats with the collective responses they require. Privatization of health services and individualization of risks might further undermine our ability to address this and future global pandemics.

scholarly journals COVID-19 response by the Hopi Tribe: impact of systems improvement during the first wave on the second wave of the pandemic

2021 ◽  
Vol 6 (5) ◽  
pp. e005150
Author(s):  
Duane Humeyestewa ◽  
Rachel M. Burke ◽  
Harpriya Kaur ◽  
Darren Vicenti ◽  
Royce Jenkins ◽  
...  
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Care Center ◽  
Scale Up ◽  
Mitigation Measures ◽  
Incident Management ◽  
Surveillance Programme ◽  
Health Care Center ◽  
Public Health Systems ◽  
Control And Prevention

The Hopi Tribe is a sovereign nation home to ~7500 Hopi persons living primarily in 12 remote villages. The Hopi Tribe, like many other American Indian nations, has been disproportionately affected by COVID-19. On 18 May 2020, a team from the US Centers for Disease Control and Prevention (CDC) was deployed on the request of the tribe in response to increases in COVID-19 cases. Collaborating with Hopi Health Care Center (the reservation’s federally run Indian Health Service health facility) and CDC, the Hopi strengthened public health systems and response capacity from May to August including: (1) implementing routine COVID-19 surveillance reporting; (2) establishing the Hopi Incident Management Authority for rapid coordination and implementation of response activities across partners; (3) implementing a community surveillance programme to facilitate early case detection and educate communities on COVID-19 prevention; and (4) applying innovative communication strategies to encourage mask wearing, hand hygiene and physical distancing. These efforts, as well as community adherence to mitigation measures, helped to drive down cases in August. As cases increased in September–November, the improved capacity gained during the first wave of the pandemic enabled the Hopi leadership to have real-time awareness of the changing epidemiological landscape. This prompted rapid response coordination, swift scale up of health communications and redeployment of the community surveillance programme. The Hopi experience in strengthening their public health systems to better confront COVID-19 may be informative to other indigenous peoples as they also respond to COVID-19 within the context of disproportionate burden.

scholarly journals Integrating oral health with public health systems under the framework of the Global Charter for the Public's Health

2018 ◽  
Vol 69 (3) ◽  
pp. 167-170
Author(s):  
Aimee Lee ◽  
Marta Lomazzi ◽  
Hyewon Lee ◽  
Raman Bedi
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health Systems ◽  
Public Health Systems
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