scholarly journals Difficulties of Prevention and Control Staff in COVID-19 Outbreak: A Cross-sectional Study Based on Five Provinces

2020 ◽  
Author(s):  
Zhicheng Du ◽  
Hua You ◽  
Huan Zhou ◽  
Xiaohui Wang ◽  
Jingdong Xu ◽  
...  
Keyword(s):  
Public Health ◽  
Psychological Distress ◽  
Prevention And Control ◽  
Health Workers ◽  
Target Population ◽  
Scientific Basis ◽  
Epidemic Control ◽  
Cross Sectional ◽  
Communication And Coordination ◽  
And Control

Abstract Objectives: The aim of this study is to address the difficulties encountered by epidemic control staff in the early and middle stages of their efforts to combat COVID-19, compare the gaps among different types of institutions, and identify shortcomings in epidemic control. Methods: Using multi-stage sampling, a survey of primary (“primary-urban” and “primary-rural”) and non-primary (“CDC”) public health workers involved in the prevention and control of COVID-19 in five provinces, including Hubei, Guangdong, Sichuan, Jiangsu and Gansu, was conducted from 18 February to 1 March 2020 through a self-administered questionnaire.Results: A total of 9475 outbreak prevention and control workers were surveyed, of which 40.0% were from the primary-rural, 27.0% were from the primary-urban and 33.0% were CDC. Resources shortage was reported at 27.9%, with the primary-rural being the worst affected (OR=1.201, 95%CI: 1.073-1.345). Difficulties in data processing were reported at 31.5%, with no significant differences among institutions. Communication and coordination difficulties were reported at 29.8%, with the CDC being the most serious (the rural primary: OR=0.520, 95%CI: 0.446-0.606; the primary-urban: OR=0.533, 95%CI: 0.454-0.625). Work object difficulties were reported at 20.2%, with the primary-urban being the worst (OR=1.368, 95%CI: 1.199-1.560). Psychological distress was reported at 48.8%, with no significant differences among institutions.Conclusions: Psychological distress is the most serious problem in the prevention and control of COVID-19, and the resources shortage in primary-rural, communication and coordination difficulties in CDC, and difficulties in working with the target population in the primary-urban deserve attention. This study will provide a scientific basis for improving the national public health emergency management system, especially for reducing the urban-rural differences in emergency response capacity.

scholarly journals Difficulties encountered by public health workers in COVID-19 outbreak: a cross-sectional study based on five provinces

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhicheng Du ◽  
Hua You ◽  
Huan Zhou ◽  
Xiaohui Wang ◽  
Jingdong Xu ◽  
...  
Keyword(s):  
Public Health ◽  
Psychological Distress ◽  
Rural Areas ◽  
Prevention And Control ◽  
Health Workers ◽  
Care Center ◽  
Health Care Center ◽  
Public Health Workers ◽  
Communication And Coordination ◽  
And Control

Abstract Objectives The aim of this study is to address the difficulties encountered by public health workers in the early and middle stages of their efforts to combat COVID-19, compare the gaps among different types of institutions, and identify shortcomings in epidemic control. Methods Using multi-stage sampling, a survey of public health workers involved in the prevention and control of COVID-19 was conducted from 18 February to 1 March 2020 through a self-administered questionnaire. These public health workers were from the primary health care center (defined as “primary-urban” and “primary-rural” for those in urban and rural areas, respectively) and the center for disease control and prevention (defined as “non-primary”) in five provinces including Hubei, Guangdong, Sichuan, Jiangsu and Gansu, China. Results A total of 9,475 public health workers were surveyed, of which 40.0 %, 27.0 % and 33.0 % were from the primary-rural, primary-urban and non-primary, respectively. The resources shortage were reported by 27.9 % participants, with the primary-rural being the worst affected (OR = 1.201, 95 %CI: 1.073–1.345). The difficulties in data processing were reported by 31.5 % participants, with no significant differences among institutions. The difficulties in communication and coordination were reported by 29.8 % participants, with the non-primary being the most serious (primary-rural: OR = 0.520, 95 %CI: 0.446–0.606; primary-urban: OR = 0.533, 95 %CI: 0.454–0.625). The difficulties with target audiences were reported by 20.2 % participants, with the primary-urban being the worst (OR = 1.368, 95 %CI: 1.199–1.560). The psychological distress were reported by 48.8 % participants, with no significant differences among institutions. Conclusions Psychological distress is the most serious problem in the prevention and control of COVID-19. Resources shortage in primary-rural, difficulties in communication and coordination in non-primary, and difficulties with target audiences in the primary-urban deserve attention. This study will provide scientific evidences for improving the national public health emergency management system, especially for reducing the urban-rural differences in emergency response capacity.

scholarly journals Infection Prevention and Control

2020 ◽  
pp. 99-116
Author(s):  
Anna L. Costa ◽  
Gaetano Pierpaolo Privitera ◽  
Giorgio Tulli ◽  
Giulio Toccafondi
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Clinical Risk Management ◽  
Cross Sectional ◽  
Healthcare Associated ◽  
And Control ◽  
Avoidable Risk

AbstractHealthcare-associated infections (HAI) are adverse events exposing patients to a potentially avoidable risk of morbidity and mortality. Antimicrobial resistance (AMR) is increasingly contributing to the burden of HAIs and emerging as of the most alarming challenges for public health worldwide. Practically, harm mitigation and risk containment demand cross-sectional initiatives incorporate both approaches to infection prevention and control and methodologies from clinical risk management.

scholarly journals Knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda: a cross-sectional online survey

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 136
Author(s):  
Sharon Bright Amanya ◽  
Richard Nyeko ◽  
Bonniface Obura ◽  
Joy Acen ◽  
Caroline Nabasirye ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Health Workers ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Prevention And Control Measures ◽  
And Control

Background: Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of coronavirus disease 2019 (Covid-19) and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among health workers in northern Uganda in light of the Covid-19 pandemic. The objective of this study was to determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda.  Methods: An online cross-sectional descriptive study was conducted among 75 health workers in regional referral hospitals within northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75% of the maximum score. Data were analyzed using SPSS v21.   Results: The majority of the health workers had sufficient knowledge (69%) and adequate compliance (68%) with Covid-19 IPC. Adequate compliance was significantly associated with training in Covid-19 IPC (p=0.039), access to Covid-19 IPC at workstations (p=0.036), and having strong institutional support (p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.07). The socio-demographic characteristics of health workers, including age, sex, education level, occupation, working hours and work experience, had no statistically significant relationship with Covid-19 IPC knowledge or compliance.  Conclusion: Our results show fairly good knowledge and compliance with Covid-19 IPC among health workers in northern Uganda. There is need for more training and provision of guidelines to promote compliance with Covid-19 IPC.

scholarly journals Knowledge and Compliance with Covid-19 Infection Prevention and Control measures among Health Workers in Regional Referral Hospitals in Northern Uganda: A cross-sectional Online Survey

2020 ◽  
Author(s):  
Sharon Bright Amanya ◽  
Richard Nyeko ◽  
Bonniface Obura ◽  
Joy Acen ◽  
Caroline Nabasirye ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Health Workers ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Prevention And Control Measures ◽  
And Control

Abstract Background:Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of Covid-19 and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among Ugandan health workers in light of the Covid-19 pandemic.Objective: To determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in Northern Uganda.Methods: An online cross-sectional descriptive study was conducted among 75 health workers in regional referral hospitals within Northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75 of the maximum score. Data were analyzed using SPSS v21.Results: The majority of the health workers had good knowledge (69%) and compliance (68%) with Covid-19 IPC. Good compliance was significantly associated with training in Covid-19 IPC (p=0.039), access to Covid-19 IPC at work stations (p=0.036), and having sufficient institutional support (p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.007). The sociodemographic characteristics of health workers, including age, sex, education level, occupation, working hours and work experience, had no statistically significant relationship with Cvid-19 IPC knowledge or compliance.Discussion: Our findings provide support for IPC training and guidelines as well as adequate PPEs to be available to health workers to improve compliance with Covid-19 IPC.

scholarly journals Comparative assessment of infection prevention and control practice among maternity unit health workers in public and private secondary health facilities in Kaduna state, Nigeria

2021 ◽  
Vol 2 ◽  
pp. 9
Author(s):  
Joseph Sunday ◽  
Muawiyya Babale Sufiyan ◽  
Clara Ladi Ejembi ◽  
Butawa Nuhu Natie ◽  
Abdulhakeem Abayomi Olorukooba ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Health Workers ◽  
Statistical Significance ◽  
Face Mask ◽  
Infection Prevention And Control ◽  
Cross Sectional ◽  
Public And Private ◽  
Significant Difference ◽  
And Control

Objectives: Infection prevention and control (IPC) practice in health facility (HF) is abysmally low in developing countries, resulting in significant preventable morbidity and mortality. This study assessed and compared health workers’ (HWs) practice of IPC strategies in public and private secondary HFs in Kaduna State. Material and Methods: A cross-sectional comparative study was employed. Using multistage sampling, 227 participants each were selected comprising of doctors, midwives, and nurses from public and private HF. Data were collected using interviewer-administered questionnaire and observation checklist and analyzed using bivariate and multivariate analysis. Statistical significance determined at P < 0.05. Results: The practice of infection prevention was poor. Overall, 42.3% of the HWs did not change their gowns in-between patients, with the significantly higher rates in 73.1% of private compared to 42.3% of public HF workers (P < 0.001). In addition, 30.5% and 10.1% of HWs do not use face mask and eye goggle, respectively, when conducting procedures likely to generate splash of body fluids, however, there was no significant difference in these poor practices in public compared to private HFs. The mean IPC practice was 51.6 ± 12.5%, this was significantly lower among public (48.8 ± 12.5%) compared to private (54.5 ± 11.9%) HF workers (P < 0.0001). Private HF workers were 3 times more likely to implement IPC interventions compared to public HF workers. Conclusion: IPC practice especially among public HF workers was poor.

scholarly journals Knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda: a cross-sectional online survey

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 136
Author(s):  
Sharon Bright Amanya ◽  
Richard Nyeko ◽  
Bonniface Obura ◽  
Joy Acen ◽  
Caroline Nabasirye ◽  
...  
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Health Workers ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Prevention And Control Measures ◽  
And Control

Background: Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of coronavirus disease 2019 (Covid-19) and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among health workers in northern Uganda in light of the Covid-19 pandemic. The objective of this study was to determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda.  Methods: An online cross-sectional descriptive study was conducted among health workers in regional referral hospitals within northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75% of the maximum score. Data were analyzed using SPSS v21.   Results: Of the 213 health workers approached, 75 (35%) participated in the study. The majority were males, 39(52%) and the mean age was 36.92 years. Of the 75 participants, 52(69%) had sufficient knowledge of Covid-19 IPC while 51(68%) had adequate compliance with Covid-19 IPC.   Adequate compliance was significantly associated with training in Covid-19 IPC (OR, 2.86; 95% CI, (1.04-7.88); p=0.039), access to Covid-19 IPC materials at workstations (OR, 2.90; 95% CI, (1.06 - 8.09); p=0.036), and having strong institutional support (OR, 3.08; 95% CI, (1.08 – 8.74); p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.07). The socio-demographic characteristics of health workershad no statistically significant relationship with Covid-19 IPC knowledge or compliance.  Conclusion: Our results show fairly good knowledge and compliance with Covid-19 IPC among health workers in northern Uganda. There is need for more training and provision of guidelines to promote compliance with Covid-19 IPC.

Strengthening of occupational health promotion by the German Prevention Health Care Act

2019 ◽  
pp. 188-190
Author(s):  
Diana Hart
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Prevention ◽  
Occupational Health ◽  
Life Expectancy ◽  
Prevention And Control ◽  
Occupational Health Promotion ◽  
And Control

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.

Investigation on emotion and behavior of children aged 1-11 during the pandemic of COVID-19: A Cross-sectional study in Guizhou, China (Preprint)

2020 ◽  
Author(s):  
Yushi Mo ◽  
Yan Luo ◽  
Hong Li ◽  
Dewei Xiao ◽  
Shuqing Liu ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
Prevention And Control ◽  
Online Survey ◽  
Sleep Problems ◽  
Emotional Problems ◽  
Control Measures ◽  
Emotional And Behavioral Problems ◽  
Guizhou Province ◽  
Cross Sectional ◽  
And Control

BACKGROUND In face of the sudden epidemic of COVID-19, strict prevention and control measures had been urgently carried out all over China. Because of the long-term home quarantine, all kinds of people were affected by it. OBJECTIVE In order to understand the mental health of children during the pandemic of COVID-19, this study investigated the prevalence and characteristics of emotional and behavioral problems of children aged 1-11 in Guizhou. METHODS Based on the online survey platform, the survey link was pushed through Wechat in April 2020. Electronic questionnaires were used to investigate children's demographic characteristics, emotional or behavioral problems. RESULTS A total of 3505 valid questionnaires were received from 9 prefectures and cities in Guizhou Province. 39.67% of the children in the 1-2-year-old group had emotional problems. 17.63% of the children agd 3-5 years had behavioral or emotional problems. And 23.57% of the children agd 6-11 years havd behavioral problems. CONCLUSIONS During the home quarantine period of prevention and control of COVID-19, even young children were adversely affected. The prevalence of emotional and behavioral problems in children was high, which was mainly manifested as anxiety, difficulty in concentration and sleep problems.

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