scholarly journals Covid-19, Health Care in Ghana and the Fundamental Laws of Medical Science

2021 ◽  
Vol 4 (6) ◽  
Author(s):  
Ayim Aboagye D

The purpose of this article is to provide an overview of available research concerning covid-19 in Ghana. It presents challenges, measures from the health care delivery sector in the public health facilities. The article draws some strength from the fundamental laws of medicine as they aid to prepare the scientists in their combat against the novel Covid-19, its variants such as Delta and Omicron. Though the government has suffered economically from lockdowns and social interventions, its resilience efforts have been acclaimed to be successful and have to be emulated by other countries. The health care workers in Ghana's dissatisfaction with their jobs in these periods have not sidelined government efforts to lead and care for its citizens amid a pandemic.

Author(s):  
Yousuf A Vawda ◽  
Farhana Variawa

South Africa is renowned for having a progressive Constitution with strong protection of human rights, including protection for persons using the public health system. While significant recent discourse and jurisprudence have focused on the rights of patients, the situation and rights of providers of health care services have not been adequately ventilated. This paper attempts to foreground the position of the human resources personnel located at the centre of the roll-out of the government's ambitious programme of anti-retroviral (ARV) therapy. The HIV/AIDS epidemic represents a major public health crisis in our country and, inasmuch as various critical policies and programmes have been devised in response, the key to a successful outcome lies in the hands of the health care professionals tasked with implementing such strategies. Often pilloried by the public, our health care workers (HCWs) face an almost Herculean task of turning the tide on the epidemic. Unless the rights of HCWs are recognised and their needs adequately addressed, the best laid plans of government will be at risk. This contribution attempts to identify and analyse the critical challenges confronting HCWs at the coalface of the HIV/AIDS treatment programme, in particular the extent to which their own rights are under threat, and offers recommendations to remedy the situation in order to ensure the successful realisation of the ARV rollout.


2021 ◽  
Vol 2 (4) ◽  
pp. 288-291
Author(s):  
Muhammad Ahmer Raza ◽  
Shireen Aziz ◽  
Shahid Masood Raza ◽  
Sana Shahzad

Pharmacists in health systems involved with immunizations have used their practice settings to become advocates for immunization and increase their responsibilities in the public health monarchy. Administering vaccines to patients and health care workers is enabling some health-system pharmacists to assume a prominent role in public health. Pharmacists have noticed that immunization needs were not being met and, through their advocacy, increased the numbers of patients and employees of health systems who have been vaccinated.


2020 ◽  
Vol 4 (1) ◽  
pp. 23-33
Author(s):  
Krishnaprasad Gopalkrishna Vanthichal ◽  
Arijit Ray ◽  
Debashish Paul

Background: Personal Protective Equipment (PPE) including gown, shoe cover, face mask, eye goggles, cap, face shield and gloves for health-care professional in operation theatre is a must in order to contain COVID-19 pandemic. It is imperative to mention that a surgical patient whether  suspected or confirmed cases of COVID-19 must receive peri-operative care as it is the mainstay in care of surgical patient which cannot be denied to anyone. If we look at the incidences and the trend of spreading the COVID-19 infection, any breech in the personal and professional preventive steps to this infection in peri-operative care imposes greater risk to the public health as it affects the health care workers. Anesthetisologist and other staffs and health care workers (HCWs) in the operating room are in close proximity to patients. They are always in events of increased aerosol production from an infected patients, whether it is intubation, Bag and mask Ventilation or suctioning of the airway and life saving procedures.The major route of spread is contact transmission.Cross-infection is the major hindrance to seamless healthcare service to Covid-19 patients. Hand-washing is the universal viral transmission containment step. But it will not suffice to the preventive goal of these HCWs. Though operation rooms are maintained with negative pressure atmosphere which is ideal to minimize infection risk but this is the time to rehearse and practice other aspects too.Conclusion: The peri-operative care providers’ face several challenges in operation theatre  and during per-operative care while treating suspected or confirmed cases of COVID-19 and thus pose a greater risk to the society. We tried to summarise these vital points and practices, dissemination of which is of utmost importance at this pandenmic scenario.


2020 ◽  
Vol 4 (03) ◽  
pp. 184-188
Author(s):  
Shuvro H. Roy-Choudhury ◽  
Gireesh Warawdekar

AbstractThe ongoing SARS-CoV-2 (COVID-19) pandemic poses a major risk to health care delivery all around the world and also poses significant risks to the public and health care workers (HCWs). Surgical procedures, particularly elective procedures, have been cancelled or deferred due to increased risks associated with surgery and anesthesia both to the patient and the HCWs as well as to allocate resources to treat infected patients. This is particularly true for patients with comorbidities and cancer. As countries emerge from this pandemic, a phased return to conventional surgical procedures is being proposed, with emphasis on procedures performed in ambulatory settings and avoiding endotracheal intubation, where possible. Interventional radiological (IR) procedures offer a unique advantage in this setting, as these procedures are often performed with local or regional anesthesia with shorter hospital stay. In this brief communication, we outline the current opinion on surgical risks and guidelines and suggest areas where interventional therapies may offer an advantage to the multidisciplinary team and patient.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.


2020 ◽  
Author(s):  
Venkatesh U ◽  
Aravind Gandhi P

UNSTRUCTURED Telemedicine is where health care intersects with Information Technology. In India, there has been no statutory regulations or official guidelines, specific for Telemedicine practice and allied matters, so far. For the first time, Government of India has released Telemedicine Practice Guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID-19 outbreak. Through this paper, we would like to initiate the discussion on the features of the guidelines, limitations, and its significance in times of COVID-19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of Telemedicine such as research and evaluation, and the continuing education of health-care workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of Teleconsultation, delved into doctor-patient relationship, consent, & management protocols, touched upon the data security & privacy aspects of the Teleconsultation. After releasing the guidelines, Telescreening of public for COVID-19 symptoms is being advocated by the Government of India. COVID-19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across the India to AIIMS in real-time for accessing expert guidance on treatment of the COVID-19 patients.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dereje Tsegaye ◽  
Muluneh Shuremu ◽  
Dereje Oljira ◽  
Sileshi Dubale ◽  
Getachew Befekadu ◽  
...  

Abstract Background Novel-coronavirus 2019 (COVID-19) disease is currently a worldwide health risk and public health emergency concern. The virus is transmitted from an infected person to another person through close contact and droplets. Frontline health care workers are the most at risk of infection, and so a WHO interim guidance document was issued by the World Health Organization (WHO) which underscores the importance of proper sanitation and waste management practices for COVID- 19 in health-care settings. This study aimed at assessing knowledge and preventive practices towards Covid-19 among health care providers in selected health facilities of Illu Aba Bor and Buno Bedele zones, Southwest Ethiopia. Methods An institution-based cross-sectional study was conducted from April to May 2020 among 330 health workers in selected health facilities of Illu Aba Bor and Buno-Bedelle Zones, Southwest Ethiopia. Data were collected using a self-administered structured questionnaire. The collected data were entered into Epidata version 3.1 and exported to SPSS version 23 for analysis. Bivariate and multivariable logistic regression analysis was used to identify independent predictors of preventive practices towards Covid-19. Statistical significance was declared at a p-value of < 0.05. Result The majority of respondents (93.3%) demonstrated good knowledge of COVID-19, and the mean (SD) knowledge score was 9.04 ± 1.06. Nearly two-thirds (64.2%) of the study participants had good infection prevention practices. Being male (AOR = 3.65, 95% CI: (1.96, 6.80)), education level (AOR = 1.82, 95% CI (1.02, 3.22)), profession (AOR = 3.17, 95% CI (1.08, 9.33)), service year (5–10 years) (AOR = 2.00 (1.02, 3.92)) and more than 10 years (AOR = 3.14 (1.51, 6.52)), availability of personal protective equipment (AOR = 1.96 (1.06, 3.61)) and Knowledge level (AOR = 2.61 (1.48, 4.62)) were independent predictors of COVID-19 preventive practices. Conclusion The overall level of knowledge of HCWs was good. However, the practice was relatively low. Gender, educational status, profession, year of service, knowledge towards COVID-19, and availability of personal protective equipment were independent predictors of good infection prevention practices. Optimizing the infection prevention and control loop of the health facilities is recommended.


Vestnik ◽  
2021 ◽  
pp. 313-316
Author(s):  
И.Г. Турсумбай ◽  
Л.К. Кошербаева

Одним из последствий осуществления медицинской деятельности в разнообразных хозяйственных формах является изменение экономического положения работников здравоохранения. От количества и качества их труда зависит экономический результат деятельности лечебно-профилактических учреждений (ЛПУ) в целом. В статье приводится сравнительный анализ занимающихся подготовкой экономистов в области здравоохранения по различным критериям. Подчеркивается необходимость непрерывного совершенствования подготовки управленческих кадров в области экономики здравоохранения в современных условиях развития общества. One of the consequences of the implementation of medical activities in various economic forms is a change in the economic situation of health care workers. The number and quality of their work depends on the economic result of the activities of medical and preventive institutions (LPU) as a whole. The article presents a comparative analysis of the health economists who are engaged in training according to various criteria. The necessity of continuous improvement of training of managerial personnel in the field of health economics in the modern conditions of society development is emphasized.


2021 ◽  
pp. 49-52
Author(s):  
Shrivastava P ◽  
Verma S ◽  
Khushboo Khushboo ◽  
Bhattacharya P K

Despite the ubiquity of health-related communications via social media, no consensus has emerged what information should be conveyed and how it should be conveyed to avoid creating panic among general population. With lockdowns social media, mass media became as a habit by people for news, information regarding COVID-19 and it is practiced even after lockdown. During the COVID-19 pandemic, mass media, social media and local news has become as the source of a toxic “infodemic” source for public. It contained both solicited and unsolicited advice. No conceptual model exists for examining the roles of media. It is important to rst assess the important mis-information, role of infodemics and prevalent casualness among the public regarding the COVID-19. Till mass vaccination is not commenced it is prudent to emphasize guidelines and practices as per COVID guidelines like social distancing, wearing mask, hand hygiene


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