Kebijakan Ekonomi Di Masa Pandemi Covid-19

2021 ◽  
Vol 1 (2) ◽  
pp. 134-145
Author(s):  
Nur Afni
Keyword(s):  
Health Workers ◽  
Health Care Systems ◽  
Public Awareness ◽  
World Health ◽  
Medium Term ◽  
Global Pandemic ◽  
Care Systems ◽  
The Government ◽  
Health Organization ◽  
Taking Action

COVID-19 discovered a global pandemic that gave rise to the emergence of various groups, especially the public. Inaugurated by the World Health Organization as a global pandemic, the management of COVID-19 is a challenge for countries with limited energy sources and health care systems. Citizens' understanding continues to grow along with the number of positive problems and deaths due to COVID-19 which continues to grow in a relatively short time. The ability of each country to adapt to the existing conditions during efficient and anticipatory implementation varies greatly. The policy finds an early ground that must be tested in order to be able to tackle these cases successfully. Anticipatory policy decisions related to efforts to prevent the spread of COVID-19, take action against infected patients, protect health workers, and control public awareness are carefully considered. For this reason, the Government is trying to schedule a New Normal policy so that the economic impact of the pandemic does not create a sustainable crisis. This policy is linked to planning where the Government has established programs, as well as major projects in the 2020-2024 National Medium-Term Development Plan (RPJMN). The government needs to review the medium-term plan considering that in 2020 all programs that are trying to focus on taking action against Covid-19. The government has 3 alternatives in the medium term, whether it is always quality, making moderate improvements, or changing it with a new plan with assumptions made from the Covid-19 pandemic and the consequences that accompany it.

Accounting for the Rising Caesarean Section Rate in Canada: What Are the Roles of Changing Needs, Practices, and Incentives?

2021 ◽  
Author(s):  
Michael Baker ◽  
Maripier Isabelle ◽  
Mark Stabile ◽  
Sara Allin
Keyword(s):  
Caesarean Section ◽  
Financial Incentives ◽  
Health Care Systems ◽  
Caesarean Section Rate ◽  
The United States ◽  
World Health ◽  
Strong Increase ◽  
Primary Determinant ◽  
Care Systems ◽  
Health Organization

In most high-income countries, including Canada, the share of births by Caesarean section (C‑section) has risen over the past decades to far exceed World Health Organization recommendations of the proportion justified on medical grounds (15 percent). Although unnecessary C-sections represent an important cost for health care systems, they are not associated with clear benefits for the mother and the child and can sometimes represent additional risks. Drawing on administrative records of nearly four million births in Canada, as well as macro data from the United States and Australia, we provide a comprehensive account of rising C-section rates. We explicitly consider the contributions of the main factors brought forward in the policy literature, including changing characteristics of mothers, births, and physicians as well as changing financial incentives for C-section deliveries. These factors account for at most one-half of the increase in C-section rates. The majority of the remaining increase in C-sections over the period 1994–2011 occurred in the early 2000s. We suggest that some event or shock in the early 2000s is likely the primary determinant of the recent strong increase in the C-section rate in Canada.

scholarly journals Examining the Multilevel Barriers and Facilitators to Iron Folic Acid Supplement Use and Anemia Reduction in Rural India (OR25-07-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Erica Sedlander ◽  
Rajiv Rimal ◽  
Michael Long ◽  
Ashita Munjral ◽  
Hagere Yilma ◽  
...  
Keyword(s):  
Folic Acid ◽  
Health Workers ◽  
Reproductive Age ◽  
World Health ◽  
Women Of Reproductive Age ◽  
Individual Level ◽  
Supplement Use ◽  
The Government ◽  
Iron Folic Acid ◽  
Health Organization

Abstract Objectives Over half of women of reproductive age in India are anemic so the World Health Organization recommends daily iron folic acid (IFA) for all women of reproductive age. The government has distributed free IFA for over four decades but initial uptake and adherence remain inadequate. Objectives 1) to understand the multilevel factors that hinder IFA use and adherence; and 2) to inform a behavioral intervention to increase IFA use to reduce anemia. Methods We conducted this study in four rural villages in the state of Odisha, India. We held 25 key informant interviews with front-line health workers, 16 focus groups with women of reproductive age, husbands, and mothers-in-law (n = 148) and 18 direct observations in health centers, pharmacies and women's groups. We purposively sampled key informants and randomly sampled focus group participants from an enumeration of all eligible residents of each village, and stratified them by sex, age and relation to a woman of reproductive age. We analyzed the data using applied thematic analysis and Nvivo software. Results At the individual level, we found that most people knew that IFA prevents anemia, but they did not recognize its widespread prevalence, believing instead that it was rare in their community. They also believed that taking too many IFA supplements during pregnancy would “make your baby big” causing a painful birth and possibly the need for a cesarean section. At the interpersonal level, mothers-in-law were not supportive of their daughters-in-law taking IFA too often because they themselves did not take them when they were younger. Husbands were more supportive. At the policy level, frontline health workers distribute IFA but are not incentivized to follow up on adherence. Finally, state and national policies are not consistent around which sub-populations should take IFA (e.g., whether all non-pregnant women of reproductive age should take them). Conclusions To address these multilevel barriers to IFA use and adherence, interventions should take a normative approach that includes a woman's social network and targets both descriptive norms (ideas about how many women in the community have anemia and are taking IFA) and injunctive norms around who should be taking IFA (e.g., all women of reproductive age). Funding Sources The Bill and Melinda Gates Foundation. Supporting Tables, Images and/or Graphs

Scarcity of Nurses in India

2016 ◽  
Vol 18 (4) ◽  
pp. 509-522 ◽  
Author(s):  
Reema Gill
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Human Resources For Health ◽  
Economic Status ◽  
World Health ◽  
Political Commitment ◽  
Health Related ◽  
The Government ◽  
Population Ratio ◽  
Health Organization

The human resources for health (HRH), especially nurses, constitute an important part of health systems. It is difficult to ascertain comprehensive information on the availability of health workers globally due to irregular reporting of data from the countries. However, experts have proposed minimum thresholds for achieving certain health-related Millennium Development Goals (MDGs). These thresholds have been used as yardsticks by others for determining HRH shortages in their nations. As per the minimum threshold developed by the World Health Organization (WHO), not enough health workers are available in India, especially in the rural areas. The nurse to population ratio in India is even lower than some of the other developing countries in Asia. Various factors, such as low professional and socio-economic status, gender issues, lack of political will on part of the government and unregulated private sector, have led to scarcity of nurses in numbers as well as qualitatively in India. To overcome the dismal working and social conditions, many Indian nurses are migrating to developed nations, further exacerbating the nursing shortages in the country. Inclusive planning, adequate financing and political commitment on the part of all stakeholders are required for overcoming the shortage of health personnel existing in India.

scholarly journals Deep Learning Detection of COVID-19, Temporal Variation and its Link with Temperature in Nigeria

2021 ◽  
pp. 55-62
Author(s):  
Ebiendele Eromosele Precious
Keyword(s):  
Deep Learning ◽  
Health Workers ◽  
World Health ◽  
Religious Activities ◽  
X Ray ◽  
Global Pandemic ◽  
First Case ◽  
Average Accuracy ◽  
Maximum Temperatures ◽  
Health Organization

COVID-19 was announced as a global pandemic on 11 March 2020 by the World Health Organization due to its spread globally.  Nigeria recorded its first case on 27 February 2020. Since then, it has spread to all parts of the country. In this paper we study the effectiveness and skill performance of deep learning architectures in assisting health workers in detecting COVID-19 infected patient through X-ray images. Analytical deductions obtained from 500 X-ray images of both infected and non-infected patients confirmed that our proposed model InceptionV3 is effective in detecting COVID-19 and attain an average accuracy of 92%. The relationship or link between the COVID-19 daily occurrence and two meteorological variables (minimum and maximum temperatures) are further assessed. The result also indicated that the cases recorded in Wednesdays and Fridays are observed to be higher than other days which usually coincide with either religious activities or market days in the country, while a progressively decline in weekday cases is observed towards the weekend with Sundays (ranging from 152 to 280 cases) having the lowest cases. The study further indicated statistically that COVID-19 daily cases significantly decline when maximum and minimum temperature are increasing (-0.79 and -0.44 correlation coefficient).

scholarly journals THE WAY THE HEALTH CARE SYSTEM IN UKRAINE LOOKS LIKE: INTERNATIONAL PRACTICES WITHIN NATIONAL REALITIES

2019 ◽  
Vol 72 (4) ◽  
pp. 685-691
Author(s):  
Borys O. Lohvynenko ◽  
Roman V. Myroniuk ◽  
Olexander P. Svitlychnyy ◽  
Aleksey Y. Prokopenko ◽  
Lidija I. Kalenichenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
National Health ◽  
Health Care Systems ◽  
World Health ◽  
National Health Care ◽  
National Health Care System ◽  
Care Systems ◽  
Health Organization ◽  
Care System

Introduction: Nowadays there is the transformation of the national health care system in Ukraine, the ultimate goal of which is to create a modern, competitive model of medical care of citizens on the basis of forming packages of free medical services. However, the model adopted by Ukraine is in contradiction with national legislation in part of free medical aid guaranteed by the Art. 49 of the Constitution of Ukraine, and fragmentary considers positive international practices. The aim of the paper is to determine the mistakes of the reform of the Ukrainian health care system and to reveal the positive international practices of the organization of health care systems that can be implemented in Ukraine. Materials and methods: National and international legislation, official web resources of the executive authorities of Ukraine, statistics of the World Health Organization, materials of journalistic and scientific periodicals are the materials for the research of the health care system in Ukraine in comparison with international practices. Research methods are cross-sectoral, complex statistical, comparative, generalization, analysis and synthesis. In order to obtain the results, the authors have conducted a critical analysis of the current norms of the national Ukrainian legislation in the health care sector. Review: The authors of the article have studied the main disadvantages of the national health care system in accordance with the concept of reforming the medical sector. Positive international practices that can be implemented into Ukrainian system for the real improvement of medical human rights in Ukraine have been revealed. Conclusions: It has been proved that the ongoing reform of the health care system in Ukraine needs to be reviewed and optimized. It has been offered to consolidate a perspective model of the Ukrainian health care system, its principles and guarantees of immunity at the legislative level.

scholarly journals Democracy Backsliding as a Danger of Sustainable Development in the Post-Pandemic Period: Social and Legal aspects of Decision

2021 ◽  
Vol 126 ◽  
pp. 06007
Author(s):  
Oleg Tkach ◽  
Оleh Batrymenko ◽  
Dmytro Nelipa ◽  
Mykola Khylko
Keyword(s):  
Human Life ◽  
Legal Aspects ◽  
World Health ◽  
Global Pandemic ◽  
The World ◽  
The Government ◽  
Democratic Principles ◽  
Health Organization ◽  
The Individual ◽  
The Right

The article considers topical issues of the threat of collapse of democracy. Examples of the democracy collapse have shown the lack of free and fair elections in the world, which threatens the independence of the judiciary, restrictions on the right to freedom of speech, which limits the ability of the political opposition to challenge the government, to prosecute, to offer alternatives to the regime. The collapse of democracy in connection with the spread of COVID-19 is being considered, as the democratic spectrum has repeatedly resorted to excessive control, discriminatory restrictions on freedoms such as movement and assembly, and arbitrary or coercive coercion. Attention is drawn to the fact that the outbreak of coronavirus COVID-19 has led to the introduction in all countries of restrictions on the rights and freedoms of the individual in order to prevent the spread of this infectious disease, declared a global pandemic by the World Health Organization. Thus, the unusual nature of the COVID - 19 coronavirus pandemic poses numerous dilemmas to the public, governments, parliaments, the judiciary, law enforcement and many other actors when it comes to the need for effective protection of health and, ultimately, human life, as well as adherence to and ensuring the fundamental democratic principles of man and society.

scholarly journals SUPLEMENTASI VITAMIN A PADA ANAK DIARE USIA 12– 59 BULAN

2020 ◽  
Vol 7 (1) ◽  
pp. 46-53
Author(s):  
Latifah Susilowati ◽  
Masta Hutasoit
Keyword(s):  
Vitamin A ◽  
Health Workers ◽  
Public Awareness ◽  
World Health ◽  
Morbidity Rate ◽  
Case Group ◽  
District Health ◽  
Vitamin A Supplementation ◽  
History Of ◽  
Health Organization

Diarrhea is the leading cause of infant mortality in Indonesia. Data from the Bantul District Health Office showed that the diarrhea morbidity rate in 2015 was 4.57 per 1000 population. World Health Organization launched program to reduce morbidity and mortality due to pneumonia and diarrhea by recommending supplementation of vitamin A as an effort to maintain health since baby was born. The purpose of this study was to determine the correlation of vitamin A supplementation with the incidence of diarrhea in children aged 12 - 59 months in Kasihan 1 Public Health Center. This study was used case control design with a retrospective approach. The number of control and case group were 44 children of each. Researcher collected data of children aged 12 - 59 months who suffered diarrhea last 6 months then conducted a home visit to ask about the history of vitamin A supplementation in children. There was no statistically significant correlation between vitamin A supplementation and the incidence of diarrhea in children aged 12 - 59 months. Health workers especially nurses need to increase public awareness of vitamin A supplementation to children under five years old as a form of support for government program to prevent diarrhea.

scholarly journals Investigation of the Level of Public Awareness Outcome of COVID -19 Pandemic among Nigerians

2020 ◽  
pp. 1-8
Author(s):  
Azuonwu Obioma ◽  
◽  
Ihua Nnenna ◽  
Ahiakwo Christian ◽  
◽  
...  
Keyword(s):  
General Public ◽  
Public Awareness ◽  
Secondary Data ◽  
World Health ◽  
Global Public Health ◽  
The Public ◽  
The Government ◽  
Health Organization ◽  
Associated Risk Factors ◽  
High Level

The COVID-19 pandemic has been considered to be very phenomenal as the period is marked with some unimaginable Health crises across the globe. COVID-19 has been a global Public Health threat widely affecting the entire populace irrespective of the class and sex across the region of the world. This has attracted lots of sensitization and interventions from the appropriate approved Health agencies such as World Health Organization, Nigeria Centre for Disease Control and others to better inform the general public about the nature and mode of operandi of the pandemic virus in the absence of an accepted therapeutics and vaccines as at the time of this study. However, the media is flooded with information; not excluding some misconceptions about COVID-19 pandemic. These conflicting information are taken by the general public without reservation, hence, the study investigated the level of awareness of the public about COVID-19 virus, in relation to general knowledge, signs/symptoms, associated risk factors, transmission/spread and misconceptions. The study was delimited to Nigerians who had access to the internet. The study instrument was a self-structured questionnaire, validated by experts in this area. A Cronbach Alpha revealed a reliability index of 0.92. The online descriptive survey on the awareness level of the public, utilized Google form technique to create the questionnaire which was sent through emails and links to various social media and private platforms. Five research questions and hypothesis guided the study. A combination of primary and secondary data sources aided the study. Modified Likert scale (four points) was used and a criterion mean of 2.5 was used as the cut-off for either aware/agree (>2.5) or not aware/disagree (<2.5). Statistical Package for Social Science version 21 was used to estimate descriptive and inferential statistics at 5% alpha level for deduction. A response rate of 99.1% was obtained and a sample size of 347 was used. The study outcome suggests many interesting phenomena concerning public awareness about the COVID-19 pandemic. There is a high level of awareness of COVID-19. However, there is a need for the government and media platforms to curtail the spread of fake news and correct the misconceptions about COVID-19 among her citizens in the region.

scholarly journals Implementation of the Integrated Care of Older People (ICOPE) App in Primary Care: New Technologies in Geriatric Care during Quarantine of COVID-19 and Beyond

2020 ◽  
pp. 1-2
Author(s):  
D. Sanchez-Rodriguez ◽  
C. Annweiler ◽  
S. Gillain ◽  
B. Vellas
Keyword(s):  
New Technologies ◽  
Health Care Systems ◽  
Action Plan ◽  
Credible Interval ◽  
Therapeutic Interventions ◽  
World Health ◽  
Global Priority ◽  
Care Systems ◽  
Novel Coronavirus ◽  
Health Organization

The COVID-19 pandemic due to a novel coronavirus (SARS-CoV-2) in December 2019 has rapidly spread worldwide. The mortality rate is about 2.3% in general population, with high human-to-human transmission of 0.41 (credible interval [0.27, 0.55]), and nasopharyngeal asymptomatic carriers act as vectors within the population (1). The World Health Organization (WHO) declared the pandemic on March 2020, and established objectives and action plan. First, WHO aimed at limiting the transmission of SARS-CoV-2, which required large isolation actions (country borders lockdown and individual quarantine). Second, WHO aimed at guiding and supporting the different health care systems across countries. Finally, developing therapeutic interventions appeared as a global priority as available evidence were still scarce (1). More than 860 clinical trials are ongoing worldwide.

scholarly journals Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity

2018 ◽  
Vol 15 (12) ◽  
pp. 2889 ◽  
Author(s):  
Cheng-Yu Huang ◽  
Kwong-Kwok Au ◽  
Sung-Lang Chen ◽  
Shao-Chuan Wang ◽  
Chi-Yu Liao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Health Care Systems ◽  
Health Care Expenditures ◽  
Good Health ◽  
World Health ◽  
Incidence And Mortality ◽  
Care Systems ◽  
Adequate Quality ◽  
Health Organization

The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been evaluated. We used linear regression to analyze the correlation between lung cancer MIRs and the total expenditures on health/gross domestic product (e/GDP) and the World Health Organization (WHO) rankings. We included 57 countries, for which data of adequate quality were available, and we found high rates of incidence and mortality but low MIRs in more developed regions. Among the continents, North America had the highest rates of incidence and mortality, whereas the highest MIRs were in Africa, Asia, Latin America, and the Caribbean. Globally, favorable MIRs correlated with high e/GDP and good WHO ranking (regression coefficient, −0.014 and 0.001; p = 0.004, and p = 0.014, respectively). In conclusion, the MIR for lung cancer in different countries varies with the expenditure on health care and health system rankings.

Sign in / Sign up

Export Citation Format

Share Document