scholarly journals Age and Ageing During the COVID-19 Pandemic; Challenges to Public Health and to the Health of the Public

2021 ◽  
Vol 9 ◽  
Author(s):  
A. Mark Clarfield ◽  
Tzvi Dwolatzky
Keyword(s):  
Public Health ◽  
Geriatric Medicine ◽  
Psychological Needs ◽  
Public Health Care ◽  
Social Psychological ◽  
Older Population ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Successful Vaccine

The distribution of the SARS-CoV-2 virus has reached pandemic proportions. While COVID-19 can affect anyone, it is particularly hazardous for those with “co-morbidities.” Older age is an especially strong and independent risk factor for hospital and ICU admission, mechanical ventilation and death. Health systems must protect persons at any age while paying particular attention to those with risk factors. However, essential freedoms must be respected and social/psychological needs met for those shielded. The example of the older population in Israel may provide interesting public health lessons. Relatively speaking, Israel is a demographically young country, with only 11.5% of its population 65 years and older as compared with the OECD average of >17%. As well, a lower proportion of older persons is in long-term institutions in Israel than in most other OECD countries. The initiation of a national program to protect older residents of nursing homes and more latterly, a successful vaccine program has resulted in relatively low rates of serious COVID-19 related disease and mortality in Israel. However, the global situation remains unstable and the older population remains at risk. The rollout of efficacious vaccines is in progress but it will probably take years to cover the world's population, especially those living in low- and middle-income countries. Every effort must be made not to leave these poorer countries behind. Marrying the principles of public health (care of the population) with those of geriatric medicine (care of the older individual) offers the best way forward.

Better Late Than Never?! Five Compelling Reasons for Putting Physical Activity in Low- and Middle-Income Countries High Up on the Public Health Research Agenda

2021 ◽  
pp. 1-2
Author(s):  
Katja Siefken ◽  
Andrea Varela Ramirez ◽  
Temo Waqanivalu ◽  
Nico Schulenkorf
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Health Research ◽  
Research Agenda ◽  
Public Health Research ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Low And Middle Income

Since 2020, the world has been navigating an epidemiologic transition with both infectious diseases (COVID-19) and noncommunicable diseases intertwined in complex and diverse ways. In fact, the pandemics of physical inactivity, noncommunicable diseases, and COVID-19 coincide in a tragically impactful ménage à trois with their detrimental long-term health consequences yet to be determined. We know that people in low- and middle-income countries not only have the highest risk of developing chronic diseases, they also develop the diseases at a younger age, they suffer longer, and they die earlier than people in high-income countries. This commentary features 5 compelling reasons for putting physical activity in low- and middle-income countries high up on the public health research agenda and calls for more commitment to inclusive and context-specific public health practices that are paired with locally relevant promotion and facilitation of PA practice, research, and policymaking.

scholarly journals 5.G. Round table: Influencers or Followers? The Role of National Public Health Institutes in LMIC

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Sustainable Development Goals ◽  
Added Value ◽  
Research Institutions ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Development Goals ◽  
Low And Middle Income

Abstract Objectives To discuss the added value of locally developed health policies and strategies in the context of Global Sustainable Development Goals. To discuss the capabilities, opportunities and limitations of public health institutes in low- and middle-income countries in contributing to health policies and strategies in their countries vis-à-vis the global policies, promoted by multilateral and UN institutions. To formulate recommendations for strengthening the role of local health research institutions in low- and middle-income countries in formulating evidence-based policies and strategies for achieving Sustainable Development Goals, in their countries and beyond their borders. Five panellists from public health and research institutes in Bangladesh, Laos, DR Congo, Uganda and Haiti, and one representative from the European Commission, discuss their experiences in the Support to Public Health Institutes Programme (financed by the European Union), and what they have achieved in influencing policy and practice. Have they been able to leave their ivory tower of science, and have they been able to enter into real dialogue with politicians, practitioners and users of health services? How have they dealt with scepticism in the era mistrust in science? How did they bridge the gap between science and politics, and what tangible products did they deliver to make an impact on health of the population through policy advice or strategy formulation? Did they really make a difference and if yes, how? How did the public health institutes relate to the global giants in health policy and strategies? Did they get support or encouragement for following a local route? Have the public health institutes been able to contribute to global development? Has an international exchange facilitated by the European Commission contributed to strengthening the institutes? After short introductions by the panelists about their work in the last five years, there will be answers to questions from the panel leader and the delegates in the workshop. Delegates are invited to share experiences from their countries. Most of the time of the workshop will be used for a discussion among all participants in the workshop: how can public health institutes and research institutions play a stronger role in policy advice and strategy development in the health sector in their country? What should change within the institutions? How can they demonstrate their added value? What should change in ministries of health and parliaments? What should change in decision-makers in health services? Which best practices do we know, can serve as an example? At the end of the workshop the participants will formulate concrete recommendations, to be presented to the global health community. Key messages Public health institutes and research institutions in low- and middle-income countries have a hidden potential to contribute to local solutions for global health problems. A paradigm shift in relations between academic institutions is needed to unleash the potential of public health institutes.

scholarly journals Mental health literacy at the public health level in low and middle income countries: An exploratory mixed methods study in Vietnam

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244573
Author(s):  
Hoang-Minh Dang ◽  
Trung T. Lam ◽  
Anh Dao ◽  
Bahr Weiss
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Literacy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Literacy ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Health Level

Purpose Mental health literacy (MHL) is key for mental health development, particularly in low-and-middle-income countries (LMIC) where mental health resources are limited. MHL development can be thought of as occurring at two levels: the individual person level (via direct contact, with specifically-targeted individuals), and the public health level (via indirect contact through public media, targeting the general public). Each approach has advantages and disadvantages. Methods The present mixed methods study assessed the status of and best approaches for development of mental health literacy in the Southeast Asian LMIC Vietnam. Because there has been relatively little discussion of MHL development at the public health level, this assessment focused on the public health level, although not exclusively. Because mental health professionals generally have the most in-depth understanding of their mental health system, study participants were 82 Vietnamese mental health professionals who completed a quantitative survey, with 48 participating in focus groups. Results Most of the professionals viewed MHL in Vietnam as low or very low, and that it was difficult or very difficult for the general public to find effective mental health services. Main barriers underlying these problems and more generally for developing MHL in Vietnam identified in the focus groups were: (a) misinformation in the media regarding mental health and mental illness; (b) lack of licensure for non-medical mental health professionals (e.g., psychologists; social workers); (c) lack of interest in mental health from upper-level leadership. Conclusions To the best of our knowledge, this is the first study assessing professionals’ perceptions regarding mental health literacy at both the public health and individual-person levels. Although sampling was restricted to Vietnamese professionals, results may provide initial preliminary guidance for other LMIC considering mental health literacy development at multiple levels.

scholarly journals Lifting the lockdown: what are the options for low and middle-income countries?

2020 ◽  
Author(s):  
Rajiv Chowdhury ◽  
Shammi Luhar ◽  
Nusrat Khan ◽  
Sohel Reza Choudhury ◽  
Imran Matin ◽  
...  
Keyword(s):  
Public Health ◽  
Health Resources ◽  
Community Based ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Social ◽  
Context Specific ◽  
Low And Middle Income

To limit the social, economic and psychological damage caused by strict social distancing interventions, many low and middle-income countries (LMICs) are seeking to ease restrictions. However, it is unknown what a ‘safe reopening’ entails in LMICs given suboptimal diagnostic and surveillance capabilities. Here we discuss three community-based public health measures (sustained mitigation, zonal lockdown and dynamic rolling lockdowns) which seek to adequately balance the public health and economic priorities. Each of these options have limitations and prerequisites that may be context-specific and should be considered before implementation, including implementation and maintenance costs, social and economic costs, context-specific epidemic growth and the existing health resources.

scholarly journals Experiences of people with dementia and their caregivers during the COVID-19 pandemic in India: A mixed-methods study

Dementia ◽  
2021 ◽  
pp. 147130122110353
Author(s):  
Jayeeta Rajagopalan ◽  
Faheem Arshad ◽  
Rakshith Maneshwar Hoskeri ◽  
Vasundharaa S Nair ◽  
Saadiya Hurzuk ◽  
...  
Keyword(s):  
Public Health ◽  
Structured Interview ◽  
Public Health Response ◽  
Middle Income ◽  
The Public ◽  
Functional Activities ◽  
Middle Income Countries ◽  
People With Dementia ◽  
Health Response ◽  
Interview Guide

Background The COVID-19 pandemic has unprecedented consequences for the management of chronic diseases such as dementia. However, limited evidence exists on the condition of persons with dementia and their caregivers during the pandemic in lower-middle-income countries (LMICs). The study aimed to provide insights into the experiences of persons with dementia and their families during the early phases of the pandemic in India. Methods This study adopted a mixed-method approach. One hundred and four persons with dementia and their caregivers were evaluated via telephone using validated instruments and a semi-structured interview guide. We used the quantitative data collected to establish a baseline, whereas qualitative data were analysed thematically. Results The study revealed that persons with dementia and their caregivers experienced difficulties during the pandemic, which included worsening of behaviour, problems in accessing care, disruptions in functional activities and struggles in enforcing infection prevention contributing to caregiver distress. An important finding that emerged was the unchanging reality of caregiving for families. The relative success of the public health response to the COVID-19 pandemic contrasted with the lack of awareness and formal support for dementia. Conclusions The COVID-19 pandemic has exposed the vulnerabilities of persons with dementia and their caregivers. This calls for a collaborative reframing of medical care and public health policies to address dementia care.

Future Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Research ◽  
Clinical Care ◽  
Dissemination And Implementation ◽  
Public Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Dissemination And Implementation Research ◽  
The Many

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.

An Overview of the Ethics of Injury in Public Health

2019 ◽  
pp. 597-603
Author(s):  
Adnan A. Hyder
Keyword(s):  
Public Health ◽  
Injury Prevention ◽  
Prevention And Control ◽  
Public Health Ethics ◽  
Ethical Challenges ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Ethics ◽  
Prompt Attention ◽  
And Control

This chapter briefly introduces ethics issues in injury prevention and control in low- and middle-income countries (LMICs), using a series of examples that prompt attention to the ethical principles of autonomy and justice. The chapter also introduces the section of The Oxford Handbook of Public Health Ethics dedicated to an examination of injury and public health ethics, with attention given to the complex ethical challenges arising in injury prevention and control in LMICs. The section’s two chapters discuss public health ethics issues arising in the prevention and control of unintentional injuries and intentional injuries, respectively. Those chapters define a set of ethics issues within international injury work and provide an initial analysis of the nature of those ethics issues, their specificity, and potential pathways for addressing them.

scholarly journals The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries

2021 ◽  
Vol 22 ◽  
Author(s):  
Chris Bullen ◽  
Jessica McCormack ◽  
Amanda Calder ◽  
Varsha Parag ◽  
Kannan Subramaniam ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Impact ◽  
Low And Middle Income

Abstract Background: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). Aim: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. Methods: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. Findings: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. Conclusions: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

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