scholarly journals The COVID-19 Vaccination Strategy in Brazil—A Case Study

Epidemiologia ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 338-359
Author(s):  
Llanos Bernardeau-Serra ◽  
Agathe Nguyen-Huynh ◽  
Lara Sponagel ◽  
Nathalia Sernizon Guimarães ◽  
Raphael Augusto Teixeira de Aguiar ◽  
...  
Keyword(s):  
Vaccination Campaign ◽  
Vaccination Strategy ◽  
Government Support ◽  
World Health ◽  
Vaccination Program ◽  
Case Presentation ◽  
Community Needs ◽  
Maximum Effort ◽  
Health Organization

Brazil is among the countries which have faced two devastating infection waves of COVID-19 in the past year. Despite the fact the country has one of the world’s leading immunization programs, Brazil only slowly established a national COVID-19 vaccination strategy and campaign. This case study is based on an integrative review of primary and secondary literature sources. Different search strategies on Medline and Google Scholar were performed for the case presentation, for the management and outcome of the COVID-19 outbreak and for the state of the COVID-19 vaccination program. Official documents from the Brazilian Ministry of Health, the website of the World Health Organization and pharmaceutical companies were also reviewed. Searches were limited to English, French, German, Portuguese and Spanish. This article describes the Brazilian COVID-19 vaccination campaign and the drivers and barriers to its implementation; and evaluates further investigations needed to have a conclusive overview over the constantly evolving situation. Healthcare inequalities, which were widened during the pandemic, a lack of coordination at the federal level, the absence of federal government support for scientific research and the lack of endorsement and commitment to the mitigation of the COVID-19 pandemic set the country’s COVID-19 vaccination campaign off to a challenging start. However, Brazil had a well-developed primary care system and national vaccination program prior to the pandemic, which are both important facilitators. At the time of writing, six vaccines are currently available in the country, and the program is advancing. The scientific community needs to continue to investigate the country’s vaccination strategy and its implementation to make sure that maximum effort is undertaken for the health of the Brazilian population.

scholarly journals COVID-19 Vaccination Strategy in China: A Case Study

Epidemiologia ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 402-425
Author(s):  
Marjan Mohamadi ◽  
Yuling Lin ◽  
Mélissa Vuillet Soit Vulliet ◽  
Antoine Flahault ◽  
Liudmila Rozanova ◽  
...  
Keyword(s):  
World Health Organization ◽  
Infected Patient ◽  
Vaccination Strategy ◽  
World Health ◽  
Vaccination Program ◽  
The World ◽  
Important Player ◽  
Health Organization ◽  
Pharmaceutical Interventions

The coronavirus disease 2019 (COVID-19) outbreak in China was first reported to the World Health Organization on 31 December 2019, after the first cases were officially identified around 8 December 2019. However, the case of an infected patient of 55 years old can probably be traced back on 17 November. The spreading has been rapid and heterogeneous. Economic, political and social impacts have not been long overdue. This paper, based on English, French and Chinese research in national and international databases, aims to study the COVID-19 situation in China through the management of the outbreak and the Chinese response to vaccination strategy. The coronavirus disease pandemic is under control in China through non-pharmaceutical interventions, and the mass vaccination program has been launched to further prevent the disease and progressed steadily with 483.34 million doses having been administered across the country by 21 May 2021. China is also acting as an important player in the development and production of SARS-CoV-2 vaccines.

scholarly journals Kebijakan Vaksinasi COVID-19: Pendekatan Pemodelan Matematika Dinamis Pada Efektivitas Dan Dampak Vaksin Di Indonesia

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Narila Mutia Nasir ◽  
Ibnu Susanto Joyosemito ◽  
Baequni Boerman ◽  
Ismaniah Ismaniah
Keyword(s):  
Policy Implementation ◽  
Herd Immunity ◽  
Vaccination Strategy ◽  
World Health ◽  
Vaccination Program ◽  
Dynamics Modeling ◽  
Vaccine Impact ◽  
The Government ◽  
Health Organization ◽  
The Impact

Abstract   The COVID-19 vaccination program in Indonesia that started on January 13, 2021 is expected to accelerate the herd immunity that will impact on reducing the infected cases. The World Health Organization (WHO) explained that vaccine performance can be measured through vaccine efficacy, effectiveness, and impact. This community service activity aims to provide inputs for policy implementation on COVID-19 vaccination strategy to the government by conducting predictive analysis using a dynamic mathematical modeling to determine the effectiveness and impact of vaccination at the community level. Five types of vaccines were analyzed, namely AstraZeneca, Moderna, Pfizer, Sinopharm and Sinovac. Two basic model scenarios of with and without the vaccination policy implementation were simulated. The model demonstrated that the policy noticeably reduces the number of COVID-19 cases. The main finding demonstrated by the model is that the effectiveness of the vaccine after it is immunized into the community is affected by its efficacy, but the efficacy of various vaccines type does not influence significantly to the vaccine impact on community. Thus, it is recommended that the government ensures the availability of any type of vaccines to accelerate the vaccination program and encourage community participation to be vaccinated to achieve the target goal. Furthermore, since the impact of vaccine on the community is not only determined by its efficacy, the government have to do persistent health education and drive community engagement to adhere with the COVID-19 health protocol.   Keywords: COVID-19, Dynamics Modeling, High Leverage Policy, Vaccine Effectiveness, Vaccine Impact   Abstrak   Program vaksinasi COVID-19 di Indonesia yang mulai dilaksanakan pada tanggal 13 Januari 2021 diharapkan dapat mempercepat terjadinya kekebalan kelompok (herd immunity) yang nantinya berdampak pada penurunan jumlah kasus yang terinfeksi. Organisasi Kesehatan Dunia (WHO) memaparkan bahwa kinerja vaksin dapat dilihat dari tiga pengukuran yaitu melalui efikasi, efektivitas, dan dampak vaksin. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan masukan kepada pemerintah dalam mengimplementasikan strategi vaksinasi COVID-19 dengan menyediakan analisis prediksi menggunakan pemodelan matematika dinamis untuk mengetahui efektivitas dan dampak vaksinasi pada tingkat masyarakat. Lima jenis vaksin yang dianalisis adalah AstraZeneca, Moderna, Pfizer, Sinopharm dan Sinovac. Dua skenario dasar pemodelan yaitu dengan dan tanpa intervensi kebijakan vaksinasi disimulasikan. Hasil keluaran model menunjukkan kebijakan vaksinasi memberikan dampak dalam penurunan jumlah kasus COVID-19. Temuan utama yang didemonstrasikan oleh model adalah efektivitas vaksin setelah diimunisasikan ke masyarakat dipengaruhi oleh efikasinya, tetapi efikasi antar jenis vaksin tidak terlalu berpengaruh terhadap dampak vaksin di masyarakat. Oleh karena itu disarankan agar pemerintah menjamin ketersediaan vaksin apa pun jenisnya untuk mengakselerasi proses vaksinasi ke masyarakat dan mendorong partisipasi masyarakat untuk divaksin sehingga target yang sudah ditetapkan tercapai. Selanjutnya, mengingat bahwa dampak vaksin di masyarakat bukan hanya ditentukan oleh efikasinya, maka pemerintah harus terus melakukan upaya edukasi dan mendorong pelibatan masyarakat secara aktif untuk patuh menerapkan protokol kesehatan COVID-19.   Kata kunci: COVID-19, Pemodelan Dinamis, Kebijakan Berpengaruh Tinggi, Efektivitas Vaksin, Dampak Vaksin

scholarly journals The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.

scholarly journals “How about We Give It a Go?”: A Case Study on Supporting Breastfeeding Families in an Australian Child Care Centre

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 195
Author(s):  
Emma Woolley ◽  
Shirley Wyver
Keyword(s):  
Child Care ◽  
World Health ◽  
Future Research ◽  
Care Centre ◽  
Breastfeeding Support ◽  
Child Care Centre ◽  
Collective Case Study ◽  
Instrumental Case Study ◽  
Health Organization

The World Health Organization (WHO) recommends exclusive breastfeeding for six months and continuation of breastfeeding for up to two years. Formal child care has an important role in supporting breastfeeding, as many Australian infants commence care before two years of age. Currently, little is known about support or barriers in child care contexts. The present qualitative instrumental case study explores practices which protect, promote and support breastfeeding at a child care centre located in the Australian Capital Territory’s outer suburbs. Extending from a previously published collective case study, a cultural-institutional focus of analysis was used to explore the roles of proximity, flexibility and communication in supporting breastfeeding within a child care centre located close to an infant’s home. Interviews with centre staff and mothers, triangulated with observations of the centre environment and policy documents provide insight into the environment. Affirming the roles of flexibility in routine and staff rostering and two-way communication, findings suggest longer-term benefits may be derived from selecting a child care centre close to an infant’s home, provided mothers can overcome barriers to breastmilk expression in the workplace. The study recognises the role of non-lactating caregivers in the transition to formal child care, and of the support culture for educators who breastfeed. This study extends the knowledge base of breastfeeding support interventions in the child care setting to inform future research and policy.

scholarly journals Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study

2015 ◽  
Vol 2 (2) ◽  
pp. e15 ◽  
Author(s):  
Andreas Maercker ◽  
Rahel C Bachem ◽  
Louisa Lorenz ◽  
Christian T Moser ◽  
Thomas Berger
Keyword(s):  
Mental Health ◽  
Stressful Life Events ◽  
Adjustment Disorder ◽  
World Health ◽  
Adjustment Disorders ◽  
Self Help ◽  
International Statistical Classification ◽  
Ehealth Intervention ◽  
Health Organization

Background Adjustment disorders (also known as mental distress in response to a stressor) are among the most frequently diagnosed mental disorders in psychiatry and clinical psychology worldwide. They are also commonly diagnosed in clients engaging in deliberate self-harm and in those consulting general practitioners. However, their reputation in research-oriented mental health remains weak since they are largely underresearched. This may change when the International Statistical Classification of Diseases-11 (ICD-11) by the World Health Organization is introduced, including a new conceptualization of adjustment disorders as a stress-response disorder with positively defined core symptoms. Objective This paper provides an overview of evidence-based interventions for adjustment disorders. Methods We reviewed the new ICD-11 concept of adjustment disorder and discuss the the rationale and case study of an unguided self-help protocol for burglary victims with adjustment disorder, and its possible implementation as an eHealth intervention. Results Overall, the treatment with the self-help manual reduced symptoms of adjustment disorder, namely preoccupation and failure to adapt, as well as symptoms of depression, anxiety, and stress. Conclusions E-mental health options are considered uniquely suited for offering early intervention after the experiences of stressful life events that potentially trigger adjustment disorders.

scholarly journals Women and Successful Ageing

2018 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
J. Raja Meenakshi
Keyword(s):  
Psychological Health ◽  
Elderly Women ◽  
World Health ◽  
Successful Ageing ◽  
Case Study Method ◽  
Physical And Psychological Health ◽  
Health Organization ◽  
Women In India ◽  
Active Contribution

<p>Every human being has to face the ageing process and no one could escape from it. The understanding of ageing differs from culture to culture and it varies across nations. World Health Organization recognized that the developing world often defines old age, not by years, but by new roles, loss of previous roles, or inability to make active contribution to society. Women in India generally considered as a secondary citizens and the life of the aged women needs wide attention. Successful ageing refers to leading the life with good physical and psychological health and also with economical independence.Pre plan is highly required to lead a successful life. This study makes an attempt to study the life of elderly women and to understand how they lead a successful life. Case study method was used to study the successful life of the respondents.</p>

Penerapan Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke

2021 ◽  
Vol 1 (4) ◽  
pp. 359-369
Author(s):  
Putri Ananda Salsabilla ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih
Keyword(s):  
World Health Organization ◽  
Communicable Disease ◽  
Family Members ◽  
World Health ◽  
Middle Income ◽  
Family Function ◽  
Study Results ◽  
Health Organization ◽  
Non Communicable Disease

ABSTRACT : APPLICATION OF FAMILY FUNCTIONS IN ABILITY TO CARE FOR MEMBERS FAMILIES WITH STROKES Background: Stroke is a non-communicable disease that is one of the leading causes of death and disability rates in the world. Stroke becomes a health threat due to impaired cerebral function, both focal and global, which lasts quickly and lasts more than 24 hours or ends in death without the discovery of the disease other than vascular disorders (World Health, 2017). World Health Organization (2018) stroke sufferers are increasing every year.. It shows that every year there are 13.7 million new cases of stroke, and about 5.5 million deaths occur from stroke. About 70% of strokes and 87% of stroke deaths and disabilities occur in low- and middle-income countries.Objective: Identified Application of Family Function Intervention in the Ability to Care for Family Members With Stroke in the Puskesmas Area of North Meruya Village of West JakartaMethod: This type of research is case studydesign research that according to Basuki Case Study is a form of research on a problem that has the nature of specificity with individual or group targets, even the wider community. In this study, researchers conducted family function interventions in four families with strokes, namely the same four sufferers were given family function interventions.Results: The results of research conducted the influence of affective function, socialization function, economic function, and health care function with the application of nursing care in stroke patients.Conclusion: The conclusion of this study results in the application of family functions in the ability to care for family members with stroke experienced significant changes to intervention. Keywords: Family Function, Caring Ability, Stroke INTISARI : PENERAPAN FUNGSI KELUARGA DALAM KEMAMPUAN MERAWAT ANGGOTA KELUARGA DENGAN STROKE Latar Belakang: Stroke merupakan penyakit tidak menular yang menjadi salah satu penyebab utama angka kematian dan kecacatan di dunia. Stroke menjadi ancaman kesehatan karena gangguan fungsi serebral, baik fokal maupun global, yang berlangsung dengan cepat dan lebih dari 24 jam atau berakhir dengan kematian tanpa ditemukannya penyakit selain dari pada gangguan vaskular (World Health Organization, 2017). World Health Organization (2018) penderita stroke semakin meningkat setiap tahunnya. Menunjukkan bahwa setiap tahunnya ada 13,7 juta kasus baru stroke, dan sekitar 5,5 juta kematian terjadi akibat penyakit stroke. Sekitar 70% penyakit stroke dan 87% kematian dan disabilitas akibat stroke terjadi pada negara berpendapatan rendah dan menengah.Tujuan: Teridentifikasi Penerapan Intervensi Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke di Wilayah Puskesmas Kelurahan Meruya Utara Jakarta BaratMetode: Jenis penelitian ini adalah penelitian case studydesign yaitu menurut Basuki Case Study adalah bentuk penelitian suatu masalah yang memiliki sifat kekhususan dengan sasaran perorangan ataupun kelompok, bahkan masyarakat luas.Pada penelitian ini Peneliti melakukan Intervensi Fungsi keluarga pada empat keluarga dengan stroke yaitu keempat penderita sama – sama diberikan Intervensi Fungsi Keluarga.Hasil: Hasil penelitian yang dilakukan adanya pengaruh fungsi afektif, fungsi sosialisasi, fungsi ekonomi, dan fungsi perawatan kesehatan dengan penerapan asuhan keperawatan pada pasien stroke.Kesimpulan: Kesimpulan dari penelitian ini hasil penerapan fungsi keluarga dalam kemampuan merawat anggota keluarga dengan stroke mengalami perubahan yang signifikan terhadap intervensi. Kata Kunci : Fungsi Keluarga, Kemampuan Merawat, Stroke

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