Strengthening risk communication systems for public health emergencies in the WHO South-East Asia Region

Introduction: Personal Effectiveness is being the best to oneself by mobilizing motivation and galvanizing cognitive capability in order to address the demand of a given situation. The objectives of the study were: i) to calculate the personal effectiveness scores under the three categories: self-disclosure, openness to feedback, and perceptiveness, ii) to determine the type of personal effectiveness and which dimension of personal effectiveness is lacking among the health personnel mostly. ii) to develop personal effectiveness norms for public health management personnel in South East Asia region under the categories of self-disclosure, openness to feedback and perceptiveness. Methodology: Personal Effectiveness (PE) scale developed by Prof Udai Pareek was administered on 74 public health management personnel, who attended various leadership and management training programmes during 2009-2012, in South East Asia Region (SEAR). Using 10 as “cut-off” for high or low scores, combining the three dimensions of personal effectiveness the respondents were categorized in to eight categories, ranging from effective to ineffective. Results: More than three-fourths of the public health management personnel in SEAR were found to be ‘high’ on openness to receiving feedback followed by three-fifths who have ‘high’ perceptiveness. However, less than one-half have ‘high’ self-disclosure. The compositions of the three dimensions of personal effectiveness of all the respondents suggested that about one-fourth were ‘effective’. Nearly one-third of the respondents were found to be ‘secretive”. One out of every ten respondents was found to be “ineffective”. Conclusion: The public health management personnel need to work upon enhancing their personal effectiveness by sharing and becoming sensitive to others. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(2); 1-6 DOI: http://dx.doi.org/10.3126/saarctb.v10i2.9706

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A decade of public health achievements in WHO′s South-East Asia Region

WHO South-East Asia Journal of Public Health ◽

10.4103/2224-3151.122955 ◽

2013 ◽

Vol 2 (2) ◽

pp. 128

Keyword(s):

Public Health ◽

East Asia ◽

South East Asia ◽

East Asia Region

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Economics of healthcare financing in WHO South East Asia Region

South East Asia Journal of Public Health ◽

10.3329/seajph.v2i2.15936 ◽

2013 ◽

Vol 2 (2) ◽

pp. 3-4 ◽

Cited By ~ 3

Author(s):

Md Anwarul Azim Majumder

Keyword(s):

Public Health ◽

East Asia ◽

South East Asia ◽

Healthcare Financing ◽

East Asia Region

Abstract not available DOI: http://dx.doi.org/10.3329/seajph.v2i2.15936 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 3-4

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Telemedicine supported strengthening of primary care in WHO South East Asia region: lessons from the COVID-19 pandemic experiences

BMJ Innovations ◽

10.1136/bmjinnov-2021-000699 ◽

2021 ◽

pp. bmjinnov-2021-000699

Author(s):

Nachiket Gudi ◽

Rahul Konapur ◽

Oommen John ◽

Supten Sarbadhikari ◽

Mark Landry

Keyword(s):

Public Health ◽

Primary Care ◽

East Asia ◽

Health Systems ◽

Healthcare Delivery ◽

South East Asia ◽

Public Health Response ◽

Health Response ◽

East Asia Region

The COVID-19 pandemic has exposed the fragmentation of the healthcare delivery systems and highlighted the role of resilient primary healthcare systems for a robust public health response during health emergencies. Primary care while being the first point of contact between the citizens and the health systems has received scant attention or targeted investments over the past several decades. Through this narrative review, we aim to outline the potential role of telehealth in augmenting health systems capacity. While teleconsultations have increased exponentially during the pandemic, evidence suggests that utilisation of primary care for non-emergency and non-COVID-19 conditions such as chronic medical conditions has significantly decreased, suggesting that most telemedicine utilisation has been to address an immediate crisis. In countries with pre-existing national digital health framework and enabling regulatory environments, telehealth interventions while strengthening the public health response to COVID-19 also supported the continuum of care at the primary care level. Even after COVID-19 is controlled, telemedicine has the potential to address persistent obstacles to primary care in the South East Asia region, including scarcity of trained healthcare workers, access challenges and costs associated with in-person care. Telemedicine holds promise in strengthening primary care and has the potential to catalyse achieving universal health coverage.

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A case of neck abscess caused by rare hypervirulent Klebsiella pneumoniae, capsular type K20 and sequence type 420

Annals of Clinical Microbiology and Antimicrobials ◽

10.1186/s12941-021-00453-8 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

John Alexander McHardy ◽

Vathshalan Selvaganeshapillai ◽

Priya Khanna ◽

Ashley Michael Whittington ◽

Jane Turton ◽

...

Keyword(s):

Public Health ◽

Case Report ◽

Antimicrobial Resistance ◽

Klebsiella Pneumoniae ◽

East Asia ◽

South East Asia ◽

Neck Abscess ◽

Global Challenge ◽

Life Threatening ◽

The Uk

Abstract Background This case report describes a neck abscess caused by a strain of Hypervirulent Klebsiella pneumoniae in a middle aged man with diabetes without a history of travel to East and South East Asia. This case report is of notable significance as Hypervirulent Klebsiella pneumoniae neck abscesses are rarely seen in the UK and are very infrequently documented in individuals who have not first travelled to the high prevalence areas of East and South East Asia. Case presentation This case report describes a 53 year old diabetic man who contracted a Hypervirulent Klebsiella pneumoniae neck abscess which led to the development of sepsis. Klebsiella pneumoniae was cultured from blood cultures and fluid aspirated from the abscess grew the pathogen with same antimicrobial susceptibility. Hypervirulence was demonstrated after the samples were analysed, at the Antimicrobial Resistance and Healthcare Associated Infections Reference Unit Public Health England Colindale, and found to contain the K20 (rmp)A and rmpA2 virulence genes. Discussion Hypervirulent Klebsiella pneumoniae is a Gram-negative, encapsulated, non-motile bacillus notable for its ability to metastatically spread and cause potentially life threatening infections in otherwise healthy adults, but especially in those with diabetes. Genes responsible for the production of hyperviscous mucoid polysaccharide capsules and siderophores, such as those isolated in this case, enable the bacteria to more efficiently evade the hosts immune system and disseminate and invade surrounding and distant tissues. Data from Public Health England shows Hypervirulent Klebsiella pneumoniae are rare in the UK. A review of current literature also showed Hypervirulent Klebsiella pneumoniae almost exclusively occur in those who have traveled to East and South East Asia. Conclusions This case reported a rare Hypervirulent Klebsiella pneumoniae neck abscess outside of, and without travel to, East and South East Asia. This raises concerns about future, potentially life threatening, Hypervirulent Klebsiella pneumoniae infections becoming more widespread without the need for endemic travel. This concern is further exacerbated by the growing global challenge of antimicrobial resistance.

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