scholarly journals Social Stigma and Other Consequences of COVID-19 Pandemic in Low Resource Setting, in Eastern Africa: The Need to Increase Preventive Efforts and Addressing the Consequences, 2020

2020 ◽  
pp. 1-4
Author(s):  
Shewangizaw Haile Mariam ◽  
◽  
Mengistu Abayneh ◽  
Keyword(s):  
Social Stigma ◽  
Health Impact ◽  
Social Consequences ◽  
Eastern Africa ◽  
Care Services ◽  
Resource Limited ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Health Related ◽  
And Control

Since the emergency of COVID-19 pandemics, many countries have been encountered a multitude of challenges. People have been facing health related and other social consequences throughout the world. It is too early to know the aggravated impact of COVID-19 on people living in resource-limited setting, like east Africa countries. In these countries, besides direct public health impact, the COVID-19 pandemic has provoked social stigma and discriminatory behaviors against people of certain ethnic backgrounds as well as anyone perceived to have been in contact with the virus. Social stigma can negatively affect those with the disease, as well as their caregivers, family, friends and communities. COVID-19 pandemics have also been provoked great impacts on daily social consumptions such as food and other food supplements. In addition, COVID-19 pandemic were overshadowed endemics diseases such as malaria, TB and HIV related care and antenatal care services as well as other non-communicable diseases prevention and control. Social stigma coupled with other consequences could result in more severe health problems, can undermine social cohesion and prompt possible social isolation of groups, which might contribute to a situation where the virus is more, not less, likely to spread and difficulties controlling a disease outbreak. Therefore, how we communicate about COVID-19 is critical in supporting people to take effective action to help combat the disease and to avoid fuelling fear and stigma. An environment needs to be created in which the disease and its impact can be discussed and addressed openly, honestly and effectively. This is a message for government, media and local organizations working on the COVID-19 infections.

scholarly journals Caring for Children With Life-Limiting Illness in Bloemfontein, South Africa: Challenging the Assumptions of the ‘Good Death’

2020 ◽  
pp. 003022282094409
Author(s):  
Callie Daniels-Howell
Keyword(s):  
Hospice Care ◽  
Meaning Making ◽  
Good Death ◽  
Resource Limited Settings ◽  
High Resource ◽  
Resource Limited ◽  
Resource Setting ◽  
Alternate Forms ◽  
Open Discussion ◽  
And Control

Theories of good death focused on acceptance, control, and meaning-making inform adult palliative care in high-resource settings. As children’s palliative and hospice care (CPHC) develops in resource-limited settings, critical conceptualisations of a good death for children across these diverse settings are unknown. Assessed against high-resource setting tenets of good death from carer perspectives, results suggest: carer agency is limited; advanced discussion of death does not occur; distress results from multiple burdens; basic survival is prioritised; physical pain is not an emphasised experience; and carers publicly accept death quickly while private grief continues. Hegemonic conceptions of ‘good death’ for children do not occur in contexts where agency is constrained and discussing death is taboo, limiting open discussion, acceptance, and control of dying experiences. Alternate forms of discourse and good death could still occur. Critical, grounded conceptualisations of good death in individual resource-limited settings should occur in advance of CPHC development to effectively relieve expansive suffering in these contexts.

Predictors of lower health-related quality of life after operative repair of diaphyseal femur fractures in a low-resource setting

Injury ◽  
2018 ◽  
Vol 49 (7) ◽  
pp. 1330-1335 ◽  
Author(s):  
John M. Ibrahim ◽  
Devin Conway ◽  
Billy T. Haonga ◽  
Edmund N. Eliezer ◽  
Saam Morshed ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Operative Repair ◽  
Femur Fractures ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Related Quality ◽  
Health Related ◽  
Lower Health

scholarly journals Carcinoma of the Breast in Low Resource Setting: A Surgical Case Series from Rural India

2021 ◽  
Vol 8 (1) ◽  
pp. 78-86
Author(s):  
Royson Dsouza ◽  
Anish Jacob Cherian ◽  
Mrudula Rao ◽  
Nandakumar Menon
Keyword(s):  
Rural Women ◽  
Tertiary Care ◽  
Case Series ◽  
Standard Of Care ◽  
Comprehensive Management ◽  
Common Cancer ◽  
Resource Limited ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Tertiary Care Centers

The burden of breast cancer has been on the rise world over and has become the most common cancer among women in urban India and the second most common cancer in rural women after carcinoma cervix. There is a considerable delay in presentation associated with a lack of access to adequate and timely surgical intervention. Consequently, most patients present to tertiary care centers in advanced or inoperable stages. Many subsets of these patients can be managed adequately in resource-limited rural surgical centers. In this series of patients diagnosed with carcinoma breast, we have outlined comprehensive management that is possible in resource-constrained settings. The challenges in adhering to the standard of care and strategies to overcome these limitations have been discussed with a relevant review of the literature.

Assessing the mental health impact of the Omagh bombing

2017 ◽  
Author(s):  
David Bolton
Keyword(s):  
Mental Health ◽  
Local Community ◽  
Social Care ◽  
Health Impact ◽  
Care Staff ◽  
Local Public Health ◽  
Needs Assessments ◽  
Care Services ◽  
Health And Social Care ◽  
Health Related

Following the Omagh bombing in August 1998, the local public health and social care services provider in Omagh undertook four major needs assessments in the local community. The experiences and mental health related needs of adults, younger children, adolescents, and health and social care staff, were assessed through four important studies. These produced valuable findings upon which services and practice were developed and which informed the case made to funders. The studies examined the risks to those caught up in the bombing of acquiring trauma related disorders, such as PTSD. These needs assessments provide valuable information for other communities affected by acts of war, conflict and terrorism.

scholarly journals Caries experience and oral health-related quality of life (OHRQoL) of children and adolescents with cerebral palsy in a low-resource setting

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rahena Akhter ◽  
Nur Mohammad Monsur Hassan ◽  
Elizabeth F. Martin ◽  
Mohammad Muhit ◽  
Hayley Smithers-sheedy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Oral Health ◽  
Caries Experience ◽  
Health Related Quality ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Related Quality ◽  
Health Related

scholarly journals Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National Survey

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e020608 ◽  
Author(s):  
Deogratius Bintabara ◽  
Alex Ernest ◽  
Bonaventura Mpondo
Keyword(s):  
Quality Assurance ◽  
Health Facility ◽  
Newborn Care ◽  
Service Availability ◽  
Signal Functions ◽  
Low Resource ◽  
Care Services ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Maternal And Newborn

ObjectiveThis study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors.DesignHealth facility-based cross-sectional survey.SettingWe analysed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool.Primary and secondary outcome measuresAvailability of seven signal functions was measured based on the provision of ‘parental administration of antibiotic’, ‘parental administration of oxytocic’, ‘parental administration of anticonvulsants’, ‘assisted vaginal delivery’, ‘manual removal of placenta’, ‘manual removal of retained products of conception’ and ‘neonatal resuscitation’. Readiness was a composite variable measured based on the availability of supportive items categorised into three domains: staff training, diagnostic equipment and basic medicines.ResultsOut of 1188 facilities, 905 (76.2%) were reported to provide obstetric and newborn care services and therefore were included in the analysis of the current study. Overall availability of seven signal functions and average readiness score were consistently higher among hospitals than health centres and dispensaries (p<0.001). Furthermore, the type of facility, performing quality assurance, regular reviewing of maternal and newborn deaths, reviewing clients’ opinion and number of delivery beds per facility were significantly associated with readiness to provide BEmONC.ConclusionThe study findings show disparities in the availability and readiness to provide BEmONC among health facilities in Tanzania. The Tanzanian Ministry of Health should emphasise quality assurance efforts and systematic maternal and newborn death audits. Health leadership should fairly distribute clinical guidelines, essential medicines, equipment and refresher trainings to improve availability and quality BEmONC.

scholarly journals Social consequences of COVID-19 in a low resource setting in Sierra Leone, West Africa

2020 ◽  
Vol 97 ◽  
pp. 23-26 ◽  
Author(s):  
Danilo Buonsenso ◽  
Bianca Cinicola ◽  
Francesca Raffaelli ◽  
Pietro Sollena ◽  
Francesco Iodice
Keyword(s):  
West Africa ◽  
Sierra Leone ◽  
Social Consequences ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting
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