Covid-19 and Routine Vaccination Programme: Did it Affect Badly?

Background: The impact of COVID-19 on general health care delivery systems has been huge including the immunization services. Several measures were taken by most of the government all over the world to prevent the spread of infection such as lockdown, wearing masks, social distancing, etc. People have suffered a lot during the pandemic, not only due to the burden of the disease but have also faced difficulties in other domains of life. One of the important concerns is the interruption of routine immunization services. The consequences of interrupted immunization services may be life-threatening, as chances of outbreaks of vaccine-preventable diseases (VPD) in susceptible children could be high. Aim: To find out delay in routine immunization services during covid-19 and also to determine the factors associated with delay in immunization. Materials and Methods: This study was a cross-sectional hospital-based observational study at Career Institute Of Medical Sciences And Hospital, Lucknow, India. We collected the vaccination record after lockdown from Well-Baby Clinic and telephonically from the parents, starting from 1st June 2020 till 31st December 2020. We checked the records of vaccination of infants to find out delay in the vaccinations, as per the National Immunization Schedule. The records of a total of 265 infants were enrolled. Out of which, 33 did not fit the inclusion criteria and therefore were excluded from this study. Results: Findings of our study pointed that there was significant delay in routine immunization among infants. The factors responsible for delay in different vaccination observed in this study were, Phobia of COVID-19- 20%, lockdown- 22%, interruption of routine health services-15%, social myths-8%, poor transport facility- 10%, illness of child- 8%, did not notice- 3% and multiple factors- 13%. Conclusion: COVID -19 pandemic has affected the routine immunization services that results in delay of different vaccines at different ages which may lead to outbreak of vaccine preventable diseases, so it is need of the hour to intervene at the earliest to prevent such outbreaks among children.

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The Impact of COVID-19 Epidemic on Immunization Activities in Italy

ATHENS JOURNAL OF HEALTH & MEDICAL SCIENCES ◽

10.30958/ajhms.8-1-3 ◽

2021 ◽

Vol 8 (1) ◽

pp. 53-66

Author(s):

Patrizia Parodi ◽

Francesco Maraglino ◽

Anna Caraglia

Keyword(s):

Health Workers ◽

Action Plan ◽

Routine Immunization ◽

Vaccine Preventable Diseases ◽

Primary Series ◽

The Hours ◽

Immunization Services ◽

Awareness Raising ◽

Catch Up ◽

The Impact

COVID-19 has led to disruption in routine immunization programs around the globe. In Italy, we assessed the impact of COVID-19 epidemic on immunization activities using a questionnaire to explore reasons for decrease in vaccination and measures implemented. Sixteen Regional Health Services over 21 answered (76.1%). A decrease in immunization activities was mostly recorded after the notification of the first local cases in Italy and during the peak of the epidemic. About one-fourth (28%) of immunization centres suspended their activities and more than 33% of health workers in immunization centres were shifted to the COVID-19 response. Specific training on COVID-19 was generally reported. Children above 1 year of age until adolescence were the most affected by disruption of immunization services followed by adults indicating that primary series vaccination were prioritized. Several measures were implemented, such as immunization only under appointment, give priority to some immunization/ subjects and extend the hours of work to avoid overcrowding; telephone call to families; developing a list of children who have missed their vaccine doses; preparing a targeted action plan to ensure rapid catch up of children who are not up to date with their vaccination. Information and awareness raising activities were also indicated, even if in a lesser extent. The results of the survey were used to collect and disseminate best practices in order to minimizing the effect of the pandemic on vaccine preventable diseases. Keywords: COVID-19, routine immunization, immunization catch-up activities, vaccination services, Italy

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PROFIL CAPAIAN IMUNISASI DASAR ATAU LANJUTAN PADA BADUTA SEBELUM DAN SELAMA PANDEMI COVID-19

Jurnal Muara Medika dan Psikologi Klinis ◽

10.24912/jmmpk.v1i1.12054 ◽

2021 ◽

Vol 1 (1) ◽

pp. 17

Author(s):

Wiyarni Pambudi ◽

Sari M.D Nataprawira ◽

Zita Atzmardina ◽

Sylvia Regina

Keyword(s):

Significant Relationship ◽

Routine Immunization ◽

Health Providers ◽

Weak Correlation ◽

Childhood Immunization ◽

Cross Sectional ◽

Immunization Service ◽

Vaccine Preventable Diseases ◽

Immunization Services ◽

Cross Sectional Design

Perubahan global dari pandemi penyakit coronavirus 2019 (COVID-19) dapat mengganggu layanan penyelamatan hidup yang kritis seperti imunisasi rutin, sehingga meningkatkan kerentanan populasi terhadap wabah Penyakit yang Dapat Dicegah Dengan Imunisasi (PD3I). Ketika kasus COVID-19 meningkat dan pemerintah menerapkan pembatasan sosial, kunjungan pasien rawat jalan menurun secara signifikan. Hal ini mengakibatkan penurunan angka imunisasi anak. Penelitian ini bertujuan untuk mengetahui profil capaian imunisasi dasar dan imunisasi lanjutan sebelum dan selama pandemi COVID-19, profil capaian imunisasi rutin di 34 provinsi serta hubungannya dengan status zona risiko pandemi. Data yang dianalisis pada studi observasional deskriptif dengan desain potong lintang ini adalah laporan rutin pelayanan imunisasi Sub Direktorat Imunisasi, Kementerian Kesehatan RI. Kajian terhadap capaian imunisasi 34 provinsi menunjukkan terjadi penurunan praktik pelayanan imunisasi dasar sebesar -17,0% (p < 0,0005) dan imunisasi lanjutan -12,9% (p < 0,0005) dibandingkan sebelum masa pandemi. Uji statistik menyatakan profil capaian imunisasi dasar memiliki hubungan yang bermakna secara statistik (p < 0,05) terhadap peningkatan kasus di suatu wilayah, namun berkorelasi lemah berlawanan (-0,5 < r < -0,3). Penurunan cakupan imunisasi lanjutan yang terjadi selama pandemi COVID-19 berkorelasi sangat lemah berlawanan (r > -0,3) dan tidak memiliki hubungan yang bermakna secara statistik (p > 0,05) dengan zona risiko pandemi. Dalam situasi pandemi, petugas kesehatan dihadapkan pada tantangan tambahan untuk mempertahankan dan memperkuat imunisasi rutin seperti kondsi sebelum pandemi. Peningkatan upaya komunikasi mengenai pentingnya vaksinasi akan bermanfaat, karena efek pandemi COVID-19 telah menyoroti ancaman penyakit menular dan meningkatkan kesadaran akan praktik imunisasi rutin. The global progression of the coronavirus disease 2019 (COVID-19) pandemic may disrupt critical life-saving services such as routine immunization, thus increasing the susceptibility of population to outbreaks of vaccine-preventable diseases (VPDs). As COVID-19 cases increased and government implemented stay-at-home orders, outpatient visits declined significantly. This condition may decrease the rates of childhood immunization. This study aims to determine the profile of basic immunization and follow-up immunization achievements before and during the COVID-19 pandemic, the profile of routine immunization outcomes in 34 provinces and their relationship to the pandemic risk zone status. The data analyzed in this descriptive observational study with a cross-sectional design were routine reports on immunization services at Sub Directorate of Immunization, MoH. Profile on immunization coverages showed a decrease in basic immunization service practices by -17.0% (p <0.0005) and advanced immunization -12.9% (p <0.0005) compared to before the pandemic period. Statistical test showed that the basic immunization achievement profile had a statistically significant relationship (p <0.05) with the increase in cases in a region, but had a weak correlation (-0.5 <r <-0.3). The decrease in advanced immunization had a very weak correlation (r> -0.3) and had no statistically significant relationship (p> 0.05) with an increase in COVID-19 cases. During pandemic situation, health providers are presented with the additional challenge of maintaining and strengthening routine vaccination as previously done before pandemic. Increasing communication efforts regarding the importance of vaccination will be worthwhile, as the effect of the COVID-19 pandemic has highlighted the threat of an infectious disease and has increased awareness of the routine immuization practices.

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The Impact of the COVID-19 Pandemic on Breast Reconstruction: A Canadian Perspective

Plastic Surgery ◽

10.1177/22925503211030017 ◽

2021 ◽

pp. 229255032110300

Author(s):

Caroline F. Illmann ◽

Christopher Doherty ◽

Margaret Wheelock ◽

Joshua Vorstenbosch ◽

Joan E. Lipa ◽

...

Keyword(s):

Breast Reconstruction ◽

Care Delivery ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Reconstructive Procedures ◽

Surgical Access ◽

Canadian Perspective ◽

Canadian Provinces ◽

The Impact

Background: The COVID-19 pandemic has led to unprecedented challenges and restrictions in surgical access across Canada, including for breast reconstructive services which are an integral component of comprehensive breast cancer care. We sought to determine how breast reconstructive services are being restricted, and what strategies may be employed to optimize the provision of breast reconstruction through a pan-Canadian evaluation from the providers’ perspective. Methods: This was a cross-sectional survey of Canadian plastic and reconstructive surgeons who perform breast reconstruction. The 33-item web-based questionnaire was developed by a pan-Canadian working group of breast reconstruction experts and disseminated via email to members of the Canadian Society of Plastic Surgery. The questionnaire queried respondents on the impact of the COVID-19 pandemic and associated restrictions on surgeons’ breast reconstruction practice patterns and opinions on strategies for resource utilization. Results: Responses were received from 49 surgeons, who reported practicing in 8 of 10 Canadian provinces. Restrictions on the provision of breast reconstructive procedures were most limited during the First Wave of the COVID-19 pandemic, where all respondents reported at least some reduction in capacity and more than a quarter reporting complete cessation. Average reported reduction in capacity ranged from 31% to 78% across all 3 waves. Autologous, delayed, and prophylactic reconstructions were most commonly restricted. Conclusion: This study provides a pan-Canadian impact assessment on breast reconstructive services during the COVID-19 pandemic from the providers’ perspective. To uphold the standards of patient-centred care, a unified approach to strategically reorganize health care delivery now and in the future is needed.

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Impact of Land Conservation Technologies on Agricultural Productivity in Tanzania

Utafiti ◽

10.1163/26836408-0110102004 ◽

2015 ◽

Vol 11 (1-2) ◽

pp. 33-66

Author(s):

Onesmo Selijio

Keyword(s):

Land Management ◽

Water Conservation ◽

Crop Yields ◽

Maize Crop ◽

Cross Sectional ◽

Inorganic Fertilizers ◽

The Government ◽

The Impact ◽

Management And Conservation ◽

Conservation Technologies

Land management and conservation have been considered the most important aspects of sustainable productivity in economically developing countries where land degradation is a major challenge. In Tanzania, both the government and international organizations have been promoting adoption of land management and conservation technologies (LMCTs) for a long time. This paper establishes the impact of three LMCTs – soil water conservation technologies and erosion control (SWCEC), organic and inorganic fertilizers – on maize crop yields in different rainfall zones, using national panel survey data. The study employs static panel models to analyse the two-period data sets for 2008-2009 and 2010-2011. The results indicate that adoption of LMCTs do contribute significantly to maize yield. The greatest effects of organic and SWCEC methods on crop yield were realized in low rainfall zones, while that of inorganic fertilizers was observed in high rainfall zones. These findings support previous cross-sectional data analyses, suggesting for policy makers that a blanket land management and conservation programme applied uniformly to all agro-ecological zones is not strategically beneficial. The advisability of a technology employed in a given zone should be supported by local knowledge and research findings culled from that particular area.

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Can the Health-Care System Meet the Challenge of Pandemic Flu? Planning, Ethical, and Workforce Considerations

Public Health Reports ◽

10.1177/003335490712200503 ◽

2007 ◽

Vol 122 (5) ◽

pp. 573-578 ◽

Cited By ~ 28

Author(s):

Peter J. Levin ◽

Eric N. Gebbie ◽

Kristine Qureshi

Keyword(s):

Public Health ◽

Health Care ◽

Ethical Issues ◽

Care Delivery ◽

Care Staff ◽

Health Care Staff ◽

Accurate Information ◽

The Public ◽

Health Care Delivery Systems ◽

The Impact

The federal pandemic influenza plan predicts that 30% of the population could be infected. The impact of this pandemic would quickly overwhelm the public health and health-care delivery systems in the U.S. and throughout the world. Surge capacity for staffing, availability of drugs and supplies, and alternate means to provide care must be included in detailed plans that are tested and drilled ahead of time. Accurate information on the disease must be made available to health-care staff and the public to reduce fear. Spokespersons must provide clear, consistent messages about the disease, including actions to be taken to contain its spread and treat the afflicted. Home care will be especially important, as hospitals will be quickly overwhelmed. Staff must be prepared ahead of time to assure their ability and willingness to report to work, and public health must plan ahead to adequately confront ethical issues that will arise concerning the availability of treatment resources. The entire community must work together to meet the challenges posed by an epidemic. Identification and resolution of these challenges and issues are essential to achieve adequate public health preparedness.

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Impact of Organizational Commitment on Intention to Quit Among Psychaitric Nurses: Evidence from Pakistan

International Journal of Learning and Development ◽

10.5296/ijld.v5i4.8734 ◽

2015 ◽

Vol 5 (4) ◽

Cited By ~ 2

Author(s):

Kashifa Yasmin ◽

Prof. Dr. Najib Ahmad Marzuki

Keyword(s):

Organizational Commitment ◽

Structural Equation ◽

Turnover Intentions ◽

Psychiatric Hospitals ◽

Developed Countries ◽

Intention To Quit ◽

Equation Modeling ◽

Cross Sectional ◽

The Government ◽

The Impact

Shortage of the nurses is an important issue in the developing and developed countries. The aim of this paper is to determine the impact of organizational commitment on intention to quit among psychiatric nurses. Based on the model of casual turnover this study assessed the direct effect of organizational commitment on nurse’s intention to quit. The cross sectional data was collected from three hundred five nurses of psychiatric hospitals in Punjab, Pakistan. Structural equation modeling was applied to achieve the objectives. The results revealed that affective commitment and normative commitment have significant impact while continuous commitment has not significant effect on nurse’s intention to quit. So, the commitment of nurse to hospital goals, missions, and values is not enough to predict her intention to quit from job in the hospital. This study recommends that, the government and policy makers should look beyond forces in their internal and external environment, when considering how to reduce employee’s turnover intentions. This study recommends that future researchers should examine the impact of work environment on intention to quit though burnout as a unit variable. This study contributes socially and economically.

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CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v8i22020.117-124 ◽

2020 ◽

Vol 8 (2) ◽

pp. 117

Author(s):

Mohamad Anis Fahmi

Keyword(s):

Public Awareness ◽

Smoking Behavior ◽

Secondary Data ◽

Computer Application ◽

P Value ◽

Cross Sectional ◽

Positive Correlation ◽

The Government ◽

Cross Sectional Design ◽

The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

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HUBUNGAN PANDEMI COVID-19 DAN PSBB DENGAN GANGGUAN DEPRESI PADA LANSIA DI PANTI WREDA HANA CIPUTAT JAKARTA

Jurnal Muara Medika dan Psikologi Klinis ◽

10.24912/jmmpk.v1i1.12087 ◽

2021 ◽

Vol 1 (1) ◽

pp. 66

Author(s):

Anggun Tsabitah Rachmah ◽

Noer Saelan Tadjudin

Keyword(s):

Nursing Home ◽

Large Scale ◽

Depressive Disorders ◽

The Elderly ◽

Elderly Subjects ◽

Research Subjects ◽

Chi Square ◽

Cross Sectional ◽

The Government ◽

The Impact

Pemerintah Indonesia selama pandemi COVID-19 menerapkan PSBB (Pembatasan Sosial Berskala Besar) dimana PSBB tersebut membuat aktivitas masyarakat dibatasi, dampaknya juga bisa dirasakan pada lansia di Panti Wreda sehingga dapat menyebabkan timbulnya gangguan depresi. Penelitian ini bertujuan untuk mengetahui hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. Penelitian ini menggunakan metode analitik observational dengan desain studi cross sectional. Penelitian ini dilakukan di Panti Wreda Hana Ciputat Jakarta terhadap lansia sejumlah 56 subjek penelitian yang terdiri dari perempuan 48 orang dan laki-laki 8 orang. Dari 56 subjek penelitian jumlah laki-laki 8 (14,3%) dan perempuan 48 (85,7%). Sebelum terjadinya pandemi COVID-19 dan PSBB, subjek penelitian yang tidak depresi sejumlah 49 subjek (87,5 %), kemungkinan besar depresi 6 subjek (10,7%), dan yang mengalami depresi 1 subjek (1,8%). Selama pandemi COVID19 dan PSBB, subjek penelitian yang tidak depresi 38 subjek (67,9%), kemungkinan besar depresi 14 subjek (25%), dan yang mengalami depresi 4 subjek (7,1%). Berdasarkan hasil uji Chi-square nilai p= 0,000. Dapat disimpulkan terdapat hubungan pandemi COVID-19 dan PSBB dengan gangguan depresi pada lansia di Panti Wreda Hana Ciputat Jakarta. The Government of Indonesia during the COVID-19 pandemic implemented PSBB (Large-Scale Social Restrictions) where the PSBB made community activities restricted, the impact can also be felt on the elderly in nursing home so that it can cause depressive disorders. This research was done in order to determine the relationship of the COVID-19 pandemic and PSBB with depressive disorders in the elderly at the Ciputat Hana Nursing Home in Jakarta. This study used an observational analytic method with a cross sectional study design. The research was conducted at the Ciputat Hana Nursing Home in Jakarta for 56 elderly subjects. In the nursing home consist of 48 women and 8 men. In 56 research subjects, there were 8 (14,3%) men and 48 (85,7%) women. Before the Pandemic of COVID-19 and PSBB, there were 49 (87,5%) research subjects who were not depressed, 6 (10,7%) research subjects who were most likely depressed, and 1 (1,8%) research subject who were depressed. During the Pandemic of COVID-19 and PSBB, there were 38 (67,9%) research subjects who were not depressed, 14 (25%) research subjects who were most likely depressed, and 4 (7,1%) research subjects who were depressed. Based on Chi-Square test result, the value of P = 0,000. In conclusion, there is a correlation between the pandemic of COVID-19 and PSBB with depression disorder in the elderly at Ciputat Hana Nursing Home in Jakarta.

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Investigating the business performance on the financial well-being of the Government retirees

SHS Web of Conferences ◽

10.1051/shsconf/202112403006 ◽

2021 ◽

Vol 124 ◽

pp. 03006

Author(s):

Abdul Mutalib Embong ◽

Norzamziah Afzainizam ◽

Mariati Norhashim ◽

Amirsaman Ahmadi

Keyword(s):

Business Performance ◽

Profile Analysis ◽

Descriptive Analysis ◽

Well Being ◽

The Elderly ◽

Population Ageing ◽

Ageing Population ◽

Cross Sectional ◽

The Government ◽

The Impact

Population ageing; where there is growth in the percentage of older persons in the population; is becoming a worldwide phenomenon due to better healthcare and lower birth rates. The phenomenon of population ageing brings with it both challenges and opportunities. The challenges of an ageing population include social, health and economic support of the elderly. Malaysia is recognizing the need to address this issue of financially supporting an ageing population. The purpose of the paper was to investigate the impact of business on the financial well-being (FWB) of the ageing, specifically the government retirees. A questionnaire-based survey was conducted among retirees who were in business throughout Malaysia that employed a cross sectional design. Forty-one respondents were successfully interviewed. Statistical procedures for the analyses included descriptive analysis and a profile analysis using scatterplot on the perceived business performance vs financial well-being. The survey revealed that the majority of the respondents operated business in the services, trade or retail industries which were set up and fully owned by themselves. Resource wise, the majority had very low financial capital, human capital and social capital. The study provides some empirical evidence that the retirees in business may be categorized into opportunity driven and necessity driven groups. The paper concludes that there is a need to find alternative income generation methods for the necessity driven group. Making paid work accessible to the elderly must be urgently put on the national agenda.

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Routine immunization services in the light of COVID-19 pandemic

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203029 ◽

2020 ◽

Vol 7 (7) ◽

pp. 2867

Author(s):

Chinnu Sara Varughese ◽

Anuradha Kunal Shah

Keyword(s):

Infectious Diseases ◽

Mass Vaccination ◽

Routine Immunization ◽

Vaccine Preventable Diseases ◽

The World ◽

Form Part ◽

Immunization Services ◽

Catch Up ◽

Delivery Strategies ◽

Vaccination Campaigns

World immunisation week is observed every year in the last week of 24th April to 30th April. Many parts of the world are still reeling under the threats of vaccine-preventable diseases (VPDs) and the importance of vaccination cannot be understated even in times of any other crisis. Worldwide, millions of children are saved from the grip of infectious diseases like polio and measles, and annually, around 2 to 3 million deaths are being averted. Routine immunization services, mass vaccination campaigns, catch up, and mop up sessions through outreach activities form part of the vaccine delivery strategies.

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