CHALLENGES TO THE EFFECTIVE PREVENTION AND CONTROL OF COVID-19 IN LOW INCOME COUNTRIES

2021 ◽  
Author(s):  
Exodus Akwa Teh
2020 ◽  
Author(s):  
TEH EXODUS AKWA

Coronavirus infection has been reported in every country in the world and the number of people getting sick in low income countries rises rapidly. Public health sectors are concerned with the effective prevention and control especially in these countries. The situation is becoming critical due to challenges faced in the effective control and management set out by these bodies. The article seeks to highlight some of the factors contributing to challenges faced by low income countries in controlling the spread of this disease. It is hoped that from this article, possible strategies for improvement can be designed as regarding the control of the COVID-19 spread.


2021 ◽  
pp. 361-376
Author(s):  
Corinne Peek-Asa ◽  
Adnan A. Hyder

Injuries are among the leading causes of death and disability throughout the world and contribute disproportionately to premature life lost. Injury rates are highest among middle- and low-income countries. According to analyses of the 2016 Global Burden of Disease data, injuries cause over 4.6 million deaths per year, accounting for nearly 8.4% of all deaths and 10.7% of disability-adjusted life years. Many opportunities to implement injury prevention strategies exist, and a systematic approach to injury prevention can help identify the most effective and efficient approaches. Building capacity for injury prevention activities in low- and middle-income countries is an important public health priority.


2021 ◽  
Author(s):  
Choolwe Muzyamba ◽  
Ogylive Mphanza Makova ◽  
Geofrey Mushibi

Abstract Background: While lockdowns have become a gold standard response to the Covid-19 pandemic, debates on its usefulness still continue. There is currently good amount of research work originating from western countries on the usefulness of lockdowns, however, similar research is still missing in low income countries like Uganda which implemented stricter lockdowns. More importantly, not much is known about the views of the residents of Uganda for which such a measure was meant for. Despite the implementation of lockdowns, it is still not yet known how relevant residents of Uganda view the lockdown. Research has demonstrated that interventions are most successful when they resonate with the target population This study fills this identified gap by investigating the views and lived experiences of residents of Uganda with regards to the usefulness of the lockdown as a response to the prevention and control of COVID-19.Methods: This was a cross sectional survey using qualitative methods of data collection. Data will was collected from 1000 participants in the four regions of Uganda on the views and experiences on lockdown as a response to the prevention and control of COVID-19 crisis among residents of Uganda. Data collection was down through use of a Qualtrics Survey Tool. Thematic analysis with the help of the Social representation theory was then used to analyze the data. Findings: The study demonstrated that there was visible nuance in the manner in which the lockdown was characterized. On one hand it was seen as useful in slowing down the spread, protecting the fragile healthcare system and giving government enough time to learn about the novel virus and thus respond efficiently. On the other hand, our participants were critical of its devastative nature on the livelihoods of people. Particularly, the lockdown closed down economic survival opportunities for the most vulnerable in society, increased unemployment and poverty levels. The lockdown also contributed to worsening mental health conditions and simultaneously provided fertile ground for domestic abuse including sexual abuse especially among girls.Conclusion: Ultimately, our study questions the narrow view of branding the lockdown as unequivocally good or bad. It rather sheds light on the complexities of its effect on society in Uganda by pointing out its multicapillary-like consequences in society wherein it can, in various ways protect lives and at the same time destroy livelihoods. Our study thus highlights that responding to such complexities defies the logic of implementing the lockdown as a ‘one-size-fits-all magic bullet’, but rather that it must be contextualized, localized and appropriated to the realities of Uganda.


2019 ◽  
Vol 32 (6) ◽  
pp. 927-940 ◽  
Author(s):  
Gertrude Sika Avortri ◽  
Juliet Nabyonga-Orem

Purpose Healthcare-associated infections (HAIs) constitute a major threat to patient safety and affect hundreds of millions of people worldwide. The World Health Organization in 2016 published guidelines on the core components for infection prevention and control (IPC) programme. This was in response to a global call for focused action. The purpose of this paper is to examine and promote understanding of the tenets of the IPC guidelines and highlight their implications for implementation in low-income countries. Design/methodology/approach Drawing from personal experiences in leading the implementation of health programmes as well as a review of published and grey literature on IPC, authors discussed and proposed practical approaches to implement IPC priorities in low-income setting. Findings Availability of locally generated evidence is paramount to guide strengthening leadership and institutionalisation of IPC programmes. Preventing infections is everybody’s responsibility and should be viewed as such and accorded the required attention. Originality/value Drawing from recent experiences from disease outbreaks and given the heavy burden of HAIs especially in low-income settings, this paper highlights practical approaches to guide implementation of the major components of IPC.


2020 ◽  
Author(s):  
Ermira Tartari ◽  
Joost Hopman ◽  
Benedetta Allegranzi ◽  
Bin Gao ◽  
Andreas Widmer ◽  
...  

AbstractObjectivesImplementation of effective infection prevention and control (IPC) measures is needed to support global capacity building to limit transmission of coronavirus disease 2019 (COVID-19) and mitigate its impact on health systems. We assessed the perceptions of healthcare workers on the current global IPC preparedness measures for COVID-19.MethodsA cross-sectional survey using an electronic survey was circulated between February 26, 2020, and March 20, 2020, to IPC professionals during COVID-19 pandemic. The survey addressed the presence of COVID-19 guidelines as well as specific IPC preparedness activities in response to the outbreak.FindingsIn total, 339 IPC professionals spanning 63 countries in all 6 World Health Organization (WHO) regions, mostly from tertiary care centres participated. Of all participants, 66·6% were aware of the existence of national guidelines to prevent COVID-19. A shortage of PPE supplies was reported by 48% (ranging from 64·2% in low-income countries to 27·4% in high-income countries); 41·5% of respondents considered that the media had an impact on guideline development and 63·6% believed that guidelines were based on maximum security rather than on evidence-based analyses. 58·5% and 72·7% of participants believed that healthcare facilities and community settings respectively were not sufficiently prepared.ConclusionResults revealed lack of guidelines and concerns over insufficient PPE supply in both high- and low-income countries. Our findings should alert national health authorities to ramp up the implementation of IPC measures and focus on long-term preparedness and readiness for future pandemics, likely requiring government funds rather than reliance on healthcare institutions.


Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  

International drug control efforts are designed to coordinate domestic laws with international activities that regulate or limit the supply of psychoactive substances. These efforts are organized around three main drug control treaties that almost all countries have ratified in order to prevent illicit trafficking and other drug-related crime, while at the same time allowing access to prescription medications. The effects of the system have been evaluated mostly in terms of the ability to eliminate illicit markets and supply. The gross imbalance in world consumption of legal opiates is a pointer to the limited availability of effective pain medications in many low-income countries, with 80% of the world’s population having either no or inadequate access to treatment for moderate or severe pain.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jinmei Yin ◽  
Jun Yin ◽  
Zhiwu Tian ◽  
Peiqiu Li ◽  
Xiaoqiu Chen

Abstract Background During the outbreak of new coronavirus pneumonia, many hospitals in China became the designated hospitals for the treatment of new coronavirus pneumonia. The goal was to develop rapid and effective prevention and control methods for blood purification centers. Research design and methods The medical department, hospital department, nursing department, and blood purification center jointly set up a multi-department integrated COVID-19 prevention and control management team to manage the blood purification center. The efforts included the establishment of the continuous renal replacement therapy (CRRT) team for COVID-19, the integrated training and assessment of medical personnel, the integrated education of patients and their families, and the integrated management of the workflow of the hemodialysis room. Results No infected persons, including medical staff, patients, and their families, have been found in the dialysis center. After multi-departmental integrated training, the theoretical performance of medical staff in our dialysis center has increased from 82.36 ± 8.10 to 95.29 ± 4.95 (p < 0.05), and the unqualified rate dropped from 23.21 to 1.78% (p < 0.05). In addition, the three operational skills evaluation scores have also been significantly improved, from 86.00 ± 4.02, 88.01 ± 6.20, 92.01 ± 2.46 to 95.90 ± 0.30, 97.21 ± 0.87, 96.00 ± 1.00 (p < 0.01), and the passing rate from 80.36 to 100% (p < 0.05). Conclusion Medical staff’s knowledge of novel coronavirus pneumonia prevention and control can be improved by multi-sectoral integrated management, and CRRT treatment of COVID-19 patients is effective.


Author(s):  
Nam Ngo Xuan

A survey of harmful components in some construction sites, 14101 sites in southern province of vietnam. The seven was found between, of which 4 species of insects are recognized as cultural relics including Coptotermes gestroi, Cryptotermes domesticus, Coptotermes ceylonicus và Odontotermes hainanensis. The final result showed that the processing efficiency of 98.6% to reach all varieties Nuisance in ruins, but only 72.59% average of all bond positions after the first treatment and 27 41% position effective treatment after 2nd treatment test results annually showed 97% of relics were treated termites termites not appear again.


2019 ◽  
Vol 20 (2) ◽  
pp. 78
Author(s):  
SaurabhRamBihariLal Shrivastava ◽  
PrateekSaurabh Shrivastava

2021 ◽  
Author(s):  
Zejin Ou ◽  
Huan He ◽  
Danfeng Yu ◽  
Yongzhi Li ◽  
Yuanhao Liang ◽  
...  

Abstract Background HIV/AIDS is a critical public health concern worldwide. This article aimed to demonstrate th trends of HIV/AIDS burden from 1990 to 2019.Methods Data was extracted from the Global Burden of Disease study (GBDs) 2019. Estimated annual percentage change (EAPC) and age-standardized rate (ASR) were estimated to quantify the trends at global, regional and national levels.Results During the period 1990-2004, the trend in incidence of HIV/AIDS was stable globally. Whereas the trends in prevalence, death and disability-adjusted life years (DALYs) had pronounced increasing trends, with the respective EAPCs were 7.47 (95%confidence interval [CI]: 5.84 to 9.12), 10.85(95%CI: 8.90 to 12.84), and 10.40(95%CI: 8.47 to 12.36). Meanwhile, the pronounced increasing trends were seen in low-resource settings, particularly that of death in Oceania and South Asia, in which the respective EAPCs were 44.76 (95%CI: 40.81 to 48.82) and 40.82 (95%CI: 34.31 to 47.64). However, the global trends in incidence, death and DALYs of HIV/AIDS pronouncedly decreased from 2005 to 2019, with the respective EAPCs were −2.68(95%CI: −2.82 to −2.53), −6.73(95%CI: −6.98 to −6.47) and −6.75(95%CI: −6.95 to −6.54). Whereas prevalence showed increasing trend (EAPC: 0.71, 95%CI: 0.54 to 0.87). Decreasing trends of HIV/AIDS were observed in most regions and countries, particularly that of death and DALYs in Burundi respectively were −15.28 (95%CI: −16.08 to −14.47) and −15.07 (95%CI: −15.79 to −14.33). Conclusions Decreasing trends of HIV/AIDS were observed worldwide over the past 15 years. However, HIV/AIDS remains one of the most critical causes of health loss worldwide, which emphasized the effective prevention and control strategies.


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