scholarly journals National Vaccination and Local Intervention Impacts on COVID-19 Cases

2021 ◽  
Vol 13 (15) ◽  
pp. 8282
Author(s):  
Toni Toharudin ◽  
Resa Septiani Pontoh ◽  
Rezzy Eko Caraka ◽  
Solichatus Zahroh ◽  
Panji Kendogo ◽  
...  

COVID-19, as a global pandemic, has spread across Indonesia. Jakarta, as the capital of Indonesia, is the province with the most positive cases. The government has issued various guidelines, both at the central and regional levels. Since it began in 2021, the planned new measures, called ‘Pemberlakuan Pembatasan Kegiatan Masyarakat Darurat’, or PPKM emergency public activity restrictions, began with the possibility that the number of active cases might decrease. Accordingly, global vaccinations were also carried out, as they were in Indonesia. However, the first phase prioritized frontline health workers and high-risk elderly people. This study conducted a causal impact analysis to determine the effectiveness of PPKM in Jakarta and its vaccination program against the increase in daily new cases. Based on this test, PPKM showed a significant effect on the addition of daily new cases and recovered cases. Conversely, the vaccination program only had a significant impact on recovered cases. A forecast of the COVID-19 cases was conducted and indicated that the daily new cases showed a negative trend, although it fluctuated for the next 7 days, while death and recovered cases continued to increase. Hence, it can be said that the vaccination program has still not shown its effectiveness in decreasing the number of daily new cases while PPKM is quite effective in suppressing new cases.

2021 ◽  
Vol 7 (12) ◽  
pp. 623-628
Author(s):  
Hari Ram Choudhary ◽  
Hemraj P. Jangir ◽  
Shalu Gupta

This narrative study tells the stories of Frontline Health Workers who are actively involved in the management of COVID-19 in the rural areas of Odisha state in India. They have been known as corona warriors by the Government and Media but at the same time, they became the victims of mental and social stigma. Despite their high risk of dealing with corona patients, they worked tirelessly but we as a society started stigmatizing them and failed to give the respect that they deserve. This study is an attempt to highlight their responses to mental and social stigma.


2021 ◽  
Vol 8 (1) ◽  
pp. 049-054
Author(s):  
Eka Nur So’emah ◽  
Emyk Windartik ◽  
Ima Rahmawati

Corona virus-19 (COVID) has been declared a global pandemic. The increase in cases of covid-19 can be prevented by disease prevention behavior in accordance with the protocol that has been established by the government. However, there are still many people who heed the protocol. This condition has an impact on people's anxiety, coupled with the presence of information that continues to be rolled out on social media and mass media about the development of covid-19. Anxiety is increasing with the stigma of the community about covid-19 patients. The purpose of this study was to analyze the level of anxiety and behavior of the community in preventing COVID-19 disease in East Java. The design of the study was descriptive survey. The sample in this study was people in East Java with the sampling techniques by accidental sampling techniques. The data collection used questionnaires using GAD-7. scale and behavior questionnaire according to DIRJEN control and prevention of covid-19 March 2020. The analysis of descriptive statistical test data that was percentile / percentage. The results showed that most people in East Java experience minimal anxiety and positive behavior. Minimal anxiety occured because most respondents are highly educated and already know about Covid-19, this will help solve psychological problems including anxiety. The efforts of health workers are also very much needed to always assist the community in adhering to health protocols by providing sustainable health education.


2021 ◽  
Author(s):  
Jasneet Kaur ◽  
Suresh Ray

What to expect after the child birth. A healthy newborn is considered as priority, but postnatal care counts too. It is not always that story ended up with safe child birth; mother is still at high risk if not taken care after birth. Antenatal and intra natal period are the hardest part of a life span of a pregnant women. Mandatory Antenatal visits and maternal and child health services provided by the government with hand holding national programs and schemes have converted this tough path into smooth platform. Similarly postnatal period is equally important in the life of a new mother. The transition has already been set up by creating fourth stage of pregnancy instead of traditional three stages. Several studies have observed complications in postnatal period especially Primary PPH but very minimal studies had concentrated on Secondary PPH. Over and above there are no significant and standardized guidelines made available for the health workers to define the set limits of blood loss and management of secondary PPH. The condition becomes more critical when severe secondary PPH came for the hospitalization when the exact cause and associated factors remains often unknown. Also many postpartum infections emerge 24 hours after the delivery and discharge from hospital. Consequently, in the lack of proper knowledge and skills regarding identification of postnatal complications like secondary PPH and Puerperal infection, many cases go undiagnosed and unreported. This chapter will deals with the skills of the ground level workers required to identify and manage selected high risk complications in postnatal period.


2021 ◽  
Author(s):  
Shanzun Wei ◽  
Lisha Jiang ◽  
Xiaoyan Meng ◽  
Xi Wen ◽  
Xiangfu Zhou

BACKGROUND In December 2019, few cases of pneumonia were reported outbursting in the city Wuhan, Mainland China and soon became a global pandemic. With the vaccination approval in Mainland China, concerns over its safety and efficacy emerged. Since the Chinese Vaccine has been promoted by the Chinese government for months, and just got emergency approval from the World Health Organization. The Chinese vaccination program is yet to be identified from the perspective of local populations. OBJECTIVE To examine the perception, complaints, and inquiries related to the current vaccination program to identify public concerns or hesitancy with the leading search engine in Mainland China. METHODS The COVID-19 Vaccine related keywords were examined and queried on Baidu Index for the period 2019.01–2021.04. The searching popularity of each keyword was recorded to analyze the search trend and demographic distributions. Data of demand graph and trend data used for users' demand analysis. Daily Vaccination data were retrieved from the daily government report since 2021,03. RESULTS Seventeen vaccination keywords were retrieved and with a total BSI value of 13,708,853. The first vaccine enquiry emerged on 25th January 2020, and the searching trend APC is 21.05% (p < .05). With reference to the government announcement, the coefficient of correlation (r) values is 0.38 (p < .05). As to the age distribution, 39.22% of the search were from people aged 20-29 years and dominated the vaccine enquiry. Followed are the 33.00% from aged 30-39 yr, 14.34% from aged 40-49 yr, 9.27% from aged under 19 yr and 3.88% from aged over 50 yr. In the user demand section, the total valid BSI of the vaccine demand terms were 3,843,325,561. Over 54.93% of the demand term search were pandemic relevant, and the summed vaccine demand ratio was 44.79%. CONCLUSIONS The rising search population in COVID-19 Vaccination revealed elevating public interest and focus. Vaccine education programs and materials should be designed for teens and people aged above the 40s. Complaints and symptoms describing inquiries were low, but vaccine-related birth safety should be alerted and further investigated. CLINICALTRIAL Not applicable


2020 ◽  
Vol 2 (1) ◽  
pp. 31-41
Author(s):  
Babatunde M Lawal ◽  
Obani Lateefat Adeola

Purpose: This paper attempted to x-ray the incidence of COVID-19 global pandemic and the resulting unfortunate stigmatization and social discrimination experiences which people with the pandemic are going through. The paper as a as a theoretical paper examined the effects of the instances of stigmatization arising from fear, misinformation, lack of adequate information and the corresponding social tension. Some of the discriminatory behaviours that accompany such fear, as they damage not only the socio-cultural fabric in the long-run, but also compromise present efforts to contain the disease were discussed.Methodology: The study adopted a descriptive research design.Findings: from the paper revealed that everyone is capable of helping to stop stigma related to COVID-19 through assisting oneself and others to cope with the stress associated with the pandemic in order to make the community stronger.  Attempt was therefore made to highlight some strategies that could be considered and explored by different stakeholders such as the government, media, community, the individuals and research institutes towards mitigating the effects of stigmatization and social discrimination created by the global pandemic called COVID-19. It concluded that we all have a responsibility to help correct the misconceptions through policy shift and interventions that can promote less chances of stigmatization in case of any pandemic.Unique contribution to theory, policy and practice: Members of any community experiencing COVID-19 cases must be ready to maintain privacy and confidentiality of people with such cases so that they will not be unnecessarily exposed to instances of stigmatization and discrimination. Timely public health interventions capable of addressing cultural impact and the risk of stigmatization along with proper screening, treatment and follow up will reduce any anticipated spike in the spread and resultantly bring down the chances of stigmatization and discrimination. Health workers would need to be more conscious of the names of diseases and using of words and phrases such as “epidemic”, “the epicenter of the disease”. The media personnel equally need to be cautious about the images that are shared by making sure that they do not reinforce stereotypes. They must be very careful in their choices of awareness materials. Scholars would need to be encouraged to get involved in action researches that can promote the development of vaccines and drugs that can help reduce the menace of COVID-19 which is currently characterized by deaths and numerous instances of stigmatization and discrimination


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Ong Argo Victoria ◽  
Thaan Neet Bunprakop

When first announced as a global pandemic on March 11 by WHO the number of infections worldwide has reached more than 121,000. Instead of Indonesia still feeling safe from a virus outbreak that has paralyzed some countries in the world, President Joko Widodo in early March, who had put the population in a comfort zone, had to admit defeat with a co-19 case report caused by the virus SARS-Cov-2 or better known as the Corona virus. Even with the dynamism of existing data, these predictions can change. This data is certainly not to create panic in the community, but rather to make people aware and provide an overview for the government in handling it. Namely comprehensive handling, especially to prevent wider spread so that the number of infections can be suppressed. In addition, legal certainty is an important instrument in ensuring the safety of health workers so that the government cannot take arbitrary actions against the assignment of health workers. Especially if you look at the legislation regarding health workers, it seems that no one has yet regulated the guarantee of legal certainty for health workers even though Law Number 36 of 2014 concerning Health Workers is already in place. Therefore the Government needs to issue implementing regulations and technical guidelines for the Health Workforce Law and other laws governing legal protection and work safety for health workers. In line with this, Chairman of the Indonesian Lung Doctors Association AgusDwi Susanto, announced that the number of lung specialist doctors is limited, this must be sought by the government with further grouping of funds so that the number of cases of infection does not overwhelm health workers, this is done to break the chain of viral circulation with the help of partially quarantine and social procurement.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255657
Author(s):  
Itta Krishna Chaaithanya ◽  
Dipak Abnave ◽  
Himmatrao Bawaskar ◽  
Ujwal Pachalkar ◽  
Sandip Tarukar ◽  
...  

Introduction India has remarkably the highest number of snakebite cases contributing to nearly 50% of the global snakebite deaths. Despite this fact, there is limited knowledge and awareness regarding the management practices for snakebite in the Indian population. The study aimed to explore the knowledge, awareness, and perception of snakes and snakebites, first aid, and treatment amongst the community and the frontline health workers in a tribal block of Dahanu, Maharashtra, India. Methods A cross-sectional study was carried out from June 2016 to October 2018 in the Dahanu Block, Maharashtra. Perceptions, knowledge, awareness, and first-aid practices on the snakebites among the community were studied through focus group discussions (FGDs). Semi-structured questionnaires were used to assess the knowledge, awareness, and experience of the traditional faith healers, snake rescuers, frontline health workers on the snakebites and their management. A facility check survey was conducted using pre-tested questionnaires for different levels of the government health care facilities. Results Most of the tribal community was aware of the commonly found snakes and their hiding places. However, there was inadequate knowledge on the identification and classification of venomous snakes. Belief in a snake god, the perception that snakes will not come out during thunderstorms, change in taste sensation, the ability of tamarind seeds or magnet to reduce the venom effect were some of the superstitions reported by the tribal community. The application of a harmful method (Tourniquet) as the first aid for snakebite was practiced by the tribal community. They preferred herbal medicines and visiting the traditional faith healers before shifting the patient to the government health facility. The knowledge on the ability to identify venomous snakebites and anti-venom was significantly higher amongst nurses and accredited social health activists (ASHAs) than auxiliary nurse midwives (ANMs) and multi-purpose workers (MPWs) (p < 0.05). None of the traditional faith healers; but nearly 60% of snake rescuers were aware of anti-venom. Fifty percent of the medical officers in Dahanu block did not have correct knowledge about the Krait bite symptoms, and renal complications due to the Russell viper bite. Conclusions Inappropriate perception, inadequate awareness, and knowledge about snakes and snakebites may predispose the tribal community to increased risks of venomous snakebites. Unproven and harmful methods for snakebite treatment practiced by the community and traditional faith healers could be dangerous leading to high mortality. Therefore, a multi-sectoral approach of community awareness, mapping of vulnerable populations, capacity building of health care facility, empowerment of health care workers (HCWs) could be useful for reducing the mortality and morbidity due to snakebite envenoming in India.


2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005299
Author(s):  
Jean Juste Harrisson Bashingwa ◽  
Neha Shah ◽  
Diwakar Mohan ◽  
Kerry Scott ◽  
Sara Chamberlain ◽  
...  

Mobile phones are increasingly used to facilitate in-service training for frontline health workers (FLHWs). Mobile learning (mLearning) programmes have the potential to provide FLHWs with high quality, inexpensive, standardised learning at scale, and at the time and location of their choosing. However, further research is needed into FLHW engagement with mLearning content at scale, a factor which could influence knowledge and service delivery. Mobile Academy is an interactive voice response training course for FLHWs in India, which aims to improve interpersonal communication skills and refresh knowledge of preventative reproductive, maternal, neonatal and child health. FLHWs dial in to an audio course consisting of 11 chapters, each with a 4-question true/false quiz, resulting in a cumulative pass/fail score. In this paper, we analyse call data records from the national version of Mobile Academy to explore coverage, user engagement and completion. Over 158 596 Accredited Social Health Activists (ASHAs) initiated the national version, while 111 994 initiated the course on state-based platforms. Together, this represents 41% of the estimated total number of ASHAs registered in the government database across 13 states. Of those who initiated the national version, 81% completed it; and of those, over 99% passed. The initiation and completion rates varied by state, with Rajasthan having the highest initiation rate. Many ASHAs made multiple calls in the afternoons and evenings but called in for longer durations earlier in the day. Findings from this analysis provide important insights into the differential reach and uptake of the programme across states.


2021 ◽  
Vol 1 (2) ◽  
pp. 134-145
Author(s):  
Nur Afni

COVID-19 discovered a global pandemic that gave rise to the emergence of various groups, especially the public. Inaugurated by the World Health Organization as a global pandemic, the management of COVID-19 is a challenge for countries with limited energy sources and health care systems. Citizens' understanding continues to grow along with the number of positive problems and deaths due to COVID-19 which continues to grow in a relatively short time. The ability of each country to adapt to the existing conditions during efficient and anticipatory implementation varies greatly. The policy finds an early ground that must be tested in order to be able to tackle these cases successfully. Anticipatory policy decisions related to efforts to prevent the spread of COVID-19, take action against infected patients, protect health workers, and control public awareness are carefully considered. For this reason, the Government is trying to schedule a New Normal policy so that the economic impact of the pandemic does not create a sustainable crisis. This policy is linked to planning where the Government has established programs, as well as major projects in the 2020-2024 National Medium-Term Development Plan (RPJMN). The government needs to review the medium-term plan considering that in 2020 all programs that are trying to focus on taking action against Covid-19. The government has 3 alternatives in the medium term, whether it is always quality, making moderate improvements, or changing it with a new plan with assumptions made from the Covid-19 pandemic and the consequences that accompany it.


Author(s):  
Binita Timilsina ◽  
Nitu Adhikari ◽  
Sheetal Kafle ◽  
Susmita Paudel ◽  
Sushmita Poudel ◽  
...  

COVID-19 global pandemic has badly hit the business of farmers whose story has largely been in the shadows. The main objective of this article is to highlight the connection of global pandemic with agricultural and food systems. For this, secondary data were collected through online portals, daily national newspapers, and published scientific articles and analyzed. The result shows that from pandemic to lockdown, locust to heavy rainfall, unsold crops to rotten crops, financial crisis to acute hunger, has brought agricultural activities to standstill, where people value only those who can produce food for them. It is high time for action and priority must be given to the farmers who are putting their hard work to thrive the whole world as that of police and health workers. The government needs to take vigorous steps to facilitate farmers using automated machinery facilities like autonomous tractors, seeding robots, robotic harvesters, drones and ICTs, toll-free numbers; enhancing quality seeds, fertilizers and direct financial funding on vulnerable farmers to build agricultural sector resilience to the pandemic. 


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