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Ferenchick EK, Randenikumara S, Dowrick C, Lionis C, Lam CLK, Green LA, Jortberg B. Bold action and collaboration for health for all. Lancet 2024; 403:1448. [PMID: 38614483 DOI: 10.1016/s0140-6736(24)00498-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 03/07/2024] [Indexed: 04/15/2024]
Affiliation(s)
- Erin K Ferenchick
- Center for Family and Community Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
| | | | - Christopher Dowrick
- Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK
| | - Christos Lionis
- Department of Social Medicine, School of Medicine, University of Crete, Giofirakia, Greece
| | - Cindy L K Lam
- The University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Larry A Green
- University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
| | - Bonnie Jortberg
- University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
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Saeed R, Amin F, Talha M, Randenikumara S, Shariff I, Durrani N, Salman S. COVID-19 Pandemic Prevalence and Risk Factors for Depression Among Health Care Workers in South Asia. Asia Pac J Public Health 2021; 33:935-939. [PMID: 33754839 DOI: 10.1177/10105395211002324] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Health care workers (HCW) are especially vulnerable to developing mental health problems in pandemic situations. The impact may be much devastating in developing countries due to fragmented health care system. Our study aims to explore the underlying burden of depression and its related factors among health care workers in South Asian countries. Data was collected through an online survey. A total of 476 health care workers including doctors, nurses, and paramedical staff participated from Pakistan, India, and Sri Lanka. A validated WHO Self Reporting Questionnaire (SRQ-20) was used to screen for Depression. A 25.7% prevalence of depression was reported among health care workers. Almost 70% of them were either not satisfied or partially satisfied with the provided personal protective equipment. On multivariable analysis, females gender (aOR=1.80, 95% CI: 1.11 - 2.90), fear of unprotection (aOR=1.80, 95% CI: 1.11 - 2.90), confirmed COVID-19 case in workplace (aOR=1.98, 95% CI= 1.18 - 3.33) and family (aOR=2.98, 95% CI: 1.02 - 8.70) were found to be independent predictors of depression among healthcare workers. Depression among HCW in South-Asian countries is quite alarming. This may jeopardize attention to other non-COVID health problems which are still on a priority in developing countries.
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Affiliation(s)
- Rabeeya Saeed
- Liaquat National Hospital & Medical College, Karachi, Pakistan
| | - Faridah Amin
- Liaquat National Hospital & Medical College, Karachi, Pakistan
| | - Muhammad Talha
- Liaquat National Hospital & Medical College, Karachi, Pakistan
| | | | - Idris Shariff
- Dhaman Health Assurance Hospital Company, Kuwait City, Kuwait
| | - Noureen Durrani
- Liaquat National Hospital & Medical College, Karachi, Pakistan
| | - Shaheena Salman
- Liaquat National Hospital & Medical College, Karachi, Pakistan
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O'Sullivan B, Chater B, Bingham A, Wynn-Jones J, Couper I, Hegazy NN, Kumar R, Lawson H, Martinez-Bianchi V, Randenikumara S, Rourke J, Strasser S, Worley P. A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries. Front Med (Lausanne) 2020; 7:594728. [PMID: 33330559 PMCID: PMC7729061 DOI: 10.3389/fmed.2020.594728] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 10/30/2020] [Indexed: 12/11/2022] Open
Abstract
Background: There is an urgent need to scale up global action on rural workforce development. This World Health Organization-sponsored research aimed to develop a Rural Pathways Checklist. Its purpose was to guide the practical implementation of rural workforce training, development, and support strategies in low and middle-income countries (LMICs). It was intended for any LMICs, stakeholder, health worker, context, or health problem. Method: Multi-methods involved: (1) focus group concept testing; (2) a policy analysis; (3) a scoping review of LMIC literature; (4) consultation with a global Expert Reference Group and; (5) field-testing over an 18-month period. Results: The Checklist included eight actions for implementing rural pathways in LMICs: establishing community needs; policies and partners; exploring existing workers and scope; selecting health workers; education and training; working conditions for recruitment and retention; accreditation and recognition of workers; professional support/up-skilling and; monitoring and evaluation. For each action, a summary of LMICs-specific evidence and prompts was developed to stimulate reflection and learning. To support implementation, rural pathways exemplars from different WHO regions were also compiled. Field-testing showed the Checklist is fit for purpose to guide holistic planning and benchmarking of rural pathways, irrespective of LMICs, stakeholder, or health worker type. Conclusion: The Rural Pathways Checklist provides an agreed global conceptual framework for the practical implementation of "grow your own" strategies in LMICs. It can be applied to scale-up activity for rural workforce training and development in LMICs, where health workers are most limited and health needs are greatest.
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Affiliation(s)
- Belinda O'Sullivan
- Faculty of Medicine, Rural Clinical School, University of Queensland, Toowoomba, QLD, Australia
| | - Bruce Chater
- Faculty of Medicine, Rural Clinical School, University of Queensland, Theodore, QLD, Australia
| | - Amie Bingham
- Faculty of Medicine, Rural Clinical School, University of Queensland, Toowoomba, QLD, Australia
| | - John Wynn-Jones
- Keele Medical School, Keele University, Keele, United Kingdom
| | - Ian Couper
- Ukwanda Center for Rural Health, Department of Global Health, Stellenbosch University, Cape Town, South Africa
| | - Nagwa Nashat Hegazy
- Medical Education and Human Resources Center, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt
| | - Raman Kumar
- Family Medicine Practitioner, DOC24 Family Practice Clinic, Ghaziabad, India
| | - Henry Lawson
- Ghana College of Physicians and Surgeons, Accra, Ghana
| | | | | | - James Rourke
- Center for Rural Health Studies, Memorial University of Newfoundland, St. John's, NL, Canada
| | - Sarah Strasser
- Faculty of Medicine, Rural Clinical School, University of Queensland, Toowoomba, QLD, Australia
| | - Paul Worley
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
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Kumar R, Naseem S, Jayatissa J, Adhikari CL, Aziz T, Qureshi R, Prasad PN, Randenikumara S, Kumar P, Rahman MZ, Gupta PP, Khan MKA, Perera MA, Boobna V, Kaimal RS, Kubendra M, Tiwari S, Jawaid H, Samaranayaka S, Andrades M, Madhwani KP, Shah PR. A Statement of Solidarity on COVID-19 Pandemic 2020 by the South Asian Family Physicians. J Family Med Prim Care 2020; 9:1795-1797. [PMID: 32670919 PMCID: PMC7346906 DOI: 10.4103/jfmpc.jfmpc_619_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 04/13/2020] [Accepted: 04/14/2020] [Indexed: 11/04/2022] Open
Abstract
The World Organization of Family Doctors (WONCA) is a not-for-profit organization and was founded in 1972 by member organizations in 18 countries. WONCA now has 118 Member Organizations in 131 countries and territories with a membership of about 500,000 family doctors and more than 90 percent of the world's population. WONCA has seven regions, each of which has its own regional Council and run their own regional activities including conferences. WONCA South Asia Region is constituted by the national academies and colleges and academic member organizations of this region namely India, Pakistan, Bangladesh, Nepal, Sri Lanka, Bhutan, and the Maldives. In the background of the ongoing COVID 19 pandemic, the office bearers, academic leaders, practitioners, and researchers of primary care from the South Asia Region have issued a solidarity statement articulating the role of primary care physicians.
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Affiliation(s)
- Raman Kumar
- National President, Academy of Family Physicians of India, New Delhi, India, President WONCA - World Organization of Family Doctors, South Asia Region, India
| | - Shehla Naseem
- Secretary General, College of Family Medicine, Pakistan
| | | | - Chhabi Lal Adhikari
- Professor of General Practice and Course Coordinator, Khesar Gyalpo University of Medical Sciences of Bhutan (KGUMSB), Thimphu, Bhutan
| | - Tariq Aziz
- President, Pakistan Academy of Family Physicians, Lahore, Pakistan
| | - Riaz Qureshi
- Professor, Department of Family Medicine Department, Aga Khan University, Karachi, Pakistan
| | - Pratap Narayan Prasad
- Institute of Medicine, Department of General Practice and Emergency Medicine, TUTH, Maharajgunj Kathmandu, Nepal
| | | | - Pratyush Kumar
- Chair, WONCA Rural South Asia, Senior Resident, Department of Geriatrics, Patna Medical College Hospital, Patna, Bihar, India
| | - Md Zakiur Rahman
- President, Primary Care & Rural Health Bangladesh, Dhaka, Bangladesh
| | - Pramendra Prasad Gupta
- Associate Professor Department of General Practice, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
| | | | | | - Vandana Boobna
- Department of Preventive Care , Medicine Max Super Specialty Hospital, Delhi, India
| | - Resmi S Kaimal
- Consultant Family Medicine Department of Family Medicine, Lourdes Hospital, Kochi, Kerala, India
| | | | - Sanjeeb Tiwari
- Assistant Professor, TUTH, Maharajgunj, Kathmandu, Nepal
| | - Hina Jawaid
- Department of Family Medicine, University of Health Sciences Lahore, Punjab, Pakistan
| | - Shyamalee Samaranayaka
- Head, Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka
| | - Marie Andrades
- Head, Institute of Family Medicine Jinnah Sindh Medical University, Karachi, Pakistan
| | | | - Pragnesh R Shah
- Member, Federation of Family Physicians Association of India (FFPAI), SMO ESIS General Hospital, Vadodara, Gujarat, India
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