ABSTRACT
BACKGROUND: With the outbreak of the COVID-19 virus crisis worldwide, including Iran, the need for corona prevention and treatment has become a national priority. With many businesses closed in the wake of COVID-19 and job losses and declining incomes, vulnerable individuals' and families' access to the minimum wage and healthcare facilities is falling, and their health is exposed to a great risk. In Iran, a significant number of vulnerable groups are supported by nongovernmental organizations (NGOs). This study is designed to understand the performance of NGOs after the onset of the COVID-19 crisis. MATERIALS AND METHODS: This study was carried out based on qualitative research between June and September 2020 in Tehran. This study was conducted using individual interviews with 33 managers and experts of 24 active NGOs providing services to vulnerable groups and a member of an NGO network. Data were analyzed using content analysis. RESULTS: Two main themes of service initiatives were extracted: (a) service initiatives to protect the target population against COVID-19 infection and its aftermath and (b) management initiatives to retain staff, finance, and adapt the organization to crisis situations. Service initiatives included five categories of health service initiatives, livelihood, employment, education, and leisure initiatives, while organizational management initiatives include human resource management, financial management, and communication with organizations. CONCLUSION: The COVID-19 breadth and its special features have set it apart from other crises and have led NGOs to work hard on several fronts to care for the most vulnerable people against the epidemic and its consequences and maintain the performance of their organizations. The unique role of cyberspace has made it one of the definitive pillars of the activities of NGOs, not only during the epidemic but also after its end.
ABSTRACT
Background: With rapid outbreak of coronavirus disease 2019 (COVID-19), due to high transmission, long incubation, rapid spread and lack of definitive treatment of disease, extensive efforts were simultaneously made to identify the transmission chain and ways to control the disease. Aim: This study aimed to accurately identify help seeking behaviors during Covid-19 pandemic. Method: This qualitative study was performed based on explanatory model of Kleinman’s theory and through semi-structured interviews with 15 individuals who were confirmed as COVID-19 cases in Tehran. Interviews were conducted by telephone, digitally recorded and transcribed verbatim and analyzed via directional content analysis based on Graneheim and Lundman. Help seeking behaviors in different levels were extracted by purposive sampling approach. Results: Three main categories were extracted including popular, professional and folk sectors in help seeking behaviors. In popular sector, four levels were extracted consisting of individual, familial, social and community. In individual level, phone consultation and self-medication were two main subcategories. In familial level, conflict of expectation and the key role of wife in Covid-19 management were expressed. In social level, three subcategories included donors / charity, media and social media. Community level had one subcategory named ethical commitment. In professional sector, three subcategories were extracted including training, medical insurance and emergency services. In folk sector, the majority of participants believed that Covid-19 is God's punishment for people's sins. Implications for Practice: Exploring help-seeking behaviors at different levels can help the national health system to better control COVID-19 pandemic and provide preventive services.