ABSTRACT
The COVID-19 pandemic impacted almost all areas of service delivery for mental illnesses, including substance use disorders across the globe. India was one of the world's most affected countries due to the COVID-19 pandemic. One of the strictest lockdowns was imposed during this time in the country leading to disruption of mental health service delivery. Amongst the vulnerable populations, the mentally ill, especially patients with severe mental illnesses, substance use disorders, and children with mental illness, were the worst affected due to the same. Many modifications and adaptations were made in the country by various stakeholders to provide uninterrupted services to the people suffering from mental illnesses. In this symposium, we discuss the impact of the COVID-19 pandemic, lockdown, and disruption of health services for these vulnerable populations and provide insights into various steps taken for providing services to them. Presenter 1 will focus on the impact of COVID-19 on service delivery for severe mental illnesses in India. Presenter 2 will discuss issues faced by children with mental illnesses during the COVID-19 pandemic. Presenter 3 will discuss the problems faced by patients with substance use disorders. Presenter 4 will highlight modifications done by various stakeholders during the pandemic, specifically focusing on telepsychiatry services in India.
ABSTRACT
The world has witnessed and still suffers from the novel coronavirus. Scientists are working hard to find medicine that can cure the coronavirus, but unfortunately, they are not having anything concrete with them. Thus, the vaccine is only a panacea to prevent hazardous effects by covid-19. Secondly, social distancing also plays a vital role to combat coronavirus till an effective solution would be not found. Despite running the third wave of the corona, most of the people have to visit crowded-place such as shopping malls, restaurants, etcetera, where visitors have to register their personal details. Until now, the method, which is based on pen and paper, used to take too much time in recording every visitor's information at such places. So, this research paper is focusing on to digitalize the process of recording the information visitors. A flutter application namely 'Visitors' is developed to make this whole process smooth and time efficient. This Application provides a way of keeping records of visitors at such places where usually incessant people are visiting every day. Therefore, this app provides contact less and technological solutions for inserting, keeping and maintaining the data of strangers. By using this application, visitors can generate a QR(Quick Response) code of their personal and vaccination details, therefore, they don't need to wait in a queue outside of such places to register themselves by traditional method. Thus, they do not come in contact with corona patients as it provides contact less and astute methods. © 2022 IEEE.
ABSTRACT
BACKGROUND: Child and family-centered care, a partnership approach to health care decision-making, is central to paediatric practice. To reduce transmission of SARS-CoV-2, healthcare institutions implemented policies to protect staff, patients and families. Family presence at the bedside was reduced to one caregiver, except in special circumstances requiring pre-approval by hospital leadership. OBJECTIVES: We explored the impact of the COVID-19 pandemic on paediatric healthcare delivery, focusing on family presence. We describe the clinician's experience of restricted family presence during the COVID-19 pandemic in a paediatric hospital. DESIGN/METHODS: Physicians, trainees, and nurses at The Hospital for Sick Children completed surveys between March-August 2020 to identify patients they perceived to have experienced a suboptimal quality of care or health-outcome related to changes that had occurred as a result of the pandemic and describe the impact. Data were analyzed via case report and thematic analysis. As part of a larger study, here we report on cases related to family presence in the hospital. RESULTS: A total of 212 clinicians reported 116 cases;eighteen cases specified an impact on child and family-centered care. Nine cases related to patient experiences and nine to family experiences of the restricted family presence policy. Clinicians reported a perceived distress in patients due to family members not being present. 6267 family restriction exemption requests were received. Cases described families who opted for a different location for end-of-life care so that extended family could be present. Further cases highlighted how important conversations such as disclosure of diagnosis involved one parent present and the other joining remotely. Siblings were also reported to be impacted by visitor restrictions and closure of the sibling play area. Exclusions were also reported to be challenging for children with complex medical needs and technology dependency whereby two-caregivers were often required. Clinicians reported experiencing stress and moral distress as part of being required to support family restriction policies, impairing their ability to provide care. CONCLUSION: Family presence policies are a critical component of child and family-centered care and have been impacted by the pandemic as described both by family and clinician stress. Recommendations based on these findings would include: facilitating two-caregiver presence to support shared decision making, regular remote meetings to communicate information with families in cases where they cannot be physically present;using remote technology or implementing allotted visitation time for siblings, reviewing exceptions to caregiver restrictions, and mental health supports for clinicians such as peer-support groups, or wellness workshops.
ABSTRACT
BACKGROUND: The coronavirus (COVID-19) pandemic has broad implications for children and families. Healthcare experience and delivery has changed significantly, and changes will likely continue for some time. Particular attention has been paid to delays in accessing timely pediatric care leading to unintended morbidity. OBJECTIVES: This study aimed (1) to describe the broader spectrum of unintended negative consequences by describing the courses of care altered by the COVID-19 pandemic from the clinician's perspectives and (2) to identify thematic similarities to inform clinical practice change. DESIGN/METHODS: All full-time doctors, dentists, and nurse practitioners working at a tertiary care children's hospital in Canada were surveyed every two weeks throughout the initial phase of the COVID-19 pandemic. We asked them to identify and describe clinical cases in which they perceived a negative outcome associated with hospital or societal changes due to the COVID-19 pandemic. Analysis followed a qualitative case series methodology using a narrative synthesis approach to determine similarities and associated themes. RESULTS: Two-hundred and twelve clinicians reported 116 cases. Several broad themes emerged, including (1) timeliness of care, (2) disruption of child and family-centred care, (3) new pressures in the provision of safe and efficient care and (4) inequity in the experience of the COVID-19 pandemic. Within each of these themes, subthemes emerged, highlighting its impact on (1) patients, (2) their families and (3) healthcare providers. Table 1 provides examples of cases within each theme. CONCLUSION: The broad consequences of the COVID-19 pandemic impact patients, families, healthcare providers and the healthcare system. Understanding this breadth is necessary as we strive to deliver safe, high quality, family-centred pediatric care in this new era. As the pandemic continues, we need to consider carefully how to provide elective and ambulatory care, including surgery, in this era of social distancing. Particular attention is needed to understand particular aspects, including vulnerable children and the clinician experience of the COVID-19 pandemic.
ABSTRACT
The Delhi government has launched the Mohalla clinic concept in the year 2015 to make health universal and strengthen the primary care system of Delhi. The basic aim was to provide primary care to people located in remote and poor areas of Delhi. This study was conducted from April 2020 to July 2020 to determine the community dwellers' perception and satisfaction level towards Mohalla clinics and their role in the situation of the COVID-19 pandemic. An online survey was conducted with pretested and validated questionnaire. The questionnaire consisted of 28 items, which were identified with the help of a literature review. The responses were collected from 100 respondents selectively from the ones who have availed the Mohalla clinic's service. The analysis of the results revealed that the perception of the community toward the Mohalla clinic is positive. Moreover, out of all the identified factors impacting satisfaction, the availability factor, which includes the availability of doctors and medicines, had the highest influence on the perception of satisfaction from Mohalla Clinics. Additionally, 58 % of the current users have shown willingness to utilize the Mohalla clinic services, even in the times of COVID-19. This is an important finding. It postulates that the Delhi government should focus on the availability of medicines and medical staff to improve satisfaction and render healthcare services in COVID-19.
ABSTRACT
Public health is facing a current covid-19 crisis situation in the world. This study aims to analyze particular the South Asian Association for Regional Cooperation (SAARC) countries' public health research interest and growth. This bibliometric study selected the "Public Health" keyword from Scopus database geographical area selected was only SAARC countries in the title only and retrieved 1720 published articles. The time period selected was from 1957 to March 2021. 5758 authors were identified to published relevant studies on total over an average of 7.34 years in public health. The data retrieval most productive three main publishing countries India, Pakistan, and Bangladesh. Most productive institutions and authors are from India. Bibliometric analysis showed growth in international collaboration with the USA among most SAARC countries. The most productive journal was found to be “Indian Journal of Public Health” and the most productive author Ramasam, Y. J having a total of publication 57. This bibliometric analysis provides an inclusive overview of the public health research conducted in SAARC countries, which helps researchers, policy makers, and practitioner better understand the development of public health care and possible practice implications. Future Public health research should be dedicated to filling in the gaps between SAARC Countries health care research. © 2021. All Rights Reserved.