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Journal of Public Health and Development ; 21(1):106-122, 2023.
Article in English | Scopus | ID: covidwho-2207175


The COVID-19 pandemic has exposed the frontline physicians to a greater risk of getting infected, tremendous workload, and drastic changes in their work environment, leading to an increased prevalence of depression among doctors from many countries, including Bangladesh. The aim of this study was to examine the association of various personal, professional and psychosocial factors with different degrees of depressive symptoms among the frontline doctors of Bangladesh working during the COVID-19 pandemic. An online, cross-sectional survey was conducted for that purpose and data were collected from 312 doctors working in Bangladeshi hospitals using a self-administered survey questionnaire inclusive of a validated tool (Patient Health Questionnaire-9). Among the participants, around half were of age 30-34 years (51.3%), 81.8% worked in public hospitals and 70.5% did not have any comorbidity. Regarding workplace conditions, 77% of the doctors reported a perceived shortage of healthcare providers at their workplace, while 95% reported a perceived shortage of equipment, most commonly N95 masks (49%), gowns (35%), eye-protective shields (35%). A total of 199 (63.8%) participants received formal training since the beginning of the pandemic. According to the response from PHQ-9 questionnaire, 17 (5%) participants reported having no depression, while 18 (6%), 18 (6%), 25 (8%), and 234 (75%) reported having mild, moderate, moderately severe, and severe depression. Findings from multiple logistic regression showed the odds of moderate-to-severe depression to be higher among physicians with comorbidities (OR:7.47, CI: 1.27-43.89, P: 0.026) and those who felt extremely worried from looking at negative news on social/mass media (aOR: 15.180, CI:1.98-116.683, P: 0.009). To preserve and promote the psychological well-being of Bangladeshi doctors, it is, therefore, crucial to take these identified sources and risk factors of depression under sincere consideration by the responsible authorities and appropriate measures should be designed to remove these sources of depression to better support the physicians of the country. © 2023, Mahidol University - ASEAN Institute for Health Development. All rights reserved.

Pakistan Journal of Medical and Health Sciences ; 16(8):192-195, 2022.
Article in English | EMBASE | ID: covidwho-2067748


Aim: To evaluate the pattern of surgical emergencies and surgical care provided during COIVD 19 pandemic. Study design: Cross-sectional Study Place and duration of study: Department of Surgery, CMH, Lahore from 15th March - 15 June 2020. Methodology: Data was collected retrospectively, of all the patients who were admitted in department of surgery over the duration of 3 months. Demographic variables, diagnosis, work up related to COVID-19, specialty of admission and surgical vs conservative management was recorded. Results: A total of 312 patients were included. Majority were male 216(69.2%). Most of the patients 191(61.2%) were admitted via clinic, predominantly in month of May 148(41%). COVID-19 PCR was done on 210 patients (67.3%), chest x-ray was done on 271(87.9%), HRCT chest was done on 113 patients (29.20%). Although general surgery was the busiest service line with a total patient admission of 89(43.1%), Orthopedic surgery top the operative interventions list with 85.1% of admissions underwent operative management. Conclusion: The current local guidelines about patient flow and management of patients in COVID crisis are practical and can be implemented. In the wake of the later waves of COVID 19 hospitals should prepare to divert their resources to high volume specialties like General and orthopedic surgery. Simple, but important procedures like arteriovenous fistula creation should only be stopped it there is shortage of manpower.

Pakistan Journal of Medical and Health Sciences ; 15(11):2879-2881, 2021.
Article in English | EMBASE | ID: covidwho-1573205


Aim: The goal of this study was to examine the influence of the Covid-19 pandemic 2020 on the health-seeking behavior of the general public in a lower-middle-income nation like Pakistan by looking at the availability, accessibility, and usage of health infrastructure. Methodology: In this cross-sectional study, 394 Pakistani patients completed an online questionnaire measuring their willingness to seek medical treatment, reporting for follow-up visits, and the ease of getting medical care about their medical condition, both before and after the pandemic. The information was then examined. Results: During the pandemic, 21.8 percent of patients visited a health center for follow-up. Fear of infection from the health institution kept 20.3 percent of patients from showing up for follow-up. 17.5 percent of patients had significant symptoms from their underlying sickness but delayed going to the doctor due to the fear of the virus. Patients' appointments were canceled or rescheduled in 20.1 percent of cases, while 54.1 percent did not feel the need to visit a health center. Conclusion: Fear of the virus, lockdowns, limitations, and other reasons have resulted in a substantial proportion of the population avoiding ER/health facility visits while suffering symptoms that necessitate medical attention. The long-term impact on a developing country's healthcare system, such as Pakistan, will be negative unless extraordinary steps are made to provide safe, accessible, and cheap health care during the epidemic.