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1.
PLoS One ; 16(12): e0261524, 2021.
Article in English | MEDLINE | ID: covidwho-1591594

ABSTRACT

INTRODUCTION: The COVID-19 pandemic has affected the health systems in many ways. It has put unprecedented strain on health systems worldwide and exposed gaps in public health infrastructure. A health system comprises all institutions and resources working towards improving and maintaining health. Among the different aspects of health system strengthening, a patient's experiences and expectations play a crucial role in determining how well the health facilities function. This study aims to explore health system strengthening's implications based on experiences and feedback provided by COVID-19 patients admitted to a government tropical and infectious disease hospital in Nepal. METHODS: In this qualitative study, we collected the voluntary handwritten feedback by the admitted COVID-19 patients to document the feedback and experiences from a book, maintained by the hospital. We performed thematic content analysis using the World Health Organization's six building blocks of health system as a theoretical framework which included service delivery, health workforce, information, leadership and governance, financing, and access to medicines. RESULTS: Most patients in this study had positive experiences on service delivery and health workforce. Some also highlighted the gaps in infrastructure, cleanliness, and hygiene. Many suggested positive experiences on other dimensions of the health system such as financing, governance and leadership, and access to medicines reflected upon by the patients' thankfulness to the hospital and the government for the treatment they received. The responses also reflected the inter-connectedness between the different building blocks of health system. CONCLUSION: This study approached a unique way to strengthen the health system by exploring patients' feedback, which suggested an overall positive impression on most building blocks of health system. However, it also highlighted certain gaps in infrastructure, cleanliness, and hygiene. It reinforces the hospital management and government's role to continue its efforts to strengthen the health system.


Subject(s)
COVID-19/epidemiology , Delivery of Health Care , Pandemics , Patient Reported Outcome Measures , Government Programs , Hospitals , Humans , Nepal/epidemiology , Qualitative Research , Surveys and Questionnaires
2.
JNMA J Nepal Med Assoc ; 59(234): 128-133, 2021 Feb 28.
Article in English | MEDLINE | ID: covidwho-1155076

ABSTRACT

INTRODUCTION: The outbreak of coronavirus disease in Nepal led medical colleges to suspend in person teaching-learning activities and ultimately online platform was introduced to deliver the contents of medical education. The objective of this study was to describe the perception of medical students towards online teaching-learning introduced during the COVID-19 outbreak in Nepal. METHODS: An online survey using a descriptive cross-sectional study design was carried out among 515 undergraduate medical students currently enrolled in medical colleges in Nepal. Ethical approval was sought from Nepal Health Research Council to conduct this study, and digital informed consent was taken from study respondents. A semi-structured questionnaire in Google form was utilized to collect data. The link of the Google form was sent to the potential respondents through email and social media. Descriptive statistics, including frequency, percentage, mean, and standard deviation were used to analyze data in Stastical Package for the Social Sciences version 20. Ethical approval was sought from Nepal Health Research Council to conduct this study, and digital informed consent was taken from study respondants. RESULTS: The overall score of perception of online teaching-learning was 17.61±7.19, which indicated many problems in this method of teaching-learning. The mean score of perception of online teaching-learning was found to be different across sex, location of enrolled medical colleges, having a personal electronic device, having an internet connection at residence, having separate room/space for attending online classes, and self-rated computer skills. Moreover, only 28 (5.4%) of respondents had perceived online teaching-learning as a better method of delivering content of medical curricula. CONCLUSIONS: Surveyed medical students in Nepal were found to perceive many problems in online teaching-learning. Moreover, management and faculty members need to take the necessary measures for enhancing the online teaching-learning quality.


Subject(s)
COVID-19 , Education, Medical , Students, Medical , Cross-Sectional Studies , Disease Outbreaks , Humans , Nepal/epidemiology , Perception , SARS-CoV-2
3.
Journal of Patan Academy of Health Sciences ; 7(2):32-38, 2020.
Article in English | Nepal Journals Online | ID: covidwho-927857

ABSTRACT

While in most developed countries an adult of age 65 years and above is considered an elderly, in Nepal, the age limit is 60 years. There will be two billion people in old age category worldwide by 2050. This rise in number of ageing group presents many challenges;one such challenge was faced during the Corona Virus Disease 2019 (COVID- 19) pandemic. The aim of this narrative review is to assess the impact of COVID-19 on different aspects of life of the elderly. The impact of COVID-19 on the health of the elderly is greater compared to other age groups. Studies from around the world have showed that the risk of severity for COVID-19 is higher among the elderly. Many elderlies who got infected or died were healthcare personnel working in the frontline. Measures like physical distancing, movement restriction and home quarantine, all contributed to the increase in social isolation, especially for the elderly. This in turn could cause problems with their physical, mental, and cognitive health. Additionally, in lack of a steady source of income and insufficiency of savings, many face financial crises. Despite efforts to help the old people, they have been enduring the harsh outcomes of the pandemic. To support and respect elderly, their dignified life, clear policy interventions and proper implementations are a must.

4.
Applied Science and Technology Annals ; 1(1):183-186, 2020.
Article in English | Nepal Journals Online | ID: covidwho-926193

ABSTRACT

Although COVID-19 pandemic has created a state of alarm worldwide, the downfall in health and economy is rather paramount in low income countries. Nepal, due to its inadequate health resources and poor health system, is more vulnerable to the plight. But on a positive note, the weaknesses that have been exposed can be taken as lessons to learn. With the policies committed to achieving health as the fundamental right of people as per the constitution, capacity building, intersectoral coordination, preventive, promotive and curative facilities, and appropriate strategies and preparedness plan, Nepal can combat the pandemic and develop a resilient and well-functioning health system in future. Now is a moment of historic opportunity. Public health program must be strengthened as soon as possible by ensuring that at least minimum requirement are in place at the province and municipality levels and media partnership should be created to prevent societal fear. Furthermore, this is an opportunity to implement the power devolution in federal republic of Nepal

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