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Background: A series of measures have been suggested to reduce Covid-19 infection, including knowledge training for prevention and control, isolation, disinfection, classified protections at different degrees in infection areas, and protection of confirmed cases. Objective(s): We conducted this study with an aim to assess the knowledge, attitude and practice among the general population regarding COVID-19. Method(s): This was a cross-sectional study carried out by the Department of Community Medicine, Government Medical College, Srinagar in the month of April 2020. The questionnaire had four segments to collect data regarding social-demographic details, knowledge regarding Covid-19, attitude and practice based questions. The questionnaire was shared via social media applications like face book and Whatsapp to reach the target population. Continuous variables were summarized as frequency and percentage. All the analysis was done using Microsoft Excel 2016. Result(s): Among participants who responded, 1252 (82%) were in the age group of 18-40 years and 912 (60%) from urban areas. A total of 934 (61%) respondents had heard details on COVID 19 from the social media, 1358 (89%) knew all ways of coronavirus transmission, 602 (40%) felt that COVID 19 is a serious disease, 1184 (78%) responded that they totally agree with the lockdown decision, and 1296 (85%) responded that lockdown is helping in reducing the number of cases. The majority, i.e. 1318 (87%), followed advisories and reported washing hands with soap and water regularly, 1108 (73%) reported regularly wearing masks, 1344 (89%) reported following lockdown guidelines, and 1306 (87%) reported maintaining social distancing. The respondents exhibited good knowledge, positive attitude, and sensible practices regarding COVID 19. Conclusion(s): Our study showed that the respondents have exhibited good knowledge, positive attitude and sensible practices regarding covid-19 during the pandemic.
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Background: A considerable number of front-line workers are under risk due to repeated infection and exposure. The pattern of COVID 19 infection among the front-line workers was important, so that more focus would be laid on protecting them. Contact tracing is one key strategy for interrupting chains of transmission of SARS-CoV-2. This study aimed to find the pattern of COVID 19 infection among front line health workers and describe the process of contact tracing. Methodology: The list of front-line workers with possible symptoms of COVID-19 or had come in direct contact with a "case" was shared with the department of community medicine for contract tracing activity as per the guidelines. The front-line workers who were categorized as High Risk were quarantined immediately and those who were categorized as Low-Risk were advised to be vigilant regarding the development of symptoms and were asked to continue with their routine duties with extra precautionary measures as they form a very vital part of the resource in this combat against COVID-19. Result(s): About 138 front line health workers were affected by COVID-19 among which staff nurses (51) amounted to the maximum number who were affected. Conclusion(s): COVID-19 was high among front-line workers and had a large number of high-risk contacts. Nurses were found to be most affected with COVID 19 infection.Copyright © 2023, Institute of Medico-legal Publication. All rights reserved.
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L'évolution actuelle de la demande de soins non programmés porte autant sur une augmentation de volume que sur sa nature. Les missions assurées par les structures d'urgence se sont décentrées vers la prise en charge des complications des pathologies chroniques et des problématiques médicosociales. Une démarche collaborative entre la médecine de ville et l'aide médicale urgente (AMU) a été initiée depuis deux ans dans les Yvelines, entre le Samu 78, l'hôpital de Versailles, le Conseil de l'ordre des médecins 78 et l'Association Plateforme territoriale d'appui 78. Ses objectifs visent, par un travail de coordination multidisciplinaire, à éviter les ruptures de parcours des patients complexes, à favoriser le maintien à domicile et à réorienter les patients vers la ville après un recours à l'hôpital. La crise sanitaire liée au Covid-19 a permis d'accélérer le processus de collaboration ville– AMU avec des objectifs propres à cette crise, notamment grâce à des outils numériques dédiés. Les principaux axes de travail ont été de répondre à l'urgence de la crise sanitaire en organisant une offre de soins sécurisée, d'organiser les parcours des patients fragiles pendant le confinement puis de préparer et d'accompagner le déconfinement grâce à une cellule d'appui et de suivi des cas positifs et de leurs contacts. Les difficultés organisationnelles ou liées à l'acceptabilité de ces nouveaux outils de surveillance et de coordination ont trouvé leurs solutions grâce à un environnement institutionnel favorable et l'implication de leaders intéressés par la conduite de projets innovants. Cette expérience peut préfigurer le futur service d'accès aux soins (SAS).Alternate abstract: The type and amount of the current demand for unplanned healthcare is evolving. Tasks of emergency services moved towards chronic diseases complications, and towards the increasing amount of medico-social issues. For two years, a collaborative approach between community medicine and emergency medical communication center in the Yvelines (78) has been undertaken. The stakeholders are the Samu 78, the Versailles Hospital, the Yvelines Medical Board and the territorial coordination association. This approach aims at preventing inappropriate hospitalization, promoting home care, and redirecting patients to community medicine after a hospital stay, thanks to multidisciplinary coordination teamwork. The health crisis due to COVID- 19 boosted and strengthened community medicine—emergency medical communication center cooperation with specific goals, with the help of dedicated digital tools (among other things). The leading workstreams were to handle the health crisis urgency through the set-up of secured health care provision over the Yvelines area, to manage the course of the precarious patients during the lockdown period and finally to support the lifting of the lockdown with a dedicated backup team, and the follow-up of COVID-19 patients and their close relatives. Solutions to the organizational issues and issues related to the acceptance of the new monitoring and coordination digital tools were found, thanks to a supportive institutional environment, and to the committed leaders interested in the innovative projects. This collaboration should be a model for the new access to healthcare system.
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Background and purpose Community individuals and sectors worldwide, including health, security, economy, education, and occupation, are being challenged to confront the coronavirus disease 2019 (COVID-19) pandemic. The deadly virus originated in Wuhan city in China and spread globally to other countries on account of its rapid mode of transmission. Solidarity and cooperation were vital elements in mitigating the COVID-19 pandemic all around the globe. Actions of solidarity among countries included gathering the world's leading experts to discuss the latest research and innovation while working to promote knowledge and empowerment across the communities. The purpose of this study was to explore the influence of the COVID-19 pandemic on different aspects of the Saudi community, including health, education, finance, lifestyle, and others. We also wanted to identify the perceptions of the general Saudi population regarding the impact of the pandemic and its long-term effects. Methodology This cross-sectional study was conducted from March 2020 to February 2021 among individuals across the Kingdom of Saudi Arabia. The online self-developed survey was disseminated to thousands of individuals in the Saudi community and yielded 920 responses. Results Roughly 49% of the studied participants postponed their dental and cosmetic center appointments, and 31% reported delayed periodic health appointments in hospitals and primary healthcare centers. Around 64% reported missing hearing "Tarawih/Qiyam" Islamic prayers. Furthermore, 38% of the study respondents reported being anxious and stressed, 23% reported having sleeping disorders, and 16% wanted to be isolated from the community. On the other hand, the COVID-19 pandemic helped approximately 65% of the studied participants to abstain from ordering from restaurants and cafes. Additionally, 63% of them reported gaining new skills or behaviors during the pandemic. Many participants (54%) thought that after the curfew recession, they will face financial challenges while 44% assumed that life will not return to what it used to be. Conclusion The COVID-19 pandemic has had a multidimensional impact on Saudi society, which has affected both individuals and the community as a whole. Some of the short-term perceived impacts involved interruption in the provision of health care, poor mental well-being, financial hardship, challenges related to homeschooling and working from home, and the inability to fulfill spiritual needs. On the bright side, community individuals demonstrated the ability to learn and develop during the pandemic by striving to acquire knowledge and new skills.
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INTRODUCTION: The COVID-19 pandemic caused a disruption in the usual primary care services offered and received by patients. The objective of this study was to compare the impact of family medicine appointment cancellations on hospital utilization metrics both before and during the COVID-19 pandemic within a family medicine residency clinic. METHODS: This study is a retrospective chart review of cohorts of patients with a family medicine clinic cancellation who presented to the emergency department during a similar time period before and during the pandemic (March-May of 2019 vs March-May 2020). The patient population studied has multiple chronic diagnoses and prescriptions. Hospital admission, hospital readmission, and length of stay for hospitalizations during these periods were compared. The impacts of appointment cancellations on the emergency department presentation with subsequent inpatient admission, readmission, and length of stay were examined using generalized estimating equation (GEE) logistic or Poisson regression models to account for the lack of independence between patient outcomes. RESULTS: A total of 1878 patients were included in the final cohorts. Of these patients, 101 (5.7%) presented to the emergency department and/or hospital in both 2019 and 2020. An increased odds of readmission was associated with family medicine appointment cancellation regardless of year. The effects of appointment cancellations were not associated with admissions or length of stay between 2019 and 2020. CONCLUSION: Between the 2019 and 2020 cohorts, appointment cancellations were not associated with significant differences in likelihood of admission, readmission, or length of stay. A higher risk of readmission was associated with patients with a recent family medicine appointment cancellation.
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COVID-19 , Family Practice , Humans , Retrospective Studies , Pandemics , COVID-19/epidemiology , Patient Readmission , Hospitals , Length of StayABSTRACT
Background: The inflated use of digital screens has completely changed the lives of people physically, mentally and psychologically. The covid-19 pandemic has also compelled people of all age groups to shift to digital media. The average screen time usage is 7-9 hours a day which is alarming. Aim(s): To find out the relation of screen time with ophthalmic problems among medical students. Study Design: Cross-sectional study Place and Duration of Study: Department of Community Medicine, HITEC-IMS Taxila from 1st January 2020 to 30th June 2020. Methodology: One hundred and fifty two medical students were included using non probability convenience sampling technique. An electronic questionnaire was developed and Google forms were used for data registration. Result(s): The relation between screen time duration with difficulty in refocusing (p=0.05) and eye redness (p=0.05). No relation was found between screen duration and headache, eye strain, blurred vision and refractive errors. Conclusion(s): High screen time is found to be related to ophthalmic problems like difficulty refocussing and eye redness which if not addressed properly might result in detrimental effects. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.
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BACKGROUND: Hospital-at-home (HaH) care has been proposed as an alternative to inpatient care for patients with coronavirus disease (COVID-19). Previous reports were hospital-led and involved patients triaged at the hospitals. To reduce the burden on hospitals, we constructed a novel HaH care model organized by a team of local primary care clinics. METHODS: We conducted a multicentre retrospective cohort study of the COVID-19 patients who received our HaH care from 1 January to 31 March 2022. Patients who were not able to be triaged for the need for hospitalization by the Health Center solely responsible for the management of COVID-19 patients in Osaka city were included. The primary outcome was receiving medical care beyond the HaH care defined as a composite outcome of any medical consultation, hospitalization, or death within 30 days from the initial treatment. RESULTS: Of 382 eligible patients, 34 (9%) were triaged for hospitalization immediately after the initial visit. Of the remaining 348 patients followed up, 37 (11%) developed the primary outcome, while none died. Obesity, fever, and gastrointestinal symptoms at baseline were independently associated with an increased risk of needing medical care beyond the HaH care. A further 129 (37%) patients were managed online alone without home visit, and 170 (50%) required only 1 home visit in addition to online treatment. CONCLUSIONS: The HaH care model with a team of primary care clinics was able to triage patients with COVID-19 who needed immediate hospitalization without involving hospitals, and treated most of the remaining patients at home.
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Introduction: The machine learning and artificial intelligence tools, party and random forest can be used to evaluate surveillance data for better outcomes. The primary objective of the study was to evaluate the utility and reliability of machine learning and artificial intelligence model primary data for the Influenzas Like illness (ILI) Surveillance of patients attending fever OPD in a tertiary care hospital during covid 19 pandemic. The secondary objective was to estimate model statistics to measure the effect of parameters. Methodology: This is a secondary data analysis study based on surveillance data in the tertiary care hospital attached to medical college. The data of 3723 cases was collected by Surveillance team for Influenzas Like Illness (ILI) under Department of Community Medicine in Fever OPD during covid pandemic from 23 March 2020 to 30 June 2020. Data consisted (11) variables. Data was analysed using R Software (4.2.2). Machine learning (ML) and Artificial Intelligence tool party and random forest were applied. Result(s): The random forest model performed better than Party model with model accuracy of 0.9557, AUC of random forest model were 87.4% (sensitivity 0.9533, specificity 0.9685), 89.7% (sensitivity 0.9059, specificity 0.9957) and 88.3% (Sensitivity 0.965, Specificity 0.9527) for confirmed, probable and suspected with different cut-offs. The model found Severity of Patient (Mild, Moderate, Severe), the day of Fever OPD Visit, nature of illness (is asymptomatic?) and age of patient as the most significant factors in decreasing order by mean decrease in Accuracy while the Severity of Patient (Mild, Moderate, Severe), the day of Fever OPD Visit, age of patient and number of symptomatic Complaint (NOC) were found the most significant factors in decreasing order by mean decrease in Gini to predict Covid-19 Test Results. Conclusion(s): The party algorithm was consistent for train and test dataset while for the random forest results were good on train dataset while same model had seen difficulty in prediction class for the test dataset. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
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The organisational and financial diversity that characterizes European primary care has made it possible to respond extraordinarily to the COVID-19 pandemic with innovative solutions: reorganisation of the scope of services, digitization, new professional roles and inclusion of new professions in primary care, and the use of additional fees for service. Telemedicine has transformed patient care. Humanitarian crises (immigration and refugees) still require new solutions in Europe. Palliative care in primary care has been transformed. The new virtual medical education must be evaluated. The reduction of bureaucracy is a clear need, as is coordination with preventive medicine and public health services. Solo practice versus primary care teams, access to the prescription of certain drugs, over-prescription, preventive activities, and migration of physicians constitute future challenges for European primary care. Copyright © 2022 The Author(s)
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Introduction: COVID-19 pandemic has changed the life condition in various sectors. Numerous students in our faculty who should graduate in 2020 must be delayed. This clinical clerkship performed offline in the pandemic era shall be perceived as a crash program to pass the students. This study aimed to evaluate the implementation of a community medicine clerkship (CMC) amidst the pandemic by referring to students' perceptions. Methods: This research was a mixed methods study involving 40 students from Universitas Islam Negeri Syarif Hidayatullah, Indonesia. Students were placed in groups in the ten health centers in Tangerang Regency from August to September 2020. The open-ended question via online form was distributed at the beginning of the activity and the fourth week of the clerkship. Results: The study revealed that students' concerns increased from week one to week four, but the difference was not statistically significant (p>0.05). The participants identified as the causative factors were insufficient availability of personal protective equipment (PPE), unsynchronized coordination between faculties, preceptors and practice fields, many assignments, and frequent changes in schedule and activities. Conclusion: The implementation of CMC was affected by four factors, namely the faculty, the preceptors, the practical field, and the student itself. Asynchrony within the entire factor results in and contributes to students' concern for practice in the field. © 2022 UPM Press. All rights reserved.
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Introduction: Many frontline workers including doctors and nurses have succumbed to the Coronavirus Disease-19 (COVID-19) pandemic. In the COVID-19 pandemic, medical postgraduate (PG) aspirants had to deal with a variety of problems, including an increased workload, delay in National Eligibility cum Entrance Test (NEET) PG test and counselling. Aim(s): To assess the effect of COVID-19 pandemic and various factors influencing career choice among medical PG aspirants in Chennai. Material(s) and Method(s): The present cross-sectional questionnaire-based study was conducted in the Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India from August 2021 to September 2021 among 272 medical Postgraduate (PG) aspirants. A Google form questionnaire was sent to students who were in an internship in the past six months or had completed their internship in the past one year. There were 28 multiple choice questions comprising of socio-demographic details (with exception of age) and various factors related to career choice. Five questions were scored yes/no, and 15 questions were scored using 5-point Likert scale. Result(s): The mean age of the participants was 24.41+/-1.81 years and there were 129 males and 143 females in total among the study participants. Change in career choice was observed in 39.33% of the participants. The top two choices prior to and during the COVID-19 pandemic was General Surgery and General Medicine. Among the participants who had a change in career choice, the mean score of four questions in COVID-19 pandemic domain was higher when compared with participants who had no change. Conclusion(s): Most of the participants believed that the COVID-19 pandemic limited the learning opportunities for postgraduates and the violence against doctors had an impact on their decision to pursue a particular career. Due to the present pandemic, participants interest in community medicine and infectious diseases has increased. Copyright © 2022 Journal of Clinical and Diagnostic Research. All rights reserved.
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BACKGROUND: COVID-19 pandemic pushed all educational institutions to rely exclusively on technology-based learning. As this was done for the first time, it is ideal to evaluate the e-learning program to refine and consolidate the learned experience. Hence, the current study was undertaken to evaluate the online learning and teaching experiences of students and teachers. MATERIALS AND METHODS: This program evaluation on e-learning was carried out in the department of Community Medicine (DCM) in a private medical college using context/input/process/product framework among IV, VI, and VII semester undergraduate students and faculties in DCM who were exposed to e-learning for the period of 2 months since April 2020. Google Forms was used to design a survey questionnaire that was conceptualized as per the needs of the evaluation framework. Ethics Committee approval was obtained. Descriptive analysis was done for quantitative variables and manual content analysis using Lewin's force field framework was performed for the qualitative data. RESULTS: Out of 301 undergraduates contacted, 196 (65.1%) responded to online survey. Their mean age was 19.9 years and 128 (65.3%) were females. Mobile phone was used by 93.4% to access e-learning. Combined modality of learning was preferred by 58.2% of them in future. Six "for" and "against" factors on e-learning emerged out of content analysis pertaining to three main stakeholders, namely administrator, faculty, and student. CONCLUSION: Our evaluation conveys that for effective e-learning in any subject, the students, educators, and institutional factors that were identified need to be considered throughout all phases of program development with careful assumptions about its acceptance by the millennial.
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Introduction: Several public policies were proposed to reduce the negative impact of COVID-19 pandemic. This work aimed to determine how a management model is capable of strengthening the community network, providing support, healthcare and channelling public government's aid during COVID-19 pandemic situation. Methods: It is an intervention study that tested the effectiveness of a management model for both healthcare and essential goods access in a socially vulnerable neighbourhood called 'Puente de Fierro' in La Plata the capital of Buenos Aires State, Argentina, during the COVID-19 pandemic. Altos de San Lorenzo suburb area was considered as control group. Variables studied were: level of contagion and death due to the SARS-CoV-2 virus;access to food, medicine and other goods;strengthening of community networks;performance of government programmes in territory. Results: A new management paradigm was tested by moving essential goods towards the people, instead of making the people move to obtain those benefits. Accessibility to 'Food Bag' and 'Food Bank' were significantly increased, a reduction of contagion level and mortality rate for COVID-19 was achieved (2.3/100 000 vs 3.6/100 000 inhabitants in control area;and 'fatality rate' was 2.8% vs 3.6%, respectively). Support was also provided to installed in local stores virtual payment devices for food cards acceptance. Conclusion: The management model based in healthcare and goods and service supplies during COVID-19 pandemic reduced the negative impact of disease and its measures of isolation in socially vulnerable neighbourhoods.
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INTRODUCTION: Hepatocellular carcinoma (HCC) commonly occurs in patients with known risk factors. Guidelines recommend HCC surveillance with ultrasound with/without serum alpha fetoprotein every 6 months, but less than 20% undergo recommended surveillance. The objective of this study was to identify provider-and system-level barriers to surveillance from the provider perspective and to examine the role of provider knowledge and attitudes. Providers' suggestions for potential interventions to improve HCC surveillance were also elicited. METHODS: Qualitative research methods were employed. Providers from the Departments of Internal Medicine and Family and Community Medicine who provide primary care, and from the Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition were invited to participate. A semi-structured interview guide was used. Transcribed interviews were analyzed to reveal emergent themes. RESULTS: 22 providers were interviewed including primary care providers, general gastroenterologists and hepatologists. Provider-level barriers to HCC surveillance identified by participants included variable provider comfort managing chronic liver disease;relationships between primary care, gastroenterology, infectious disease and hepatology;if/how providers discuss HCC surveillance;provider knowledge of guidelines and specific provider-level barriers including time and competing issues in clinic, deferral of responsibility, provider-patient relationships, and time spent on patient education. System-level barriers to HCC surveillance included the absence of relevant technology tools, insurance denial of imaging, difficulty scheduling surveillance studies, and the COVID-19 pandemic. Provider suggestions for interventions included patient navigation, use of technology, education for patients and primary care providers, partnering with primary care practices, and media campaigns. CONCLUSIONS: Important barriers to HCC surveillance and opportunities for intervention were identified. Future research should focus on the design, testing and implementation of interventions to target provider-and system-level barriers.
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BACKGROUND: Over 34 million people in the United States have diabetes, with 1.5 million diagnosed every year. Diabetes self-management education and support (DSMES) is a crucial component of treatment to delay or prevent complications. Rural communities face many unique challenges in accessing DSMES, including geographic barriers and availability of DSMES programs that are culturally adapted to rural context. OBJECTIVE: Boot Camp Translation (BCT) is an established approach to community-based participatory research used to translate complex clinical and scientific information into concepts, messages, and materials that are understandable, meaningful, and relevant to community members and patients. This study aimed to utilize BCT to adapt an existing DSMES program for delivery in rural primary care for English- and Spanish-speaking people with diabetes. METHODS: The High Plains Research Network (HPRN) Community Advisory Council (C.A.C.) partnered with researchers at the University of Colorado and University of Utah to use BCT to aid in translating medical jargon and materials from an existing DSMES program, called "Diabetes One Day (D1D)." BCT consisted of 10 virtual meetings over a 6-month period among the C.A.C., which included 15 diverse community stakeholders. Both English-speaking and bilingual Spanish-English-speaking C.A.C. members were recruited to reflect the diversity of the rural communities in which the adapted program would be delivered. RESULTS: The BCT process guided adaptations to D1D for use in rural settings (R-D1D). R-D1D adaptations reflect both content and delivery to assure that the intervention is appropriate and likely to be accepted by rural English- and Spanish-speaking people with diabetes. Additionally, BCT informed the design of recruitment and program materials and identification of recruitment venues. During the BCT process, the importance of tailoring materials to reflect culture differences in English- and Spanish-speaking patients was identified. CONCLUSIONS: BCT was an effective strategy for academic researchers to partner with rural community members to adapt an existing DSMES intervention for delivery in rural areas to both English- and Spanish-speaking patients with diabetes. Through BCT, adaptations to recruitment materials and methods, program content and delivery, and supplemental materials were developed. The need to culturally adapt Spanish materials with input from stakeholders rather than simply translate materials into Spanish was highlighted. The importance of increasing awareness of the connection between diabetes and depression or diabetes distress, adaptations to include local foods, and the importance of the relationship between people with diabetes and their primary care practices were identified.
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Post-Covid condition (or long covid) describes the persistence of symp-toms several months to years after SARS-CoV-2 infection. It has been in-creasingly described in children as well, particularly in preteens and teen-agers. Most commonly reported symptoms include fatigue, difficulty con-centrating, sleeping disorders, shortness of breath, and mood disorders. Treatment of these symptoms is limited and consists mostly of adaptation of physical and mental activities, reconditioning and motivational sup-port. Improving information and awareness of this condition are priorities to properly evaluate and treat these children. The Department of General Pediatrics in Geneva has set up a specific consultation for children and adolescents in spring 2021. In addition, in collaboration with the Depart-ment of Community Medicine and Primary Care and Emergency Medicine, we developed an academic digital citizen platform (RAFAEL), which com-bines an information site, a chatbot, and webinars/workshops for both children and adults. We report here our experience with the use of the pediatric chatbot which was launched on February 1st 2022. The chatbot is a conversational agent that can answer questions in real-time and reorient people to a special-ist/advisor if needed. Chatbot technology is useful in providing verified information and prompting communication and interaction with a large number of people simultaneously and can be adapted to all age groups. It is particularly appealing to teenagers who are very familiar with the con-cept of chatbot technology and may find this way to communicate more appealing than regular website information or traditional literature. We will report the initial frequently asked questions and their evolution over time within this chatbot. We will also report the number of users of the pediatric chatbot, the overall and individual match rates, and users' satis-faction. A platform, such as RAFAEL, could become a new way to interact with young patients regarding non urgent subjects, prevention, chronic dis-eases, as well as a way to use their regular feed-back to be as close as possible to the patients' needs.
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Introduction Audio innovations remain an important medium to drive innovation in health, especially in low-resource settings. This article explores the role of audio innovation to spur change in the context of a crowdsourcing open call for youth (18-30 years old) in Malaysia. Methods A crowdsourcing open call for youth in Malaysia was organised from March to June 2021 using standards from the WHO-TDR. The open call was called 'Imagine the World Anew' and submission categories included youth-led messaging, youth social innovation and youth strategic planning. We analyse open call submissions and provide a more detailed analysis of an audio submission. Results A total 43 entries were submitted to the open call and 6 were selected for grand prizes. One of the two grand prizes in the youth messaging category was a song developed by a youth team. The song was called 'Rise Up' and was developed by Malaysian youth to demonstrate how youth have been critical agents for change during the COVID-19 pandemic. The audio format allowed the youth to directly speak to other Malaysian youth, leverage existing audio channels and democratise messaging during COVID-19. Building on the experience from this crowdsourcing open call, we also describe key considerations for open calls to incorporate audio innovations in low-resource settings. Conclusion Audio innovations like songs can mobilise youth and other members of the public and amplify their voices. Audio messages may enhance dissemination of health messages in diverse low-income and middle-income country settings.