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Scholarly work interrogating time and temporality in CSCW predominantly focuses on the temporal coordination of work in high-resource settings and is usually based in Global North. This paper aims to complicate and complement this scholarship by investigating the temporal entanglements of digital humanitarian work with refugees and asylum seekers in Turkey during COVID-19. We interviewed 22 humanitarian workers to understand their experiences and concerns as well as strategies they employed to support refugees and immigrants at a distance. The data reveal the complex temporal, informational, and infrastructural dimensions of technologically-mediated refugee support work, challenging the trope of "pivot to remote work", as popular in western countries. Our findings contribute to the CSCW research on the theory of anticipation work and its relationship with the concept of collaborative rhythms to explicate the relational and situated aspects of the temporal experiences of humanitarian workers in low-resource settings. © 2023 ACM.
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The COVID-19 pandemic has created significant challenges but also unprecedented opportunities for transportation researchers and practitioners. In this article, the major lessons and gaps in knowledge for those working in the transportation sector are identified, including the following: (1) integration between public health and transportation; (2) technology to support contact tracing and tracking of travelers; (3) focus on vulnerable, at-risk operators, patrons, and underserved members of society; (4) re-engineering of travel demand models to support social distancing, quarantine, and public health interventions; (5) challenges with Big Data and information technologies; (6) trust relationships between the general public, government, private sector, and others in disaster management; (7) conflict management during disasters; (8) complexities of transdisciplinary knowledge and engagement; (9) demands for training and education; and (10) transformative change to support community resilience. With a focus on transportation planning and community resilience, the lessons from the pandemic need to be shared and customized for different systems, services, modalities, and users. While many of the interventions during the pandemic have been based on public health, the management, response, recovery, adaptation, and transformation of transportation systems resulting from the crisis require multi-disciplinary, multi-jurisdictional communications and coordination, and resource sharing. Further research to support knowledge to action is needed.
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BACKGROUND: We evaluated community health volunteer (CHV) strategies to prevent non-communicable disease (NCD) care disruption and promote coronavirus disease 2019 (COVID-19) detection among Syrian refugees and vulnerable Jordanians, as the pandemic started. METHODS: Alongside medication delivery, CHVs called patients monthly to assess stockouts and adherence, provide self-management and psychosocial support, and screen and refer for complications and COVID-19 testing. Cohort analysis was undertaken of stockouts, adherence, complications and suspected COVID-19. Multivariable models of disease control assessed predictors and non-inferiority of the strategy pre-/post-initiation. Cost-efficiency and patient/staff interviews assessed implementation. RESULTS: Overall, 1119 patients were monitored over 8 mo. The mean monthly proportion of stockouts was 4.9%. The monthly proportion non-adherent (past 5/30 d) remained below 5%; 204 (18.1%) patients had complications, with 63 requiring secondary care. Mean systolic blood pressure and random blood glucose remained stable. For hypertensive disease control, age 41-65 y (OR 0.46, 95% CI 0.2 to 0.78) and with diabetes (OR 0.73, 95% CI 0.54 to 0.98) had decreased odds, and with baseline control had increased odds (OR 3.08, 95% CI 2.31 to 4.13). Cumulative suspected COVID-19 incidence (2.3/1000 population) was suggestive of ongoing transmission. While cost-efficient (108 US${\$}$/patient/year), funding secondary care was challenging. CONCLUSIONS: During multiple crises, CHVs prevented care disruption and reinforced COVID-19 detection.
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The outbreak of the COVID-19 pandemic became the starting point for the development of international cooperation to strengthen the ability of states in order to counteract the health, social and economic consequences of this phe-nomenon. In the Mediterranean region, the European Union used this period to strengthen the scope and intensity of its activities aimed at the countries of the Global South, treating it as a way of strengthening its own position and at the same time supporting partner countries in the process of increasing the poten-tial for their stabilization and modernization processes. he aim of this chapter is, therefore, to answer the question as regards the scope, methods, and mech-anisms of cooperation among the countries of the Mediterranean region in the face of a new threat afecting all countries in the area to a similar extent. © Peter Lang GmbH Internationaler Verlag der Wissenschaften Berlin 2022. All rights reserved.
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Due to political conflict, insurgency, and the COVID-19, the number of displaced households in need of humanitarian support in Iraq has increased. This study investigated factors related to desire of displaced households to receive humanitarian information. Data from the eighth round of the Iraq Multi-Cluster Needs Assessment was used. We classified the household displacement status, identifying levels and types of humanitarian information that the households sought, together with whether the households were impacted by COVID-19. We identified safety and security, housing, water and electricity services, education, health care, and levels of humanitarian assistance resulted in significant differences between internally displaced person (IDP) and returnee households in terms of interest in receiving humanitarian information. The desire to receive humanitarian information was related to whether household members were unemployed due to COVID-19, displacement status, and walking time to reach the nearest health care facility and marketplace. Returnees and IDPs in Iraq are facing a new crisis. Their individual, structural, and environmental vulnerabilities are increasing commensurately. New strategies such as strategies using online or mobile communication that provide humanitarian information are needed to provide humanitarian information to vulnerable groups such as those who have lost jobs due to COVID-19, female heads of households, and those with health problems. In addition to traditional cash and voucher support, the use of the latest technologies such as smartphones and mobile clinics in humanitarian settings would be new strategies.
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COVID-19 , Refugees , COVID-19/epidemiology , Family Characteristics , Female , Humans , Iraq , Needs AssessmentABSTRACT
El artículo discute los bloqueos, las restricciones de seguridad y la falta de ayuda humanitaria para los niños desplazados internos que padecen desnutrición durante la pandemia de Covid-19 en Tigray, Etiopía. El artículo también se centra en la violencia de género contra las mujeres, la destrucción del patrimonio cultural y religioso y los derechos fundamentales de los civiles de Tigray, Etiopía.
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This article uses global health diplomacy to examine the challenges and opportunities of international health aid to North Korea in the COVID-19 era. It finds that vaccine provision is both within the enlightened self-interest of donor states and meets the global responsibility to address unequal access to vaccines. The COVID-19 pandemic has exposed increasing global inequality in responding to the issues of health. How do we resolve the tension between normative concerns for global responsibility and strategic concerns for national interest in facilitating health aid to vulnerable populations in low-income countries in the COVID-19 era? This article presents global health diplomacy as a conceptual framework that could overcome thedichotomy of humanitarianism and international politics, using health aid to North Korea during COVID-19 as a case-study. Health is a critical component of human dignity and can be a normative motivation for cooperation beyond sovereign borders. However, health is also an important element of national interest and can be a strategic motivation for transnational cooperation. The overlap between the moral and rational spaces in global health diplomacy demonstrates how COVID-19 assistance to North Korea's vulnerable population is in the enlightened self-interest of donors to prevent resurgences of new COVID-19 variants. Moreover, this framework imbues all parties, including aid recipients such as North Korea, with the global cooperative responsibility to address health. In this sense, global health diplomacy can reframe the tensions between humanitarianism and politics, morality and rationality, and cosmopolitanism and nationalism, from antithetical to complementary.
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FPI is a government owned corporation that, as a national reentry program, manages, trains, and rehabilitates inmates through employment. FPI sells inmate-produced goods and services primarily to federal government agencies. The First Step Act of 2018 authorized FPI to sell its products to new markets. A provision in the First Step Act of 2018 required GAO to review various aspects of FPI. This report addresses (1) the potential size and scope of the additional markets made available to FPI under the First Step Act;(2) the similarities and differences in selected requirements and business practices of FPI and private sector sellers of products and services;(3) customers satisfaction with FPI regarding quality, price, and timely delivery of its products and services;and (4) the extent to which BOP has evaluated the effectiveness of FPI and other vocational programs in reducing recidivism and the results. GAO examined recidivism studies and data, analyzed performance data, conducted fieldwork at four FPI facilities selected based on security level and type of products produced, met with industry associations, and interviewed agency officials and employed inmates.
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As proved in 2014, when the DoD assisted in stopping the Ebola outbreak in West Africa, DoD is the only U.S. organization capable of interceding rapidly to keep pandemics from spreading globally. Despite lacking doctrine, training, and tailored equipment to respond and protect against Ebola, a 2016 Joint Staff report highlighted DoD elements performed well in the "first U.S. military operation to support a disease driven foreign humanitarian assistance mission," including completing the mission with no DoD members infected with Ebola. Since then and in the face of the current 2020 Coronavirus Disease 2019 (COVID-19), however, DoD has not addressed the documented lessons learned and failed to prepare organizations for the next potential pandemic event. Analysis of pandemic guidance and resources in terms of the Doctrine, Organization, Training, Leadership and Education, Personnel, Facilities, and Policy (DOTMLPF-P) elements identifies gaps in DoD's ability to prepare and respond to pandemics. For example, within doctrine, DoD should not only mention that pandemics exist, but "accept" that pandemics are a potentially more frequent issue in the future environment and include a more in-depth treatment in future strategies and doctrine. A more in-depth narrative in doctrine will enable the military services to develop service-specific doctrine, training, and equipping strategies to support national-level goals in responding to pandemics.
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Blockchain technology is a contemporary phenomenon that brings new perspectives to a diversity of fields that can benefit from its characteristics of transparency and reliability. The purpose of this thesis is to explore some potential applications of this technology within the Brazilian Navy's (BN) supply chain management and budget control processes, contributing to a more efficient public administration. Through case studies, the thesis aims to unpack the complexity of blockchain applications, explore U.S. Department of Defense and industry application patterns, collect data related to successful implementations of this technology, and analyze the possibility of its implementation for the BN. There are certain limitations to its application, such as the relative immaturity of this technology and paucity of case studies in Brazil, and a lack of regulation regarding blockchain adoption in Brazil. Overall, this study suggests a pilot program to integrate the BN logistics and budget control systems on a blockchain platform to better manage multi-party transactions and support the decision-making process. The objective is to render the BN savings in time and dollars, permitting the optimization of warfighter support. On the side of the budgetary system, it would help automate cost estimates, track specific projects' expenses, identify the actual allocation of funds, and provide a trustable historical record.
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BACKGROUND: Disaster medicine is a component of the German medical education since 2003. Nevertheless, studies have shown some inconsistencies within the implementation of the national curriculum, and limits in the number of students trained over the years. Recently, the SARS-CoV-2 pandemic and other disasters have called attention to the importance of training medical students in disaster medicine on a coordinated basis. The aim of this study is to present and evaluate the disaster medicine and humanitarian assistance course, which was developed in the University of Tübingen, Germany. METHODS: The University Clinic for Anesthesiology and Intensive Care Medicine in Tübingen expanded the existing curriculum of undergraduate disaster medicine training with fundamentals of humanitarian medicine, integrating distance learning, interactive teaching and simulation sessions in a 40 h course for third-, fourth- and fifth- year medical students. This prospective and cross-sectional study evaluates the Disaster Medicine and Humanitarian Assistance course carried out over five semesters during the period between 2018 and 2020. Three survey tools were used to assess participants' previous experiences and interest in the field of disaster medicine, to compare the subjective and objective level of knowledge before and after training, and to evaluate the course quality. RESULTS: The total number of medical students attending the five courses was n = 102 of which n = 60 females (59%) and n = 42 males (41%). One hundred two students entered the mandatory knowledge assessment, with the rate of correct answers passing from 73.27% in the pre-test to 95.23% in the post-test (t [101] = 18.939, p < .001, d = 1.88). To determine the subjective perception of knowledge data were collected from 107 observations. Twenty-five did not complete the both questionnaires. Out of a remaining sample of 82 observations, the subjective perception of knowledge increased after the course (t [81] = 24.426, p < .001, d = 2.69), alongside with the interest in engaging in the field of disaster medicine (t [81] = 7.031, p < .001, d = .78). The 93.46% of the medical students (n = 100) graded the training received with an excellent overall score (1.01 out of 6). CONCLUSION: The study indicates a significant increase in students' understanding of disaster medicine using both subjective and objective measurements, as well as an increase interest in the field of disaster medicine and humanitarian assistance. Whereas former studies showed insufficient objective knowledge regarding disaster medical practices as well as subjective insecurities about their skills and knowledge to deal with disaster scenarios, the presented course seems to overcome these deficiencies preparing future physicians with the fundamentals of analysis and response to disasters. The development and successful implementation of this course is a first step towards fulfilling disaster medicine education requirements, appearing to address the deficiencies documented in previous studies. A possible adaptation with virtual reality approaches could expand access to a larger audience. Further effort must be made to develop also international training programs, which should be a mandatory component of medical schools' curricula.
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COVID-19 , Disaster Medicine , Relief Work , Students, Medical , Cross-Sectional Studies , Female , Humans , Male , Prospective Studies , SARS-CoV-2ABSTRACT
The operational and socioeconomic consequences of Covid-19 have made cash assistance the global go-to relief modality, whether through humanitarian or social protection channels. Cash has proven to be an adaptable means of saving lives and supporting livelihoods and mitigating the pandemic's impacts on local economies while giving recipients the flexibility to decide what they require. Many humanitarian organisations have increased the scale of cash programmes, while government-administered social assistance mechanisms have been utilised on a huge scale. The crisis has bolstered attention on why linkages between social protection and humanitarian cash are important, including how to work together more effectively to enable better coverage of those in need. This paper has been developed with inputs from across the CALP Network. It explores how cash and voucher assistance-with a focus on humanitarian response-has been scaled up or adjusted in response to Covid-19, and how it is changing ways of working.
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COVID-19 , Relief Work , Humans , Public Policy , SARS-CoV-2ABSTRACT
Africa is endowed with a profoundly rich and diverse system of plants and other bio-resources out of which, by traditional medicine practice, the people have satisfied their healthcare needs right from antiquity. In contemporary times, it has become necessary to modernize this traditional medical care system via scientific studies. Validation of the efficacy of health-enhancement products and drugs from plants and other bio-resources is predicated on diligent and intensive research accompanied by rigorous and conclusive clinical trials. Africa has eminently qualified human resources but due to the finance-intensive nature of medical research, individual African states on their own cannot fund the level of research desired for dealing with such serious issues as the COVID-19 pandemic. A collaboration among African states guided by a Mutual Pan-African support paradigm (MPASP) is a unique strategy for achieving success in any such a high-impact global project as the use of traditional medicine against COVID-19 and emerging pandemics; and this is hereby advocated.
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Infectious diseases such as SARS and COVID-19, like other natural hazards, underline the interconnectedness of the countries. Both manufacturing and services sectors in the economies of Asia have outsourced supplies from different countries in order to gain a competitive advantage through effective value chain management. The motivations for this outsourcing are to achieve technological innovations, reduce end-product prices, and strengthen strategic competitiveness. This paper applies a supply chain approach to develop the concept of a hazard-resilient healthcare system (HRHS) and to explore ways how this might be achieved. After reviewing the current international thinking on HRHS, which has narrowly focused on building national capacities with national capabilities, it argues that a supply chain approach may provide a better, more robust, and in many ways more realistic, approach to enhance the hazard resilience of national healthcare systems. Within such an approach, capabilities of the local actors (local health authorities and healthcare providers) in a pandemic or disaster-prone situation remain important and should be further strengthened, but international support and assistance in times of emergency should also be a key plank of the system. In a changing world with more frequent high-impact pandemics and disasters, such international support need not be one way, but both ways. A system of mutual support may be developed by forming an effective international common pool of capability in responding to the health needs when a major disaster occurs anywhere in a region or globally. Even though serious limitations exist in the current thinking on HRHS, significant progress has been made on the international humanitarian assistance front, especially in the ASEAN region. While developments on this front have not been a part of the purview of the current international thinking on HRHS, it is argued that they may well form an important corner stone in a typical future national HRHS.
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The coronavirus disease (COVID-19) has significantly impacted the global economy, by forcing people to stay indoors and creating a 'new normal' of living. Rwanda has made notable efforts to fight the pandemic. However, the impacts of the COVID-19 pandemic on the country's economy are numerous and the refugees residing in Rwanda are not spared these effects. As of December 2020, 164,000 people were granted refugee status in Rwanda according to the United Nations High Commissioner for Refugees (UNHCR). The majority were from neighbouring countries in the Great Lakes regions, including DRC (Democratic Republic of Congo) and Burundi. The impact the COVID-19 pandemic on the global economy has led to a decline in donations to the United Nations World Food Programme (WFP), which in turn has significantly reduced the food rations of refugees. Such paucity will no doubt cause unprecedented impacts on the people residing in refugee camps, who completely depend on humanitarian aid to meet their basic food requirements. This lack of access to adequate and affordable food will expose refugees to extreme hunger and starvation, putting their lives in danger by triggering forced returns, infections, social conflicts and thus higher morbidity and mortality.Furthermore, such stressful environments would no doubt put the mental health of these already vulnerable communities at risk. It is unsurprising that refugees are more likely to experience poor mental health compared to local population, including higher rates of depression and anxiety disorders including Post-Traumatic Stress Disorder (PTSD). This is an issue as they are also less likely to receive support than the general population. Refugees in Rwanda are under the responsibility of UNHCR and WFP, who should ensure adequate food assistance is provided to refugees and therefore ameliorate the risks to health that result from food shortages, safeguarding these vulnerable communities.
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COVID-19 , Food Assistance/statistics & numerical data , Refugees , Humans , Rwanda/epidemiology , United NationsABSTRACT
This article analyzes the impact of the COVID-19 pandemic on foreign aid. Using examples from Canadian foreign aid, it argues that, despite the terrible toll it is exacting, the crisis has accelerated some significant positive pre-existing trends, both by destabilizing the perception of aid as flowing essentially from the Global North to Global South and by reinforcing awareness of the importance of joint efforts for global public goods and humanitarian assistance, as well as debt relief. However, it has also reinforced potentially harmful self-interested justifications for aid, which could align assistance more with donors' priorities than the needs of the poor. An important trend reversal is the renewed emphasis on well-being. Two other crucial trends remain unclear-the COVID-19 pandemic's impact on multilateral approaches and on aid flows. How donors respond to the COVID-19 pandemic and its aftermath over the next few years will depend on their political will, and will profoundly shape the future of development co-operation.