Journal of Global Health, Journal Year: 2023, Volume and Issue: 13
Published: Nov. 16, 2023
To make health systems more resilient to disaster preparedness and crises, PBRI plays a major role in producing science graduates at both under-and post graduate levels.These serve as personnel rural areas, up than half of the workforce country [6,7].The MoPH
Language: Английский
BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)
Published: April 4, 2025
During health crises, the demand for government healthcare services rises sharply due to increased patient admissions, resource shortages, and systemic pressure. The resilience of public hospitals in critical conditions is essential maintaining services, reducing mortality, ensuring system sustainability. This study aims develop a model sector response unknown pandemics, with focus on COVID-19. qualitative employed grounded theory approach. Participants included 25 senior mid-level managers medical personnel from affiliated COVID-19 center Shiraz. Data were collected through semi-structured interviews, observations, field notes, memoing. analysis was conducted using MAXQDA-2010 software Corbin Strauss's constant comparison method. Findings indicate that during pandemic influenced by four key factors: infrastructure supply chain management, financial human crisis management. Among these factors, preparedness played central role determining resilience. To enhance future Policymakers should prioritize sustainable financing, strengthen mechanisms, improve management ensure effective crises response.
Language: Английский
Citations
0
BMJ Open, Journal Year: 2024, Volume and Issue: 14(1), P. e081383 - e081383
Published: Jan. 1, 2024
Objectives COVID-19 infection increased nephrology-related risks and mortality rate among end-stage renal disease (ESRD) patients. The pandemic also disrupted essential healthcare services. We aim to explore all-cause excess ESRD patients who were members of the Universal Coverage Scheme (UCS), largest public health insurance scheme in Thailand covering citizens are not employed formal sector, including children older persons. Design A cross-sectional study. Setting retrieved dataset from UCS claims database—electronic records used for processing expense medical facilities all members. This database links outcome civil registration. WHO’s methodology using pre-pandemic data estimate expected deaths during period (March 2020 August 2022). Participants study included across Thailand, covered by UCS. Primary measure Excess difference between predicted reported deaths. Results Over a 30-month pandemic, total number was 4966 (male 1284; female 3682). death per 100 000 3601 2012; 4969). relative 5.7% (95% CI 1.7%, 10.0%). highly concentrated aged 65 older. Conclusion significantly more vulnerable pandemic-related than general population. Health systems’ capacity contain at varying virulence maintain services might be related size different periods. observed highlight importance established strategies reduce such as rapid vaccine rollout sustaining dialysis other high-risk groups.
Language: Английский
Citations
2
Health Policy and Planning, Journal Year: 2024, Volume and Issue: 39(Supplement_2), P. i75 - i92
Published: Nov. 1, 2024
Our paper examines the political considerations in intersectoral action that was evident during SAR-COV-2 virus (COVID-19) pandemic through case studies of and institutional responses 16 nations (Australia, Belgium, Brazil, Ethiopia, India, New Zealand, Nigeria, Peru, South Africa, Korea, Spain, Taiwan, Thailand, Vietnam, UK, USA). qualitative study approach involved an iterative process data gathering interpretation three Is (institutions, ideas interests) lens, which we used to shape our understanding factors affecting responses. The examined were: national economic context; influence global order; structural inequities; public health structures legislation, including action. explored orientation governments; actors' views on science; willingness challenge neoliberal policies; previous experiences. We interests leaders civil society extent trust. derived five elements predict effective equity-sensitive a pandemic. Firstly, have be led from head government with technical support agencies. Secondly, found leaders' accept science, communicate empathetically avoid 'othering' population groups vital. lack will those countries stressing individualistic values. Thirdly, supportive questions governments about excessive infringement human rights without adopting populist anti-science views, is free express opposition encourages population. Fourthly, citizen trust vital times uncertainty fear. Fifthly, evidence consideration needed regarding when people's must prioritized over needs economy. All these are unlikely present any one country. Recognizing aspects preparedness for future pandemics while vital, it not enough isolation improve outcomes.
Language: Английский
Citations
1
BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)
Published: Jan. 9, 2024
Abstract Background It is believed that the COVID-19 pandemic might disrupt routine healthcare services. A vulnerable group such as cross-border migrants of critical concern if affects their service utilisation. In this study, we aim to explore impact and other related factors on non-COVID-19 amongst in Thailand. Methods We conducted an ecological time-series cross-sectional analysis using secondary data from 2019 2022, focusing insured non-insured a unit provincial monthly quarter. obtained registered Ministry Labour inpatient visits Public Health (MOPH). Our involved descriptive statistics random-effects negative binomial regression, considering variables cases, number hospital beds, regions, waves. assessed utilisation rate our primary outcomes. Results The admission numbers for all regions increased 1.3–2.1 times after despite decrease migrants. services selected communicable non-communicable diseases obstetric conditions remained consistent throughout 2019–2022. rates were not associated with increase incidence cases but significantly enlarged time passed by compared pre-COVID-19 period (44.5–77.0% 15.0–26.4% migrants). Greater Bangkok saw lowest migrants, reflected ratio 5.7–27.5 relative regions. Conclusion stable regardless incidence. later waves (Delta Omicron variants) rates, possibly due disruptions outpatient care, leading more severe seeking hospitalisation. Lower may be linked fragmentation care network major cities disintegration between private facilities MOPH. Future research should migrant healthcare-seeking behaviour at individual level, both quantitative qualitative methods deeper insights.
Language: Английский
Citations
0
Culture Health & Sexuality, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 13
Published: May 13, 2024
The COVID-19 pandemic had a devastating impact on the health and wellbeing of populations around world, with vulnerable groups, including sex workers, being disproportionately affected. This study explored effects lockdown restrictions lives female workers in Pattaya, Thailand. In-depth interviews ten women were used to explore ways which they sought cope during crisis using Lazarus Folkman's transactional model stress coping. Findings suggest that those who could, tended seek economic shelter their parents rural parts country pandemic. However, could not relocate be family forced try eke out living other ways, both challenging dangerous. None reported receiving any financial support from national or local authorities, whom invisible, this placed tremendous pressure them families. authors conclude further highlights need for Thai Government accept reality work legitimise protect labour.
Language: Английский
Citations
0
Jàmbá Journal of Disaster Risk Studies, Journal Year: 2024, Volume and Issue: 16(1)
Published: July 25, 2024
The COVID-19 pandemic's profound impacts on global health, driven by preparedness gaps and systemic risks, underscore the need to enhance societies' ability manage both predictable risks uncertainties inherent in disasters. While disaster research emphasises risk management for threats adaptive capacity unexpected challenges, there is a lack of empirical examination impact resilience. This study addresses this gap identifying three key capacities – quality institutions, collaborative governance, social capital examining their effects resilience outcomes, measured reduce excess mortality. Analysing secondary data from 129 nations using partial least squares structural equation modelling, finds significant positive institutional outcomes. Conversely, governance shows negative association, suggesting potentially intricate beyond initial expectations. findings highlight address challenges posed biological hazards such as COVID-19. Future should explore disaggregated approach that considers roles different stakeholders various phases. Contribution: advances presenting practical methodologies operationalising empirically For practitioners policymakers, it highlights adopt long-term perspective building resilience, focussing improving complexities scenarios effectively.
Language: Английский
Citations
0
Journal of Global Health, Journal Year: 2023, Volume and Issue: 13
Published: Nov. 16, 2023
To make health systems more resilient to disaster preparedness and crises, PBRI plays a major role in producing science graduates at both under-and post graduate levels.These serve as personnel rural areas, up than half of the workforce country [6,7].The MoPH
Language: Английский
Citations
1