Refugee women in the informal health sector in Lebanon: gendered experiences of Close to Community healthcare providers during the COVID-19 response DOI Creative Commons

Rouham Yamout,

Wesam Mansour, Maria Auxiliadora Nogueira Saad

et al.

SSM - Health Systems, Journal Year: 2024, Volume and Issue: 3, P. 100013 - 100013

Published: May 17, 2024

During the COVID-19 pandemic, Close-to-Community (CTC) healthcare providers emerged to compensate for lack of workers in areas with high concentrations Syrian refugees. Gender norms and power relations shaped experiences those CTC providers. A qualitative study explored lived men women Beqaa - Lebanon. It examined their gendered during response using in-depth interviews informal who are members refugee community themselves, key informant managers. Thematic data analysis synthesis were guided by gender frameworks supported NVivo 12. faced many challenges work including illegal work, absence benefits, workload, insufficient income, transportation challenges, disturbances family life, social isolation. Working illegally as refugees led underpayment benefits. dynamics significantly influenced these Women increased lower payment, limited opportunities extra hours, pressure juggling transport psychological distress support from organizations. The pandemic has shed light on how shapes vulnerabilities within response. experienced different providing services communities There is a need address develop implement practical interventions them.

Language: Английский

The Lancet Commission on peaceful societies through health equity and gender equality DOI
Valerie Percival,

Oskar Timo Thoms,

Ben Oppenheim

et al.

The Lancet, Journal Year: 2023, Volume and Issue: 402(10413), P. 1661 - 1722

Published: Sept. 6, 2023

Language: Английский

Citations

28
A qualitative study examining the health system’s response to COVID-19 in Sierra Leone DOI Creative Commons

Hana Stone,

Emma Bailey, Haja Wurie

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(2), P. e0294391 - e0294391

Published: Feb. 2, 2024

The paper examines the health system’s response to COVID-19 in Sierra Leone. It aims explore how pandemic affected service delivery, workers, patient access services, leadership, and governance. also what extent legacy of 2013–16 Ebola outbreak influenced public perception. Using WHO Health System Building Blocks Framework, we conducted a qualitative study Leone where semi-structured interviews were with policymakers, patients between Oct-Dec 2020. We applied thematic analysis using both deductive inductive approaches. Twelve themes emerged from analysis: nine on building blocks, two patients’ experiences, one Ebola. found that routine services impacted by enhanced infection prevention control measures. workers faced additional responsibilities training needs. Communication decision-making within facilities reported be coordinated effective, although updates cascading national level lacking. In contrast previous emergencies which heavily international organisations, was led leadership. Experiences resulted less fear greater understanding However, these measures negatively livelihoods their willingness visit facilities. conclude, it is important address existing challenges system such as resources affect capacity systems respond emergencies. Prioritising well-being continued provision essential important. socio-economic impact population needs considered before are implemented.

Language: Английский

Citations

5
From policy to practice: a qualitive study exploring the role of community health workers during the COVID-19 response in Sierra Leone DOI Creative Commons
Lansana Hassim Kallon, Joanna Raven, Haja Wurie

et al.

BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)

Published: Nov. 9, 2023

Abstract Background During the COVID-19 pandemic, community health workers (CHWs) were required to help their communities respond outbreak in Sierra Leone. The Government of Leone released a policy that provided an interim guidance on specific role CHWs during pandemic including support maintain continuity routine and essential services response. This study explores how adapted roles they received from families, communities, system. Methods A qualitative exploratory was conducted two districts We eight key informant interviews with district level managers leaders four focus group discussions CHWs. Thematic data analysis synthesis guided by at onset supported NVivo 11. Results quickly took frontline which included surveillance, contact tracing, social mobilization, provision psychosocial support. trusted these responsibilities as recognized being knowledgeable about community, able communicate effectively members had experience dealing other outbreaks. Despite release aimed optimize CHW contribution, motivate CHWs, ensure core community-based alongside services, faced many challenges work heavy workload, low financial remuneration, lack mental support, shortages protective equipment, communication transportation allowances. However, generally satisfied quality training supervision received. Support families mixed, some experiencing stigma discrimination. Conclusion played critical Although, government guide crisis, it not fully implemented. resulted overworked under supported. It is important are necessary training, tools take vital managing crises level. Strengthening capacity will only enhance response, but also lay foundation for improved primary care delivery resilience face future emergencies.

Language: Английский

Citations

4
Refugee women in the informal health sector in Lebanon: gendered experiences of Close to Community healthcare providers during the COVID-19 response DOI Creative Commons

Rouham Yamout,

Wesam Mansour, Maria Auxiliadora Nogueira Saad

et al.

SSM - Health Systems, Journal Year: 2024, Volume and Issue: 3, P. 100013 - 100013

Published: May 17, 2024

During the COVID-19 pandemic, Close-to-Community (CTC) healthcare providers emerged to compensate for lack of workers in areas with high concentrations Syrian refugees. Gender norms and power relations shaped experiences those CTC providers. A qualitative study explored lived men women Beqaa - Lebanon. It examined their gendered during response using in-depth interviews informal who are members refugee community themselves, key informant managers. Thematic data analysis synthesis were guided by gender frameworks supported NVivo 12. faced many challenges work including illegal work, absence benefits, workload, insufficient income, transportation challenges, disturbances family life, social isolation. Working illegally as refugees led underpayment benefits. dynamics significantly influenced these Women increased lower payment, limited opportunities extra hours, pressure juggling transport psychological distress support from organizations. The pandemic has shed light on how shapes vulnerabilities within response. experienced different providing services communities There is a need address develop implement practical interventions them.

Language: Английский

Citations

1