COVID-19 caused significant disruption to cancer services around the world. The health system in Aotearoa New Zealand has fared better than many other regions, with the country being successful, so far, in avoiding sustained community transmission. However, there was a significant initial disruption to services across the cancer continuum, resulting in a decrease in the number of new diagnoses of cancer in March and April 2020.Te Aho o Te Kahu, Aotearoa New Zealand's national Cancer Control Agency, coordinated a nationwide response to minimise the impact of COVID-19 on people with cancer. The response, outlined in this paper, included rapid clinical governance, a strong equity focus, development of national clinical guidance, utilising new ways of delivering care, identifying and addressing systems issues and close monitoring and reporting of the impact on cancer services.Diagnostic procedures and new cancer registrations increased in the months following the national lockdown, and the cumulative number of cancer registrations in 2020 surpassed the number of registrations in 2019 by the end of September. Cancer treatment services -surgery, medical oncology, radiation oncology and haematology -continued during the national COVID-19 lockdown in March and April 2020 and continued to be delivered at pre-COVID-19 volumes in the months since. We are cautiously optimistic that, in general, the COVID-19 pandemic does not appear to have increased inequities in cancer diagnosis and treatment for M āori in Aotearoa New Zealand.
Keywords: Public child welfare; turnover; retentionTurnover has been identified as a major problem for public child welfare organizations (Weaver, Chang, Clark, & Rhee, 2007;Williams, Nichols, Kirk, & Wilson, 2011). Over the last 30 years, child welfare organizations have consistently struggled to develop new initiatives to improve workforce quality and stability (Ball & Dexheimer, 2015). In this paper we assert that it is time to examine the "problem" of turnover from a new perspective. By critically questioning how turnover is socially constructed, measured, and addressed, a more meaningful metric can be developed. The concept of turnover can be redefined in a way that captures its heterogeneity. Specific recommendations are made for initiatives designed not necessarily to reduce the rate of turnover, but rather to reduce the impact of unhealthy turnover. Based on this new perspective, recommendations are provided for administration and research for public child welfare agencies across the United States.
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