Assessing national performance in response to COVID-19

Fisher, Dale; Teo, Yik Ying; Nabarro, David

doi:10.1016/s0140-6736(20)31601-9

Cited by 50 publications

(52 citation statements)

References 13 publications

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“…The coronavirus disease 2019 is the name assigned to the pathology caused by infection with the Severe Respiratory Acute Syndrome 2 (SARS-CoV-2) Coronavirus; initially reported in Wuhan, Hubei province, China, in December 2019. Due to its rapid worldwide distribution, the World Health Organization (WHO) declared it a pandemic in 2020 [ 1 ]. Although it displays a wide-age distribution, some groups are at higher risk for severe illness and death, such as the elderly (>70 years), people with comorbidities such as diabetes, hypertension, cardiovascular disease, and obesity.…”

Section: Introductionmentioning

confidence: 99%

Perception of COVID-19 Vaccination Amongst Physicians in Colombia

et al. 2021

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Introduction: The SARS-CoV-2/COVID-19 pandemic has triggered the need to develop rapidly effective and safe vaccines to prevent infection, particularly in those at-risk populations such as medical personnel. This study’s objective was to assess the perception of COVID-19 vaccination amongst Colombian physicians featuring two different scenarios of COVID-19 vaccination. Methods: A cross-sectional analytical study was carried out through an online survey directed at medical staff in several cities in Colombia. The percentage of physicians who have a positive perception to be vaccinated and the associated factors that determine that decision were determined. A binomial regression analysis adjusted for age and sex was carried out, taking as a dependent variable the acceptance of free vaccination with an effectiveness of 60 and 80%. The most significant factors were determined in the non-acceptance of vaccination. Results: Between 77.0% and 90.7% of physicians in Colombia accept COVID-19 vaccination, according to the scenario evaluated where the vaccine’s effectiveness was 60 or 80%, respectively. Medical specialty, having never paid for a vaccine, recommending the administration of the vaccine to their parents or people over 70 years, and dispensing the vaccine to their children, were the factors to consider to be vaccinated for free with an effectiveness of 60% and 80%. Conclusions: There is a high perception of the intention to vaccinate physicians in Colombia against COVID-19, and this is very similar to that of the general population.

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Section: Introductionmentioning

confidence: 99%

Perception of COVID-19 Vaccination Amongst Physicians in Colombia

et al. 2021

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“… 13 14 However, this is not always the case: some countries that ranked high in the preparedness for pandemics assessed via the Global Health Security Index showed inconsistencies with their actual performance during the current COVID-19 pandemic. 15 While there are key capacities that were considered in this performance assessment, the current pandemic has highlighted the need to increase the number of sufficiently trained HCW. 16 There remains an urgent need for best practices on development and implementation of training programmes during an epidemic.…”

Section: Introductionmentioning

confidence: 99%

Training and education of healthcare workers during viral epidemics: a systematic review

et al. 2021

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BackgroundIt is necessary to train a large number of healthcare workers (HCW) within a limited time to ensure adequate human resources during an epidemic. There remains an urgent need for best practices on development and implementation of training programmes.ObjectiveTo explore published literature in relation to training and education for viral epidemics as well as the effect of these interventions to inform training of HCW.Data sourcesSystematic searches in five databases performed between 1 January 2000 and 24 April 2020 for studies reporting on educational interventions in response to major viral epidemics.Study eligibility criteriaAll studies on educational interventions developed, implemented and evaluated in response to major global viral outbreaks from 2000 to 2020.ParticipantsHealthcare workers.InterventionsEducational or training interventions.Study appraisal and synthesis methodsDescriptive information were extracted and synthesised according to content, competency category, educational methodology, educational effects and level of educational outcome. Quality appraisal was performed using a criterion-based checklist.ResultsA total of 15 676 records were identified and 46 studies were included. Most studies were motivated by the Ebola virus outbreak with doctors and nurses as primary learners. Traditional didactic methods were commonly used to teach theoretical knowledge. Simulation-based training was used mainly for training of technical skills, such as donning and doffing of personal protective equipment. Evaluation of the interventions consisted mostly of surveys on learner satisfaction and confidence or tests of knowledge and skills. Only three studies investigated transfer to the clinical setting or effect on patient outcomes.Conclusions and implications of findingsThe included studies describe important educational experiences from past epidemics with a variety of educational content, design and modes of delivery. High-level educational evidence is limited. Evidence-based and standardised training programmes that are easily adapted locally are recommended in preparation for future outbreaks.

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“…While there have been similarities across countries in adopting known control strategies, the timeliness and effectiveness of national pandemic responses has led to different experiences for healthcare workers in different countries, with some systems being overwhelmed by high rates of COVID-19 morbidity and mortality [ 8 , 9 ]. Selection and deployment of management strategies have been dependent on multiple factors including national resource levels, healthcare system and public health capabilities, and the timing of the first COVID-19 reports in each country [ 10–13 ]. With national resources being a key determinant of how a country can respond and manage the pandemic, we are witnessing disproportionate harm among vulnerable and economically disadvantaged societies [ 4 , 14 ], with the burden of the pandemic falling heavily on the most disadvantaged groups worldwide [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…An analysis of the experiences and opinions of key stakeholders related to the effectiveness of their country’s COVID-19 control strategies is timely to support further refinement of pandemic readiness planning. It is essential that we capture international experiences and perspectives of pandemic preparedness and management strategies beyond publicized plans [ 10 ]. The aim of this study was to survey staff to canvass their experiences of national responses to, and management of, the COVID-19 outbreak and examine differences in responses by World Health Organization (WHO) region.…”

Section: Introductionmentioning

confidence: 99%

International survey of COVID-19 management strategies

Tartaglia¹,

Regina²,

Tanzini³

et al. 2020

International Journal for Quality in Health Care

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Background While individual countries have gained considerable knowledge and experience in coronavirus disease of 2019 (COVID-19) management, an international, comparative perspective is lacking, particularly regarding the measures taken by different countries to tackle the pandemic. This paper elicits the views of health system staff, tapping into their personal expertise on how the pandemic was initially handled. Methods From May to July 2020, we conducted a cross-sectional, online, purpose-designed survey comprising 70 items. Email lists of contacts provided by the International Society for Quality in Health Care, the Italian Network for Safety in Health Care and the Australian Institute of Health Innovation were used to access healthcare professionals and managers across the world. We snowballed the survey to individuals and groups connected to these organizations. Key outcome measures were attitudes and information about institutional approaches taken; media communication; how acute hospitals were re-organized; primary health organization; personal protective equipment; and staffing and training. Results A total of 1131 survey participants from 97 countries across the World Health Organization (WHO) regions responded to the survey. Responses were from all six WHO regions; 57.9% were female and the majority had 10 or more years of experience in healthcare; almost half (46.5%) were physicians; and all other major clinical professional groups participated. As the pandemic progressed, most countries established an emergency task force, developed communication channels to citizens, organized health services to cope and put in place appropriate measures (e.g. pathways for COVID-19 patients, and testing, screening and tracing procedures). Some countries did this better than others. We found several significant differences between the WHO regions in how they are tackling the pandemic. For instance, while overall most respondents (71.4%) believed that there was an effective plan prior to the outbreak, this was only the case for 31.9% of respondents from the Pan American Health Organization compared with 90.7% of respondents from the South-East Asia Region (SEARO). Issues with swab testing (e.g. delay in communicating the swab outcome) were less frequently reported by respondents from SEARO and the Western Pacific Region compared with other regions. Conclusion The world has progressed in its knowledge and sophistication in tackling the pandemic after early and often substantial obstacles were encountered. Most WHO regions have or are in the process of responding well, although some countries have not yet instituted widespread measures known to support mitigation, for example, effective swab testing and social control measures.

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Assessing national performance in response to COVID-19

Cited by 50 publications

References 13 publications

Perception of COVID-19 Vaccination Amongst Physicians in Colombia

Perception of COVID-19 Vaccination Amongst Physicians in Colombia

Training and education of healthcare workers during viral epidemics: a systematic review

International survey of COVID-19 management strategies

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