COVID-19 and primary care: A critical need for strengthening emergency preparedness across health systems

Sultana, Abida; Bhattacharya, Sudip; Hossain, Mahbub

doi:10.31235/osf.io/bws84

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…The reviewed literature also mentioned that special emphasis should be given to the psychosocial needs of healthcare providers, so that they can fulfil their professional responsibilities during this pandemic. 30 This present study also revealed that during the COVID-19 pandemic, the mobilization of HWs from different sources was important for each locality. CHSs' representatives were also members of the National Steering Board for COVID-19 prevention and control at the level of communes/wards; therefore, they could efficiently cooperate with related stakeholders, who were also under the same umbrella.…”

Section: Health Workforcesupporting

confidence: 65%

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Covid-19 Preparedness and Response Capability: A Case Study of the Hanoi Primary Healthcare System

Hoang

Trần

et al. 2021

Health�Serv�Insights

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This study examined the coronavirus disease 2019 (COVID-19) preparedness and response of the health system (HS) in Hanoi, Vietnam, and identified enabling factors and barriers. This cross-sectional, mixed-methods study was conducted in 4 urban and peri-urban districts that included some wards with COVID-19-positive cases and some without. The US Centers for Disease Control and Prevention (CDC) analytical frameworks were used. Overall, 10% of health facilities (HFs) failed to fully implement COVID-19 risk determination; 8.8% failed to fully implement stronger community partnerships with local stakeholders to support public health (PH) preparedness; 35% and 2.5% incompletely implemented and did not implement evaluation of PH emergency operations, respectively; 10% did not identify communication channels to issue public information, alerts, warnings, and notifications; 25% incompletely implemented identification, development of guidance, and standards for information; 72.5% had good preventive and treatment collaboration; and 10% did not fully implement procedures for laboratory testing and reporting results. Enablers included sufficient infrastructure and equipment, strong leadership, and good cross-public-sector collaboration with police and military forces. Barriers included workforce constraints, overburdened and inconsistent reporting systems, inappropriate financial mechanisms, ambiguous health governance, and lack of private-sector engagement. Nonetheless, the HS preparedness and response were satisfactory, although further coordinated efforts in evaluation, coordination, communication, and volunteering remain necessary.

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Section: Health Workforcesupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Covid-19 Preparedness and Response Capability: A Case Study of the Hanoi Primary Healthcare System

Hoang

Trần

et al. 2021

Health�Serv�Insights

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“…Primary care and community-based health facilities play a vital role in delivering preventive and therapeutic health services in South Asian countries [ 114 , 115 , 116 ]. However, the current capacity of such community-level facilities to deliver mental health services during this pandemic may not be adequate to address the continued burden of mental disorders among the communities they serve [ 35 , 106 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain

Rahman

Trisha

et al. 2021

Heliyon

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Introduction The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7–48.1, I 2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9–39.4, I 2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity, high publication bias confirmed by Egger's test, and varying prevalence rates across sub-groups. Conclusion South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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“…In recent years, digital mental health has emerged as a promising approach to improve access to mental health services using digital devices and internet-based technologies 100 and therapeutic health services in South Asian countries [102][103][104] . However, the current capacity of such community-level facilities to deliver mental health services during this pandemic may not be adequate to address the continued burden of mental disorders among the communities they serve 33,96 .…”

Section: Implications For Mental Health Policymaking and Practicementioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain¹,

Rahman²,

Trisha³

et al. 2020

Preprint

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Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity and varying prevalence across sub-groups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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COVID-19 and primary care: A critical need for strengthening emergency preparedness across health systems

Cited by 3 publications

References 6 publications

Covid-19 Preparedness and Response Capability: A Case Study of the Hanoi Primary Healthcare System

Covid-19 Preparedness and Response Capability: A Case Study of the Hanoi Primary Healthcare System

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

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