Ethical dimensions of stigma and discrimination in Nepal during COVID-19 pandemic

Aacharya, Ramesh Prasad; Shah, Aarati

doi:10.1016/j.jemep.2020.100536

Cited by 17 publications

(19 citation statements)

References 8 publications

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“…Another online survey conducted among 475 health workers showed that 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia (25). Incidents of stigmatization and social discrimination of healthcare workers, people who have COVID-19 and their families were also reported in Nepal during the lockdown (26,27). These effects of lockdown on psychological health are in line with evidence from other countries.…”

Section: Healthcare Impactsupporting

confidence: 58%

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Sharma¹,

Banstola

Parajuli

2021

Front. Public Health

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The Government of Nepal issued a nationwide lockdown from 24 March to 21 July 2020, prohibiting domestic and international travels, closure of the border and non-essential services. There were only two confirmed cases from 610 Reverse Transcription Polymerase Chain Reaction (RT-PCR) tests and no fatalities when the government introduced nationwide lockdown. This study aimed to explore the overall scenario of COVID-19 including spatial distribution of cases; government efforts, and impact on public health, socio-economy, and education during the lockdown in Nepal. We collated and analyzed data using official figures from the Nepalese Ministry of Health and Population. Nepal had performed 7,791 RT-PCR tests for COVID-19, the highest number of tests during the lockdown. It has recorded its highest daily rise in coronavirus infections with a total of 740 new cases from the total of 4,483 RT-PCR tests performed on a single day. Nepal had reported a total of 17,994 positive cases and 40 deaths at the end of lockdown. The spatial distribution clearly shows that the cases were rapidly spreading from the southern part of the country where most points of entry and exit from India are located. To contain the spread of the virus, the government has also initiated various preventive measures and strategies during the lockdown. The Government of Nepal needs to allocate more resources, increase its capacity to test and trace, establish dedicated isolation and quarantine facility and impose local restrictions such as a local lockdown based on risk assessment rather than a nationwide lockdown.

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Section: Healthcare Impactsupporting

confidence: 58%

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Sharma¹,

Banstola

Parajuli

2021

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Another online survey conducted among 475 health workers showed that 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia [21]. Incidents of stigmatization and social discrimination of healthcare workers, people who have COVID-19, and their families were also reported in Nepal during the lockdown [23, 24].…”

Section: Discussionmentioning

confidence: 99%

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Parajuli¹,

Banstola

Parajuli

2020

Preprint

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The Government of Nepal issued a nationwide lockdown from 24 March to 21 July 2020, prohibiting domestic and international travels, border closures and closure of non-essential services. We collated the data provided by the Nepalese Ministry of Health and Population and assessed scenario of COVID-19 pandemic in Nepal during the lockdown period. There were only two confirmed cases from 610 Reverse Transcription Polymerase Chain Reaction (RT-PCR) tests and no fatalities when the government introduced nationwide lockdown. Nepal had performed 7,791 RT-PCR tests for COVID-19, the highest number of tests during the lockdown. It has recorded its highest daily rise in coronavirus infections with a total of 740 new cases from the total of 4,483 RT-PCR tests performed on a single day. Nepal had reported total 17,994 positive cases and 40 deaths at the end of lockdown. The spatial distribution clearly shows that the cases were rapidly spreading from the southern part of the country where most points of entry and exit from India are located. The Government of Nepal needs to allocate more resources, increase its capacity to test and trace, establish dedicated isolation and quarantine facility and impose local restrictions to manage potential COVID-19 outbreak after easing lockdown.

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“…Various studies guide us that proper health facilities and health allowances for HCPs would improve their trust level in authorities as well as their willingness to work in such di cult times [22,23]. Testing and treatment of HCPs along with their family members should be offered without discrimination [24]. Hence safety of HCPs should be prioritized, by up to date training, health education, adequate duty and quarantine times, health incentives and insurances, availability of protective gears, and psychological provision, must be a priority to facilitate female HCPs [25].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Challenges Faced by Female Health Care Professionals During the COVID-19 Outbreak in Lahore, Pakistan: A Qualitative Study

Shahbaz

Ashraf

Zakar

et al. 2020

Preprint

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Background: The novel coronavirus disease (COVID-19) is disseminating rapidly, increasing stress and challenges for health care professionals around the world. This study aims to discover the psychosocial challenges faced by female health care professionals (HCPs) treating COVID-19 patients in Pakistan.Methods: Using an empirical phenomenological methodology, semi-structured telephone-based qualitative interviews were taken from 22 female HCPs who were providing their expertise for COVID-19 patients in tertiary level hospitals of Lahore, Pakistan. Purposive sampling has been used for recruitment. The interviews were taken from July 20 to August 20, 2020. The interviews were analysed using thematic analysis.Results: This study discovered the psychosocial challenges faced by female HCPs serving COVID-19 patients. Five themes have been observed in the interviews: psychological concerns of HCPs while treating COVID-19 patients; feelings towards COVID-19 patients; confidence in government, administration and self-reflection; challenges as female HCPs and coping strategies; and finally, future concerns and recommendations. Many of these themes have also been linked with cultural issues, making the results specific for Pakistan.Conclusions: During the COVID-19 pandemic, female front-line HCPs have faced immense psychosocial pressure, starting from unsupportive family norms to unwelcoming working environment and insensitive hospital administration. Moreover, rumours among general public, lack of proper training, missing incentives and improper system surveillance had increased the anxiety and stress among HCPs. Hence, legislators are advised to take appropriate actions countrywide in order to improve the still on-going challenges and to support female HCPs in their working environment.

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Ethical dimensions of stigma and discrimination in Nepal during COVID-19 pandemic

Cited by 17 publications

References 8 publications

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Assessment of COVID-19 Pandemic in Nepal: A Lockdown Scenario Analysis

Psychosocial Challenges Faced by Female Health Care Professionals During the COVID-19 Outbreak in Lahore, Pakistan: A Qualitative Study

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