Exploring indirect impacts of COVID-19 on local health systems from the perspectives of health workers and higher education stakeholders in the Philippines using a phenomenological approach

Maravilla, Joemer Calderon; Catiwa, Jayson; Guariño, Rebecca; Yap, John Federick; Pagatpatan, Celso P.; Orolfo, Diana Dalisay; Silos, Jeriel de; Leigh, Ma. Cynthia; Babate, Jerome; Lopez, Violeta

doi:10.1016/j.lanwpc.2022.100585

Cited by 11 publications

(11 citation statements)

References 25 publications

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“…These findings and their interpretation share constraints with the study team's capacity, databases, search strings, and study timeline used here, which does not include articles post-June 2022 or a local database. However, data following the conclusion of this literature review share similar findings, such as how public health workers experienced mental health exhaustion and fatigue as they delivered non-COVID-19 health services after the first wave of the pandemic (Maravilla et al, 2023). Others have also pointed to reduced barriers to mental health care and stigma, and increased use of telehealth and its positive impacts in the Philippines (Bollettino et al, 2023).…”

Section: Limitationssupporting

confidence: 62%

“…Others have also pointed to reduced barriers to mental health care and stigma, and increased use of telehealth and its positive impacts in the Philippines (Bollettino et al, 2023 ). Recent qualitative work has also reported stress, mental health exhaustion, fear of infection, work overload, pressure to learn new technology, and webinar fatigue among public health workers in the Philippines (Maravilla et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

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The COVID-19 pandemic’s effects on mental and psychosocial health in the Philippines: A scoping review

Ocampo,

Santos,

Sevilleja

et al. 2024

Camb. prisms Glob. ment. health

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Low-and middle-income countries (LMICs) remained at elevated risk for the effects of the COVID-19 pandemic because of persistent stressors to their health systems. Simultaneously facing high infection rates, strict containment measures and natural disasters, the Philippines provides important grounds for health research in LMICs. This review examined how the COVID-19 pandemic affected mental and psychosocial health in the Philippines. This scoping review included literature in English from 2020 to mid-2022 from PubMed, PsycInfo and SCOPUS, and used the PRISMA-ScR and PCC-question model. Two independent reviewers conducted blind article screening and data extraction using COVIDENCE software, followed by consensus building, data charting and analyses. This work identified 405 publications across PubMed (N = 56), PsycInfo (N = 106) and SCOPUS (N = 243), of which 76 articles addressed the Philippines. Article types included 54 research articles, 10 opinion pieces, 4 literature reviews, 6 letters to journals, 1 study protocol and 1 other report. These findings focused primarily on health professionals (N = 23) and educators/learners (N = 22) and reported mostly on moderateto-severe clinical outcomes such as fear, depression, anxiety or stress. Coping behaviors, like resiliency and other ways of adapting to the pandemic, including religious, spiritual and community-oriented approaches highlighted experiences with stringent infection prevention and control measures to contain COVID-19 in the Philippines. The COVID-19 pandemic brought severe challenges to mental and psychosocial health in the Philippines. The literature focused mostly on healthcare workers and educators/learners, and moderate-to-severe mental health outcomes in these groups. There is a need to expand studies to other sociodemographic groups and communities across the Philippines. Future work stands to benefit from more in-depth qualitative, mixed methods, longitudinal and representative quantitative research in LMICs following this pandemic. Literature reviews remain important to synthesize postpandemic experiences by providing context for future studies and health practice in the Philippines and other LMICs. Impact statementThis scoping review of research literature found and described the emerging evidence base outlining comprehensive effects of the COVID-19 pandemic on mental and psychosocial health in the Philippines. This work addressed existing knowledge gaps by bringing light to literature that looked at concrete health outcomes such as anxiety and depression, as well as highlighting some of the daily stressors facing the population in an LMIC setting such as the Philippines. Specifically, this article reflects the literature that was published during the first 2 years of the pandemic and contributes substantially to providing an overview of what research was done during this time. This article's discussion anchors its findings in the country's local context. This body of literature largely documented the mental and psychosocial health impacts spe...

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Section: Limitationssupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

The COVID-19 pandemic’s effects on mental and psychosocial health in the Philippines: A scoping review

Ocampo,

Santos,

Sevilleja

et al. 2024

Camb. prisms Glob. ment. health

View full text Add to dashboard Cite

show abstract

“…The COVID-19 pandemic disproportionately affected poorer Filipinos and disrupted mental health services, heightening digital and health disparities by rendering already-marginalised populations harder to reach. 8 Though civil society organisations (CSOs), non-governmental organisations (NGOs), certain local governments, and volunteers have organised community-based mental health initiatives, these have been impeded by inadequate resources and recurring violence. 2 , 3 More broadly, the influence of CSOs and NGOs has been hampered, with relatives discouraged from cooperating; when addressing these organisations, Duterte stated “along with drug addicts […] I will decapitate you”.…”

mentioning

confidence: 99%

Strengthening mental health initiatives and care pathways for families affected by the Philippine drug war

Smith¹,

Ungria²,

F³

et al. 2023

The Lancet Regional Health - Western Pacific

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“…A qualitative study of public health workers, university staff, and administrators explored the impact the pandemic on local health systems and higher education institutions in the country. Routine health programs were found to be inaccessible due to changing priorities and lack of students to augment the health workforce [ 41 ]. The results were consistent with previous research in other less-resourced contexts [ 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing COVID-19 pandemic’s impact on essential diabetes care in Manila, the Philippines: A mixed methods study

Malijan,

Besa,

Mendoza

et al. 2024

PLOS Glob Public Health

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The COVID-19 pandemic directly increased mortality and morbidity globally. In addition, it has had extensive indirect ill effects on healthcare service delivery across health systems worldwide. We aimed to describe how patient access to diabetes care was affected by the pandemic in Manila, the Philippines. We used an explanatory, sequential mixed method approach including a cross-sectional survey (n = 150) and in-depth interviews of patients (n = 19), focus group discussions of healthcare workers (n = 22), and key informant interviews of health facility administrators (n = 3) from October 2021 to January 2022. Larger proportions of patients reported absence of livelihood (67.3%), being in the lowest average monthly household income group (17.3%), and disruptions in diabetes care (54.0%) during the pandemic. They identified the imposition of lockdowns, covidization of the healthcare system, and financial instability as contributors to the reduced availability, accessibility, and affordability of diabetes-related consultations, medications, and diagnostics. At least a quarter of the patients experienced catastrophic health expenditures across all areas of diabetes care during the pandemic. Most healthcare workers and administrators identified telemedicine as a potential but incomplete tool for reaching more patients, especially those deemed lost to follow-up. In the Philippines, the pandemic negatively impacted access to essential diabetes care.

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Exploring indirect impacts of COVID-19 on local health systems from the perspectives of health workers and higher education stakeholders in the Philippines using a phenomenological approach

Cited by 11 publications

References 25 publications

The COVID-19 pandemic’s effects on mental and psychosocial health in the Philippines: A scoping review

The COVID-19 pandemic’s effects on mental and psychosocial health in the Philippines: A scoping review

Strengthening mental health initiatives and care pathways for families affected by the Philippine drug war

Assessing COVID-19 pandemic’s impact on essential diabetes care in Manila, the Philippines: A mixed methods study

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