Navigating the health system in responding to health workforce challenges of the COVID‐19 pandemic: the case of Maldives (short case)

Usman, Sofoora Kawsar; Moosa, Sheena; Abdullah, Aminath Shaina

doi:10.1002/hpm.3136

Cited by 3 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For "licensing and regulation" countries loosened regulations for practicing and licensing [42, 65, 66, 72, 73, 76, 79, 86, 96], suspended mandatory enrollment in the professional register [34] and eased the recognition of degrees of foreign doctors [97]. In the Maldives, due to the lack of quali ed HCWs the government implemented policies to make it easier for Maldivian students abroad to return, and to scale back regular health services so that existing HCWs could be released for the COVID-19 response [41].…”

Section: System-level Interventions (Systemwide Level)mentioning

confidence: 99%

“…•Programs of training for use of PPE, biosafety measures and infection prevent control [30,39,42,43,46] • Establishment epidemiological monitoring and infection control, harmonization of standard operating procedures [41,45] • Policies to access to PPE [34,44] • Reassignment of HCWs at high risk [40,47] • Campaign to reduce harassment and violence against HCWs [48]…”

Section: Decent Working Conditionsmentioning

confidence: 99%

“…• Short-term training to professionals from abroad; waive of administrative process requirement [42,73,76] • Measures to loosen regulations [34,41,42,65,66,73,76,79,86] • Recognition of foreign training and accelerated licensing or credentialing [42,72,73,76,96,97] Regarding the area of intervention, most documents presented interventions implemented in more than one area (n = 45). Those that presented interventions implemented in a single area were equally distributed in "decent working conditions" (n = 6) and "rationalizing the HCWF distribution" (n = 6).…”

Section: Interventionsmentioning

confidence: 99%

“…In addition, countries increased the capacity of the existing HCWF by asking staff to work extra hours and cancelling leaves of absence or planned retirements[47,52,53,59, 63, 80, 85]. Furthermore, volunteers from the general public and/or non-HCWs were also mobilized to play different roles[41,47, 76]. In addition to hiring extra HCWs using different types of contracts (volunteer, freelance, short-term, temporary and permanent), undergraduate students and HCWs in specialist training (specialties or subspecialities) [83] served as resources for support roles[49] and to provide care to COVID-19 patients[63,75], as part of a reserve list[76] or in helplines [64, 80], rapid response, case investigation, contact tracing[41, 80], and psycho-social support[41].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Oliveira

Galante

Maia

et al. 2023

Preprint

View full text Add to dashboard Cite

BACKGROUND The COVID-19 pandemic highlighted pre-existing weaknesses in health and care systems and services and shortages of health and care workers (HCWs). As a result, policymakers needed to adopt measures to improve the health and care workforce (HCWF) capacity. This review aims to identify countries’ range of policies and management interventions implemented to improve HCWs’ capacity to address the COVID-19 pandemic response, synthesize their evidence on effectiveness, and identify gaps in the evidence. METHODS The literature was searched in PubMed, Embase, Scopus, LILACS-BVS, WHO’s COVID-19 Research Database and the ILO, OECD and HSRM websites for literature and documents published between January 2020 and March 2022. Eligibility criteria were HCWs as participants and policy and management interventions aiming to improve HCWF capacity to address the COVID-19 pandemic response. Risk of bias was assessed with Joanna Briggs Institute (JBI) Critical Appraisal Tools (CAT) and certainty of the evidence in presented outcomes with GRADE. RESULTS The searches retrieved 3378 documents. A total of 69 were included, but only 8 presented outcomes of interventions implemented. Most of the selected documents described at least one intervention implemented by countries at the organizational environment level to increase the flexibility and capacity of the HCWF to respond to the pandemic, followed by interventions to attract and retain HCWs in safe and decent working environments. There was a lack of studies addressing social protection, human resources for health information systems, and regarding the role of community health workers and other community-based providers. Regarding the risk of bias, most of documents were rated as medium or high quality (JBI’s CAT), while the evidence presented for the outcomes of interventions was classified as mostly low-certainty evidence (GRADE). CONCLUSION Countries have implemented various interventions, some innovative, in response to the pandemic, and others had their processes started earlier and accelerated by the pandemic. The evidence regarding the impact and efficacy of the strategies used by countries during the pandemic still requires further research.

show abstract

Section: System-level Interventions (Systemwide Level)mentioning

confidence: 99%

Section: Decent Working Conditionsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Oliveira

Galante

Maia

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The full lockdown lasted 45 days and the government continues to levy restrictive interventions to contain and control the disease and mitigate the impact of the pandemic (Suzana et al 2020). These include curfews, movement monitoring for contact tracing, limitations on public gatherings, compulsory wearing of masks while in public places, and state sanctioned penalties on those who infringe on the restrictive measures (Usman, Moosa and Abdullah 2021).…”

Section: Introductionmentioning

confidence: 99%

Social value orientations and public confidence in institutions: A young democracy under the imprint of COVID-19

Moosa¹,

Riyaz

Raheem

et al. 2021

CCS Journal

Self Cite

View full text Add to dashboard Cite

Social value orientations (SVOs) of a society determine peoples' behaviour and are critical for young democracies in crises. This paper draws on the Maldives Values in Crisis survey, conducted during the first wave of COVID-19 pandemic. SVOs assessed using the Schwartz Personal Values Questionnaire shows that Maldivian society weigh slightly towards prosocial. Urban-rural, age, and gender determine the SVOs on the dimension of Openness to change versus Conservation while age and gender determine the SVOs on Self-enhancement versus Self-transcendence dimension. Confidence in the public institutions were moderate and not associated with the SVOs. The moderate level of SVOs and confidence in institutions reflects the democratic landscape of the country. Although prosocial SVOs are favourable for implementing containment measures of the pandemic, without a strong value orientation towards conservation and self-transcendence, and confidence in the institutions, the country faces the risk of non-compliance to measures and escalation of the crisis.

show abstract

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Cavalcante de Oliveira,

Galante,

Maia

et al. 2023

Hum Resour Health

View full text Add to dashboard Cite

Background The COVID-19 pandemic highlighted pre-existing weaknesses in health and care systems and services and shortages of health and care workers (HCWs). As a result, policymakers needed to adopt measures to improve the health and care workforce (HCWF) capacity. This review aims to identify countries’ range of policies and management interventions implemented to improve HCWs’ capacity to address the COVID-19 pandemic response, synthesize their evidence on effectiveness, and identify gaps in the evidence. Methods The literature was searched in PubMed, Embase, Scopus, LILACS–BVS, WHO’s COVID-19 Research Database and the ILO, OECD and HSRM websites for literature and documents published between January 2020 and March 2022. Eligibility criteria were HCWs as participants and policy and management interventions aiming to improve HCWF capacity to address the COVID-19 pandemic response. Risk of bias was assessed with Joanna Briggs Institute (JBI) Critical Appraisal Tools (CAT) and certainty of the evidence in presented outcomes with GRADE. Results The searches retrieved 3378 documents. A total of 69 were included, but only 8 presented outcomes of interventions implemented. Most of the selected documents described at least one intervention implemented by countries at the organizational environment level to increase the flexibility and capacity of the HCWF to respond to the pandemic, followed by interventions to attract and retain HCWs in safe and decent working environments. There was a lack of studies addressing social protection, human resources for health information systems, and regarding the role of community health workers and other community-based providers. Regarding the risk of bias, most of documents were rated as medium or high quality (JBI’s CAT), while the evidence presented for the outcomes of interventions was classified as mostly low-certainty evidence (GRADE). Conclusions Countries have implemented various interventions, some innovative, in response to the pandemic, and others had their processes started earlier and accelerated by the pandemic. The evidence regarding the impact and efficacy of the strategies used by countries during the pandemic still requires further research.

show abstract

Navigating the health system in responding to health workforce challenges of the COVID‐19 pandemic: the case of Maldives (short case)

Cited by 3 publications

References 4 publications

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Social value orientations and public confidence in institutions: A young democracy under the imprint of COVID-19

Implementation of policy and management interventions to improve health and care workforce capacity to address the COVID-19 pandemic response: a systematic review

Contact Info

Product

Resources

About