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  • 1
    Online Resource
    Online Resource
    Impact of COVID-19 on Health Emergency and Disaster Risk Management System: A Scoping Review of Healthcare Workforce Management in COVID-19
    MDPI AG ; 2023
    In:  Sustainability Vol. 15, No. 15 ( 2023-07-28), p. 11668-
    Details
    In: Sustainability, MDPI AG, Vol. 15, No. 15 ( 2023-07-28), p. 11668-
    Abstract: During the COVID-19 pandemic, many countries faced a shortage as well as maldistribution of healthcare workers and a misalignment between healthcare needs and worker skills. In this scoping review, we have sought to identify the country-level responses to health workforce shortages during the COVID-19 pandemic as well as the advantages/best practices and disadvantages/lessons learned. We have reviewed 24 scientific papers in four electronic databases: Medline, Web of Science, CINAHL, and TRIP. The main strategies implemented by countries were financial coordination mechanisms, relaxing standards/rules, worker redeployment, recruitment of volunteers, fast-tracking medical students, and using other workforce resources such as the recruitment of inactive healthcare workers and returnees whose registration had lapsed within the preceding 1–2 years. These strategies demonstrated numerous advantages, such as establishing mutual support across nations and organizations, boosting motivation among healthcare workers, and creating a new staffing model for future pandemics. However, several important lessons were also learned during the implementation process. Managing volunteers, including ensuring their safety and allocating them to areas in need, required significant effort and high-level coordination, particularly in the absence of a comprehensive needs assessment.
    Type of Medium: Online Resource
    ISSN: 2071-1050
    URL: Article
    DOI: 10.3390/su151511668
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2518383-7
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  • 2
    Online Resource
    Online Resource
    First Activation of the WHO Emergency Medical Team Minimum Data Set in the 2019 Response to Tropical Cyclone Idai in Mozambique
    Cambridge University Press (CUP) ; 2022
    In:  Prehospital and Disaster Medicine Vol. 37, No. 6 ( 2022-12), p. 727-734
    Details
    In: Prehospital and Disaster Medicine, Cambridge University Press (CUP), Vol. 37, No. 6 ( 2022-12), p. 727-734
    Abstract: During a disaster, comprehensive, accurate, timely, and standardized health data collection is needed to improve patient care and support effective responses. In 2017, the World Health Organization (WHO) developed the Emergency Medical Team (EMT) Minimum Data Set (MDS) as an international standard for data collection in the context of disasters and public health emergencies. The EMT MDS was formally activated for the first time in 2019 during the response to Cyclone Idai in Mozambique. Study Objective: The aim of this study was to analyze data collected through the EMT MDS during Cyclone Idai of 2019 and to identify the benefits of and opportunities for its future use. Methods: The EMT MDS was used for data collection. All 13 international EMTs deployed from March 27 through July 12 reported data in accordance with the EMT MDS form. The collected data were analyzed descriptively. Results: A total of 18,468 consultations, including delivery of 94 live births, were recorded. For children under-five and those five-years and older, the top five reasons for consultation were minor injuries (4.5% and 10.8%, respectively), acute respiratory infections ([ARI] 12.6% and 4.8%, respectively), acute watery diarrhea (18.7% and 7.7%, respectively), malaria (9.2% and 6.1%, respectively), and skin diseases (5.1% and 3.1%, respectively). Non-disaster-related health ev ents accounted for 84.7% of the total health problems recorded. Obstetric care was among the core services provided by EMTs during the response. Conclusion: Despite of challenges, the EMT MDS reporting system was found to support the responses and coordination of EMTs. The role of the Mozambican Ministry of Health (MOH), its cooperation with EMTs, and the dedicated technical support of international organizations enabled its successful implementation.
    Type of Medium: Online Resource
    ISSN: 1049-023X , 1945-1938
    URL: Article
    DOI: 10.1017/S1049023X22001406
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2162069-6
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  • 3
    Online Resource
    Online Resource
    Emergency Medical Team Response during the Hokkaido Eastern Iburi Earthquake 2018: J-SPEED Data Analysis
    Cambridge University Press (CUP) ; 2023
    In:  Prehospital and Disaster Medicine Vol. 38, No. 3 ( 2023-06), p. 332-337
    Details
    In: Prehospital and Disaster Medicine, Cambridge University Press (CUP), Vol. 38, No. 3 ( 2023-06), p. 332-337
    Abstract: In the last ten years, Japan has experienced several large-scale earthquakes with devastating social and health impacts. Earthquakes directly and indirectly cause a variety of health problems. Further investigation is required to increase preparedness and preventive efforts. In response to the Hokkaido Eastern Iburi Earthquake on September 6, 2018, 32 Emergency Medical Teams (EMTs) employed the Japanese version of Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) as a national standard daily reporting template, gathering data on the number and type of health problems treated. Study Objective: The purpose of the study is to conduct a descriptive epidemiology study using the J-SPEED data to better understand the health problems during the earthquake disaster. Methods: Reported items in J-SPEED (Ver 1.0) form were analyzed by age, gender, and time to better understand the health issues that have arisen from the earthquake. Results: Most consultations (721; 97.6%) occurred between Day 1 and Day 13 of the 32-day EMT response. During the response period, disaster stress-related symptoms were the most common health event (15.2%), followed by wounds (14.5%) and skin diseases (7.0%). Conclusion: The most often reported health event during the response period was stress-associated illnesses related to disasters, followed by wounds and skin conditions. The health consequences of natural disasters depend on diverse local environment and population. As a result, this initial study was hard to generalize; however, it is expected that data accumulated using the J-SPEED system in the future will strengthen and extend the conclusions.
    Type of Medium: Online Resource
    ISSN: 1049-023X , 1945-1938
    URL: Article
    DOI: 10.1017/S1049023X23000432
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2162069-6
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  • 4
    Online Resource
    Online Resource
    Impact of Covid-19 in Health Emergency and Disaster Risk Management System: Healthcare Workforce Management in Covid-19
    Cambridge University Press (CUP) ; 2023
    In:  Prehospital and Disaster Medicine Vol. 38, No. S1 ( 2023-05), p. s203-s203
    Details
    In: Prehospital and Disaster Medicine, Cambridge University Press (CUP), Vol. 38, No. S1 ( 2023-05), p. s203-s203
    Abstract: COVID-19 conforms to key baseline characteristics of disaster which is defined as “a situation or event that overwhelms local capacity, necessitating a request for national or international level of assistance.” Many countries faced shortages of health workforce, maldistribution, misalignment of needs and skills of healthcare workers. The research goal is to identify the country responses on the shortage of workforce, their best practices and the lessons learned that may help to better handle any similar crisis in the future. Method: The scoping review was conducted in four electronic academic databases, namely, Medline, Web of Science, EBSCO, and TRIP and 24 scientific articles were reviewed. This study is funded by the World Health Organization Centre for Health Development (WKC-HEDRM-K21001). Results: The main strategies implemented were a financial coordination mechanism, relaxing standards/rule, redeployment, recruiting volunteers, fast tracking medical students, and using other resources in the workforce such as: the recruitment of inactive healthcare workers, returnees whose registration has lapsed within the last 1-2 years and integration of internationally educated health professionals. All these strategies demonstrated advantages like establishing mutual support across nations, organizations, motivating healthcare workers, lessening the workload of healthcare workers, and creating a new staff model for the next pandemic. If a pandemic lasts longer, financial support mechanisms are no longer feasible and longer working hours result in burnout. Managing volunteers, including supervision of their safety and allocation to the area in need, required hard effort and high-level coordination, especially when a needs assessment is unavailable. Another problem was the absence of an available list of resources, including volunteers and retired medical personnel. Conclusion: To date, countries have not yet determined clear policies on how to ensure the sustainability and resilience of the workforce during major health shocks. A follow-up study investigating the strategies implemented is needed.
    Type of Medium: Online Resource
    ISSN: 1049-023X , 1945-1938
    URL: Article
    DOI: 10.1017/S1049023X23005198
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2162069-6
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