Asia-Pacific Journal of Health Management (ACHSM)
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Impact of COVID-19 Lockdown on Physical and Mental Health of 5-12 Years Old Children from Parents’ Perspective: A cross-sectional Study: Physical and Mental Health of Children during COVID-19 Lockdown: Parents' perspective
The COVID-19 pandemic has forced children to spend increased amounts of time at home resulting in adverse effects on their physical and psychosocial wellbeing. Parents need to be aware about the changes in the mental and physical health of the children.
Objectives: To identify the physical and mental health problems the children are facing because of the lockdown and to assess the awareness of such problems amongst the parents.
Design: A cross sectional online survey was conducted to assess the impact of COVID-19 on physical and mental health of the children from parents' perspectives.
Setting: Mumbai, Maharashtra, India
Main Outcome Measure: Parent reported questionnaire.
Results and conclusion: There were a significant increase in the number of hours spent on mobile phones, sitting, and sleeping during the lockdown as compared to before the lockdown whereas the number of hours spent on physical activity significantly decreased and also impacted their mental health. By taking part in the survey, the parents of the children became aware of the changes occurring in their child. These findings can guide immediate programmatic and policy efforts to preserve and promote child health during the COVID-19 outbreak and crisis recovery period, and to inform strategies to mitigate potential harm during future pandemics
Relationship between Sleep, Digital Usage and Emotional States in Thai Occupational Therapy Students
INTRODUCTION: Occupational imbalance of overloaded online education and sleep deprivation has been complained by Thai occupational therapy students (OTS) during the worldwide pandemic of coronavirus disease 2019 (COVID-19) e.g., feeling asleep in the classroom, inactive engagement in problem-based learning.
METHODS: This cross-sectional study aims to survey the OTS (n = 52 out of 128) regarding many standardized tools: smartphone addiction, internet addiction, sleep quality, sleep hygiene, and emotional states. Data analysis includes Pearson’s and Spearman’s rank-order correlations, Chi-square tests, and calculation of point prevalence rates.
RESULTS: A strong correlation of smartphone and internet addiction was found (r = 0.703, p < 0.001). Moderate correlations were addressed including sleep quality and smartphone addiction (r = 0.566), sleep quality and stress (r = 0.574), sleep quality depression (r = 0.554), and anxiety and smartphone addiction (r = 0.512). This study has reported point prevalence rates, such as 23.44% poor sleep quality, 17.96% smartphone addiction, and 7.81% anxiety.
CONCLUSION: The unwell sleep OTS are gaining comorbidities of smartphone and internet addiction and negative emotional states than those well sleep OTS. A restoration of occupational balance will be required for those poor sleep quality and anxiety
Impact of Covid-19 on the Mental Health of Healthcare Workers: Predisposing factors, prevalence and supportive strategies
The massive upsurge of hospitalizations and deaths in the wake of COVID-19 pandemic has placed an unprecedented strain on the psychological well-being of the healthcare workers (HCW) worldwide. The concern about being viewed as unfit for duty by employers or “mentally weak” was the primary reason given. In addition, a majority of HCWs insisted that improvements on the administrative front would have a better impact. An extensive literature review for this paper has been done through databases like Pubmed (Medline) and Google scholar to compile information from various sources. A study of the causative and exacerbating factors, corrective and preventative measures applied, and direct feedback from HCW reveals that much work is yet to be done to develop a satisfactory approach towards ensuring the mental wellbeing of one of the greatest assets in the fight against the pandemic.
(*The paper was presented at the 2nd Conference on Business Data Analytics: Innovation in emerging trends in management data analytics. Apeejay School of Management, Dwarka, Delhi, India. November 2021
From Procrastination to Reaction! What Leadership Is Required to SHAPE the Future of Healthcare? The Chris Selby Smith Oration – July 2021*
It is a privilege to be asked to present this Oration. Like many similar events, it pays tribute to a well-respected, revered, and past leader in our profession, in education, economics and life in general. Someone, who most of us would not have known personally nor about his involvement in the health system, particularly, SHAPE
A Ground Level Study of Health Problems of Domestic Workers During Covid 19 Pandemic
The pandemic of COVID19 laid various adverse effects and made a mark on domestic workers' lives. The ground report shows evidence of a drastic downfall in their income due to raised unemployment, increase in health expenditure, shortage of health care facilities, etc. The second wave of COVID19 has created havoc in their life as their work leaves no savings for them. This article based on a field study argues the health complexities that have arisen in domestic workers' lives during pandemics. It has subjected struggles of domestic workers for health and medication facilities during and after pandemics. It also suggests the corrective measures that government can take to bring out these workers from these drudgeries and the impact of circular economic concepts to sustain their lives comfortably.
(*The paper was presented at the AICTE International Conference on Circular Economy, Management and Industry, Bharati Vidyapeeth’s Institute of Management Studies and Research, Navi Mumbai and Apeejay School of Management, Dwarka, Delhi, India. October 2021
Welcome to the final issue of the Journal for 2021
It has been another extraordinary year for the health system and its leaders across the globe as the pandemic wrought unplanned and unplotted transformation. It seems apparent that the pace of change is with us to stay and casting forward in 2022, we can expect more challenges as we grapple with some of the unknowns of living with Covid.
As health leaders, managers and executives, we are extremely aware that we step forward to “living with COVID” with an exhausted workforce, a potential tsunami of demand on our own mental health care capabilities, and indeed the demand from all those previously usual activities that have been left untended in the past two years. It is in these times that we must lead with compassion – the need for empathic, caring leadership has never been greater. I hope, too, that we understand that we are not alone and that it is the support of our peers that will make this journey forward a little bit easier
Can National Oral Health Policy Reform Be Successfully Translated into Practice and Reduce the Burden of Disease in Australia?
BACKGROUND: The discrepancy between policy makers decisions, current research and clinical practice is of huge significance to the health industry and the Australian community.
AIM: Evaluate of translational research frameworks and policy formulation within the Australian oral health context.
METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a focused systematic search was conducted using an electronic search of the CINAHL database, including Medline, Cochrane and Scopus. A combination of key terms including “oral health”, “prevention’’, 'translational research’, “public policy”, were used for the searches.
RESULTS: The initial literature search found 561 abstracts in CINAHL database. Review against the inclusion criteria and removal of duplicates yielded 129 abstracts; further reviewed against the inclusion criteria resulted in 35 included in the review of translational research models. Across the 35 papers 8 different frameworks for translation of research evidence into policy and practice were utilised across the literature. The results reported in this studies show that the PARiHS framework depicts successful translation as a function of the relationship between evidence, context and facilitation. These interplays of elements are particularly of relevance to oral health due to the complexity of the sector. Context (current and historical) and facilitation (including governance/regulation) are the foundational drivers of successful implantation of evidence into practice.
CONCLUSION: The PARiHS framework for implementing research into practice is an appropriate model for oral health. Universal access is a feasible step in addressing the current inequities of access to oral health care
Community Clinic in Bangladesh: Empowering women through utilization and participation
Background: Community Clinics (CC) has been established to provide basic healthcare services at the doorstep of the community people in Bangladesh. Besides health care, government has taken a development program through CC to improve maternal health care with an aim to reduce the maternal mortality. This study was an attempt to find out the role of community women in the utilization and participation of CC management.
Methods: This cross-sectional study was carried out in 32 randomly selected CCs from 16 randomly selected districts. A total of 63 service providers, 2238 service users (patients) and 3285 community members were included as the respondents of this study. For data collection respondents were interviewed face to face by using a pretested questionnaire.
Results: The majority of the service providers of the CC were from the local community, and a higher proportion of them were female (52.4%). The providers provided healthcare services both in CC and at community level. A total of 2238 patients visited the 32 studied CCs per day for getting treatment and significantly a higher proportion of them were female (71.2%). Most of the patients (83.0%) expressed satisfaction with the services provided in the CCs and most of them were female (83.8%). Of the total 3285 respondents, 60.3% were the women from the catchment communities. The activities of the CC were known by all of them (98.3%) and they participated in the management of CC.
Conclusions: The study revealed that because of utilization and participation in the management of CC, the women became an imperative person in the community, thus empowering them in healthcare development
Investigating Perceptions of Patients on Healthcare Pricing Within The Private Healthcare Sector In Sri Lanka
Demand for private sector healthcare services in Sri Lanka is on the rise. This is very evident from the increase in the number of registered private healthcare institutions from 1990 to 2017. [1,2]
With the increasing utilization of private sector healthcare services, various qualitative factors, and service-related issues associated with the healthcare delivery system have become common debates. A major concern, patients have expressed, is about the fees charged by doctors and hospitals.
Principle aim of this study was to investigate the perceptions of patients on healthcare pricing within the private healthcare sector in Sri Lanka.
The target population of the study was defined as Sri Lankans who have been inpatients in private hospitals within the past year. The focus districts were Colombo, Kandy, and Galle. These 3 districts represented nearly 60% of the total private sector bed capacity.
From each district, three main private hospitals were selected. Over 700 patients were invited to participate, 246 surveys were completed, and 215 were retained as 31 had excessive missing and/or unclear data.
In all 3 districts the majority of patients were either dissatisfied with or remained neutral (69%) on the hospital fees,(66%) on doctor’s fees,(74%) on the overall price they ended up paying,(76%) on whether they think the healthcare services they received are value for money.
This study did not investigate the reasons or the factors that may affect the satisfaction or dissatisfaction of patients towards the fees they paid
Multiple factors can affect patient’s perception on the fees they paid. With negative perception on the above it can be concluded that there is sufficient evidence to challenge private sector healthcare satisfaction level vs price/fees equilibrium in Sri Lanka
Reliability and Validity of the Malay Version of Mindful Organizing Scale Amongst Nursing Staff
Aim: This study tested the reliability and validity of the 9-item Mindful organizing scale and safety performance scale in the sample of private hospital nurses in different states of Malaysia.
Methods: Mindful Organizing scale and safety behavior scale were translated into Bahasa Malaya. To accomplish this task, the survey was conducted of 475 registered nursing staff in different states of Malaysia in 2020 through a self-administered questionnaire. For convergent and discriminant validity of our research variables, we used the Structural equation modeling (SEM) technique with the help of SPSS AMOS 21. A confirmatory factor analysis (CFA), reliability analysis, and analysis of aggregation through intra-class correlation coefficients indices were also carried out.
Results: Our results testified the unidimensional structure of the mindful organizing scale as well as for safety performance both indicators, and exhibited satisfactory internal consistency for both mindful organizing and safety performance. Also, the aggregation of scores to the team level was well under the prescribed limit.
Conclusions: We are confident to establish that the Malay version of the mindful organizing and safety performance scales has shown to be a reliable and valid measure that can measure collective mindfulness and safety behavior amongst nursing staff. Our translated version can be used in other high-reliability organizations (HROs) in this cultural context and other industries that also want to achieve reliability in their operational performance