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Exploring healthcare system adaptive techniques and challenges in caring for people living with HIV and AIDS during the COVID-19 lockdown period in Harare, Zimbabwe
The COVID-19 pandemic caused unprecedented challenges for healthcare systems worldwide, affecting the provision of ongoing care for people living with HIV and AIDS (PLWHA). This study aimed to explore the adaptive techniques employed by healthcare systems in providing care for PLWHA during the pandemic and the challenges encountered. An exploratory qualitative study (EQS) methodology was employed, underpinned by the resourcefulness framework. The Silences Framework Analysis Phases were used during data analysis. Fifteen participants were interviewed , and the data were thematically analyzed. The healthcare system employed several adaptive techniques to cater to PLWHA during the pandemic, including developing new standard service protocols, implementing preventative measures to limit COVID-19 infections during hospital visits, and improving communication. The study identified two significant challenges: a lack of health insurance and a shortage of personal protective equipment (PPEs). The findings highlight the need for adapting to changing circumstances and provide ongoing care for PLWHA during the pandemic. The results show that developing new protocols and preventative measures can effectively ensure the continuity of care in pandemic situations. Moreover, the provision of PPEs and health insurance for healthcare staff should be prioritized to create a safe working environment. In conclusion, this study underlined the importance of resourcefulness in developing healthcare resilience to sustain care and support for PLWHA during the COVID-19 pandemic
Using Indigenous Knowledge Systems in Seasonal Prediction and Adapting to Climate Change Impacts in Bikita District in Zimbabwe
Adaptation to climate change using indigenous weather forecasting systems in Borana pastoralists of southern Ethiopia
Techniques and skills of indigenous weather and seasonal climate forecast in Northern Ghana
A systematic critical review of epidemiological studies on public health concerns of municipal solid waste handling
AIMS : The ultimate aim of this review was to summarise the epidemiological evidence on the association between municipal solid waste management operations and health risks to populations residing near landfills and incinerators, waste workers and recyclers. To accomplish this, the sub-aims of this review article were to (1) examine the health risks posed by municipal solid waste management activities, (2) determine the strengths and gaps of available literature on health risks from municipal waste management operations and (3) suggest possible research needs for future studies.METHODS : The article reviewed epidemiological literature on public health concerns of municipal solid waste handling published in the period 1995-2014. The PubMed and MEDLINE computerised literature searches were employed to identify the relevant papers using the keywords solid waste, waste management, health risks, recycling, landfills and incinerators. Additionally, all references of potential papers were examined to determine more articles that met the inclusion criteria. RESULTS : A total of 379 papers were identified, but after intensive screening only 72 met the inclusion criteria and were reviewed. Of these studies, 33 were on adverse health effects in communities living near waste dumpsites or incinerators, 24 on municipal solid waste workers and 15 on informal waste recyclers. Reviewed studies were unable to demonstrate a causal or non-causal relationship due to various limitations. CONCLUSION : In light of the above findings, our review concludes that overall epidemiological evidence in reviewed articles is inadequate mainly due to methodological limitations and future research needs to develop tools capable of demonstrating causal or non-causal relationships between specific waste management operations and adverse health endpoints.http://pph.sagepub.comhb2017School of Health Systems and Public Health (SHSPH