International Year of Health & Care Workers COVID-19: a workforce perspective - Jim Campbell, Director WHO Health Workforce 23 February 2021 : ...
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International Year of Health & Care
Workers
COVID-19: a workforce perspective
Jim Campbell, Director
WHO Health Workforce
23 February 2021
: JimC_HRH
Weekly Epidemiological Update: 16 Feb 2021
Measuring health and wellbeing (1) Source: Measurement standards for monitoring the impact of the COVID-19 on health and care workers using common indicators. WHO. Forthcoming
Measuring health and wellbeing (2)
1.52 million health worker A systematic review and meta-
infections were reported to analysis found a 23%
WHO by reports mainly prevalence of depression and
received from the Americas and anxiety and 39% prevalence of
the European Regions (1). (22 insomnia during COVID-19.
Feb 21)
84 countries reported strikes 90% of countries report
since the beginning of COVID- COVID-19 disruptions to
19: essential health services.
*38% of those are due to *49% staff redeployment
indecent work;
*29% because of lack to PPE. *44% inadequate/lack of PPE
*29% insufficient staff
Measuring health and wellbeing (3)
International Council of Nurses. January 2021
“Mass trauma experienced by the global nursing workforce”
• American Nurses Association (NA) reports 51% ‘overwhelmed’.
• Australian NA: 61% report burnout; 28% report depression.
• Brazilian NA: 49% report anxiety; 25% report depression.
• Chinese NA : 60% report exhaustion; 90% report anxiety.
• Israeli NA: >40% fear caring for COVID-19 patients.
• Spanish NA: 80% report symptoms of anxiety and increasing
burnout
See ICN report for more information.
Measuring health and wellbeing (4)
Measuring health and wellbeing (5)
WHO Living Reviews
1. Incidence and severity of infection,
mortality, morbidity (including mental health
outcomes), and effects on family members
and contacts
2. Potential risk factors:
- demographic characteristics
- exposure history
- administrative factors
- health care setting/environmental factors
- Health worker health
- infection control and prevention factors.
Included: studies that reported risk estimates
or infection incidence, stratified by risk factor.
Measuring health and wellbeing (6)…..
• Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, et al. Impact of coronavirus syndromes on physical and mental health of health care
workers: Systematic review and meta-analysis. J Affect Disord. 2020;275:48-57. doi:10.1016/j.jad.2020.06.022
• Shreffler J, Petrey J, Huecker M. The impact of COVID-19 on healthcare worker wellness: A scoping review. West J Emerg Med.
2020;21(5):1059-1066. doi:10.5811/westjem.2020.7.48684
• Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19 Pandemic: Stress Experience of Healthcare Workers: A
Short Current Review. Psychiatr Prax. 2020;47(4):190-197. doi:10.1055/a-1159-5551
• Chew QH, Wei KC, Vasoo S, Sim K. Psychological and Coping Responses of Health Care Workers Toward Emerging Infectious Disease
Outbreaks: A Rapid Review and Practical Implications for the COVID-19 Pandemic. J Clin Psychiatry. 2020;81(6).
doi:10.4088/JCP.20r13450
• Serrano-Ripoll MJ, Meneses-Echavez JF, Ricci-Cabello I, et al. Impact of viral epidemic outbreaks on mental health of healthcare
workers: a rapid systematic review and meta-analysis. J Affect Disord. 2020;277:347-357. doi:10.1016/j.jad.2020.08.034
• Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and
control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis. Cochrane Database Syst Rev.
2020;4:1-55. doi:10.1002/14651858.CD013582
• D’ettorre G, Ceccarelli G, Santinelli L, et al. Post-traumatic stress symptoms in healthcare workers dealing with the covid-19 pandemic:
A systematic review. Int J Environ Res Public Health. 2021;18(2):1-16. doi:10.3390/ijerph18020601
• De Kock JH, Latham HA, Leslie SJ, et al. A rapid review of the impact of COVID-19 on the mental health of healthcare workers:
implications for supporting psychological well-being. BMC Public Health. 2021;21(1). doi:10.1186/s12889-020-10070-3
• Resolve to Save Lives. Protecting Health Care Workers: A Need for Urgent Action.; 2021. https://preventepidemics.org/wp-
content/uploads/2021/01/RTSL_Protecting-Health-Care-Workers.pdf. Accessed January 16, 2021.
• Sofia Pappa, Vasiliki Ntella, Timoleon Giannakas, Vassilis G. Giannakoulis, Eleni Papoutsi, and Paraskevi Katsaounou Prevalence of
depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206431/
COVID-19 guidance: select examples
Health COVID-19: Maintaining Risk Prevention,
workforce Occupational essential assessment identification
policy and health and health and and
management safety for services: management management
in the context health operational of exposure of health
of the COVID- workers guidance for of health care worker
19 pandemic the COVID-19 workers in infection in
response context the context of the context of
interim COVID-19 COVID-19
guidanceHealth workforce interim guidance (Dec 2020)
Prompt remuneration & incentives
Effective human resources for health Occupational health & safety, inc. appropriate PPE
management COVID-19 practice guidelines & job aids
Training & skills refresher, including on IPC
Delegation of tasks & roles appropriate to skills
Decent work, psychosocial support, decision making roles
Supportive supervision and work/rest balance
Health system connection for guidance, resources, support
Inclusion in HRH planning & investment Community contact
tracing, surveillance, CEA activities counted
Health worker data, inc. infection & death, in information
systems
Gender: leadership role, safe work, recognize unpaid work
Innovation: rapid scale-up of digital learning and
intersectoral partnerships
Source:
https://www.who.int/publications/i/item/health-workforce-policy-and-management-in-the-context-of-the-covid-19-pandemic-responseCOVID-19: Health workforce lessons…
Ensure adequate Guarantee decent
quantities and type working conditions
of health workers.
Equip health workers
Enact rapid with additional
mobilization and re- required skills and
deployment policies
competencies
and mechanisms
Protect from infection
International (refresh/monitor IPC
solidarity to allow practices and ensure
HRH investments adequate PPE)
Agile work with Optimize roles
partners to gather
data, synthesize
learning, innovateWHO Academy – responding to learning needs
• WHO’s state-of-the-art approach to lifelong learning.
• More effective, personalized and scalable digital learning
solutions in health.
• Vastly shortening the time to turn evidence-based
guidance into action.
• Will enable learners to tailor their learning experience to
meet their needs
• Will award digital credentials to verify competencies
Personal
protective
equipment
augmented
reality course
available on
the
Academy’s
mobile
learning app.#Protect. #Invest. #Together Campaign Objectives • Ensure the world’s health and care workers are prioritised for the COVID-19 vaccine in the first 100 days of 2021. • Recognize and commemorate all health and care workers who have lost their lives during the pandemic. • Mobilize commitments from Member States, International Financing Institutions, bilateral and philanthropic partners to protect and invest in health and care workers to accelerate the attainment of the SDGs and COVID-19 recovery. • Engage Member States and all relevant stakeholders in dialogue on a care compact to protect health and care workers’ rights, decent work and practice environments. • Bring together communities, influencers, political and social support in solidarity, advocacy and care for health and care workers.
Get engaged….. https://www.who.int/campaigns/annual-theme/year-of-health-and-care-workers-2021 Get Involved
#ApplauseIsNotEnough
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