COVID-19大流行给菲律宾的卫生工作者带来了额外的压力,导致很大一部分人离开劳动力市场。这项研究的目的是探讨大流行对卫生工作者的影响,他们获得的支持和相关挑战;并确定改善工作场所条件的相关政策。
■使用环境扫描方法。特别是,通过与菲律宾三个主要岛屿的部分城市和农村地区的管理人员和一线卫生工作者的关键线人访谈,进行了文献综述和政策扫描。这些内容被编入背景说明,作为主要政府组织代表参加的国家政策对话期间的讨论的跳板,医生的专业组织,护士,和助产士,专业监管机构,医院管理员,一线卫生工作者,以及菲律宾的捐助机构。
■死亡,烧尽,心理健康问题,据报道,在大流行的早期阶段,缺乏个人防护设备和疫苗分配不当。支持因设置而异,但包括额外津贴,免费餐,住宿,交通运输,培训和社会心理服务。此外,大流行前的问题,如低工资和繁重的工作量,仍然是离开劳动力或国家的主要原因。建议的解决方案如下:(1)为适当的生产制定政策和策略,招募,和保留卫生人力资源;(2)为教育和卫生部门分配定期常设职位;(3)扩大和继续部署计划;(3)扩大护士的作用,以推动高级实践护理;(4)提供公平的补偿以及风险津贴,非财务激励,(5)通过提供适当的作息平衡和安全的工作环境来支持心理健康;(6)提供专业发展和奖学金的机会,并附有回国服务协议;(7)加强回国卫生工作者的重返社会计划。
这场大流行影响了卫生工作者的福祉,据报道,由于长期存在的工作场所问题和政策执行差距,支持方面的差距很大。利益相关者的承诺需要持续的监测,而已经到位但尚未制定的政策需要政府提供更强有力的支持,国会议员,私营部门,和其他关键决策者。
UNASSIGNED: The COVID-19 pandemic has brought additional strain to health workers in the Philippines, leading to a significant proportion of them leaving the workforce. The purpose of this study is to explore the impact of the pandemic on health workers, the support that they received and associated challenges; and identify relevant policies for better workplace conditions.
UNASSIGNED: An environmental scanning method was utilized. Particularly, a literature review and policy scan that were validated through key informant interviews with administrators and frontline health workers from selected urban and rural sites in the three main islands in the Philippines. These were framed into a background note to springboard the discussions during a national policy dialogue participated by representatives from key government organizations, professional organizations of physicians, nurses, and midwives, professional regulatory bodies, hospital administrators, frontline health workers, and donor agencies in the Philippines.
UNASSIGNED: Deaths, burn-out, mental health problems, lack of personal protective equipment and poor allocation of vaccines were reported in the early phases of the pandemic. Support varied across settings but included additional allowance, free meals, accomodation, transportation, training and psychosocial services. Furthermore, pre-pandemic issues such as as low salaries and heavy workload continue to be the main reasons for leaving the workforce or the country. The proposed solutions are as follows: (1) creating policies and strategies for appropriate production, recruitment, and retention of human resources for health; (2) allocating regular permanent positions for both the education and health sector; (3) augmenting and continuation of deployment programs; (3) expanding roles of nurses to push for advanced practice nursing; (4) providing fair compensation along with risk allowances, non-financial incentives, and expanded benefits; (5) supporting mental health wellness by providing an appropriate work-rest balance and safe work environment; (6) providing opportunities for professional development and scholarships with accompanying return-service agreement; and (7) strengthening the reintegration programs for returning overseas health workers.
UNASSIGNED: The pandemic has affected the well-being of health workers and disparities in support were reported due to longstanding workplace issues and policy implementation gaps. Stakeholder commitments require sustained monitoring while policies that are in place and yet to be developed demand stronger support from the government, members of Congress, the private sector, and other key decision-makers.