Promotion of Effective COVID-19 Response Interventions among Health Workforce in Virika Hospital, Kabarole District-Uganda

Mathias Tumwebaze, Lillian Ajuna, Aggrey Gwaita, John Jubilee, Andrew Ahimbisibwe, A. A. Halage
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Abstract

Introduction: The Novel Corona Virus Disease (COVID-19) caused by SARS-CoV2 virus was first identified and reported in 2019 by the people’s Republic of China in Wuhan and declared a pandemic disease in march 2020. Since then, the disease has continued to spread to the rest of the communities in the world and Kabarole district in Uganda has not been spared. The need to promote effective COVID-19 Response Interventions through a capacity-building project of health workforce in Kabarole and Uganda in general was ostensible. The effective COVID-19 interventions strengthened among Virika Hospital Health workforce were, enhanced risk communication by health workers and Community engagements through Social mobilisation. In this paper, we share how a capacity building project for health workforce at Virika Hospital, Kabarole district Uganda, contributed to the reduction of community COVID-19 transmission and death as a result of increased levels of awareness of the risk by Health workers and community. Methods: This was a hospital-based project initiated by the Hospital nursing officer and the administration soliciting technical support from Kabarole District Surveillance Health office. It targeted hospital technical and support staff. At community, the Village Health Team and Village chairpersons were targeted and drawn from 5 randomly selected parishes. Risk communication practice was done using five FM Radio stations and King TV station in Fort Portal City. Results: A health workforce capacity of 60 staff was built, 92% technical and 8% support staff. Skills in Risk communication were acquired by the health workforce through Radio presentations that followed 3 workshop sessions at the hospital. Sessions on infection prevention and control were dominated by demonstrations and return demonstrations on hand hygiene and use of PPEs in COVID-19 prevention. Through dialogue meetings with the VHTs and community leaders, the community was empowered on early detection and reporting of COVID-19 Alert simulations. Despite the enhanced health workforce capacity however, inadequate PPEs was noted as a limiting factor amidst good workforce risk response competencies built. Conclusion: The enhanced health workforce capacity with effective Response interventions like risk communication, Infection Prevention and Control and community engagement, contributed to reduction in community Covid-19 transmission In Kabarole District. This could ensure a long term and sustained response capacity to any other emerging infections in the district.
在乌干达卡巴罗尔区Virika医院卫生工作人员中促进有效的COVID-19应对干预措施
简介:2019年,中华人民共和国在武汉首次发现并报告了由SARS-CoV2病毒引起的新型冠状病毒病(新冠肺炎),并于2020年3月宣布为大流行性疾病。自那以后,这种疾病继续蔓延到世界其他社区,乌干达的卡巴罗莱区也未能幸免。表面上有必要通过卡巴罗莱和乌干达的卫生工作人员能力建设项目促进有效的新冠肺炎应对措施。在Virika医院卫生工作人员中加强的有效新冠肺炎干预措施是,通过社会动员加强卫生工作者的风险沟通和社区参与。在这篇论文中,我们分享了乌干达Kabarole区Virika医院的卫生工作者能力建设项目如何由于卫生工作者和社区对风险的认识水平提高而有助于减少社区新冠肺炎传播和死亡。方法:这是一个由医院护理官员和行政部门发起的以医院为基础的项目,向卡巴罗勒地区监测健康办公室寻求技术支持。它针对的是医院的技术和支持人员。在社区,村卫生队和村主席是从5个随机选择的教区中挑选出来的。风险沟通实践使用了五家调频广播电台和Fort Portal市的King电视台。结果:建立了一支由60名工作人员、92%的技术人员和8%的支持人员组成的卫生队伍。卫生工作人员通过在医院举行的3次研讨会后进行的广播演讲获得了风险沟通技能。关于感染预防和控制的会议主要是关于新冠肺炎预防中手卫生和个人防护用品使用的演示和返回演示。通过与VHT和社区领导人的对话会议,社区获得了早期发现和报告新冠肺炎警报模拟的权力。然而,尽管卫生工作人员的能力有所提高,但在建立良好的工作人员风险应对能力的过程中,个人防护用品不足是一个限制因素。结论:通过风险沟通、感染预防和控制以及社区参与等有效应对干预措施,提高了卫生工作人员的能力,有助于减少卡巴罗莱区新冠肺炎的社区传播。这可以确保对该地区任何其他新出现的感染具有长期和持续的应对能力。
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