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Impacts of the COVID-19 pandemic on supervised consumption service delivery in Vancouver and Surrey, Canada from the perspective of service providers.

Discover public health Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.1186/s12982-025-00393-0

Tyson Singh Kelsall, Michelle Olding, Tara Myketiak, Nitasha Puri, Kanna Hayashi, Thomas Kerr, Mary Clare Kennedy

{"title":"Impacts of the COVID-19 pandemic on supervised consumption service delivery in Vancouver and Surrey, Canada from the perspective of service providers.","authors":"Tyson Singh Kelsall, Michelle Olding, Tara Myketiak, Nitasha Puri, Kanna Hayashi, Thomas Kerr, Mary Clare Kennedy","doi":"10.1186/s12982-025-00393-0","DOIUrl":"10.1186/s12982-025-00393-0","url":null,"abstract":"Following the onset of the COVID-19 pandemic, an ever-increasing number of people have died from the toxic drug supply in Canada. Emerging evidence suggests that reduced access to harm reduction services has been a contributing factor. However, the precise impacts of the pandemic on supervised consumption service (SCS) delivery have not been well characterized. The present study sought to explore the impacts of the pandemic on SCS delivery in Vancouver and Surrey, Canada. Between October 2021 and March 2022, in-depth, semi-structured interviews were conducted with staff from two SCS: SafePoint in Surrey (n = 12) and Insite in Vancouver (n = 9). Thematic analysis focused on key changes to SCS delivery after the emergence of the COVID-19 pandemic, with a focus on associated challenges and emergent staff responses. Participants described key challenges as: capacity restrictions hindering service access and compromising care quality; exclusion of frontline staff perspectives from evolving SCS policy and practice decision-making; intensified power dynamics between staff and service users; and modified overdose response procedures, combined with a rise in complex overdose presentations, undermining service accessibility and quality. Emergent staff responses to these challenges included: collective staff organizing for changes to policy; individual frontline staff non-compliance with emerging policies; and staff experiencing burnout in their roles. This study highlights how COVID-19-related changes to service delivery produced challenges for SCS staff and service users, while identifying strategies employed by staff to address these challenges. Additionally, the findings point to opportunities to improve care for people who use drugs during intersecting public health crises.","PeriodicalId":520283,"journal":{"name":"Discover public health","volume":"22 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying influential factors using machine learning techniques on the intention to receive a COVID-19 booster dose and vaccine fatigue among partially vaccinated individuals. 利用机器学习技术识别影响部分接种者接种 COVID-19 加强剂的意愿和疫苗疲劳的因素。

Discover public health Pub Date : 2024-01-01 Epub Date: 2024-11-07 DOI: 10.1186/s12982-024-00276-w

Athina Bikaki, Justin M Luningham, Erika L Thompson, Brittany Krenek, Jamboor K Vishwanatha, Ioannis A Kakadiaris

{"title":"Identifying influential factors using machine learning techniques on the intention to receive a COVID-19 booster dose and vaccine fatigue among partially vaccinated individuals.","authors":"Athina Bikaki, Justin M Luningham, Erika L Thompson, Brittany Krenek, Jamboor K Vishwanatha, Ioannis A Kakadiaris","doi":"10.1186/s12982-024-00276-w","DOIUrl":"https://doi.org/10.1186/s12982-024-00276-w","url":null,"abstract":"This study assesses COVID-19 booster intentions and hesitancy in Texas, a state known for its diversity and libertarian values. A survey was conducted with 274 participants residing in Texas between June and July 2022. The analysis examined sociodemographic and health-related factors, trusted information sources, and preventive behaviors. The survey focused on vaccinated participants and their intention to receive the booster dose, which was categorized into three outcomes: yes, no, and not sure. Machine learning techniques were employed to analyze the survey responses of vaccinated participants to identify the most critical factors. Among the participants, 113 expressed their intention to get the booster (41.2%), 107 did not plan to receive the booster (39.1%), and 54 remained undecided (19.7%). Our findings indicate that the perception of vaccine safety significantly influenced the decision to receive the booster dose. Those who reported trust in social media contacts as reliable information sources were more likely to intend to boost. Additionally, among those hospitalized when diagnosed with COVID-19, the largest proportion were unwilling to receive the booster (47.0%) compared to those who intended to receive the booster (33.3%). In contrast, most of those who believed they would be hospitalized if infected with COVID-19 intended to get the booster. Other factors did not demonstrate a significant association. Our findings are highly transferable and can offer valuable insights, particularly for countries where COVID-19 remains prevalent and are pivotal both presently and in the future for developing strategies to improve booster uptake and shape public health initiatives in epidemic and pandemic outbreaks.","PeriodicalId":520283,"journal":{"name":"Discover public health","volume":"21 1","pages":"174"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health care systems and policies for older adults in Nepal: new challenges for a low-middle income country. 尼泊尔老年人的卫生保健系统和政策：中低收入国家面临的新挑战。

Discover public health Pub Date : 2024-01-01 Epub Date: 2024-12-30 DOI: 10.1186/s12982-024-00382-9

Usha Dhakal, Emily Briceño, Uttam Sharma, Umesh Bogati, Abha Sharma, Lochana Shrestha, Dirgha Ghimire, Carlos F Mendes de Leon

{"title":"Health care systems and policies for older adults in Nepal: new challenges for a low-middle income country.","authors":"Usha Dhakal, Emily Briceño, Uttam Sharma, Umesh Bogati, Abha Sharma, Lochana Shrestha, Dirgha Ghimire, Carlos F Mendes de Leon","doi":"10.1186/s12982-024-00382-9","DOIUrl":"10.1186/s12982-024-00382-9","url":null,"abstract":"Background: Nepal, like other low- and middle-income countries, is experiencing a rapid increase in the number of older adults and the rate of aging in the population. This has increased the number of older adults with age-associated chronic illnesses, which in turn will escalate the demand for specialized healthcare and long-term care in Nepal. However, very little is known regarding the current healthcare system and health policies for older adults in Nepal. In this paper, we aimed to advance this understanding.Methods: We reviewed the existing literature on the health, healthcare system, and policies related to older adults in Nepal.Results: Our findings revealed that older adults have a high prevalence of chronic conditions such as cardiovascular, musculoskeletal, and chronic kidney diseases, and the number of patients with Alzheimer's disease and related dementias is on the rise. Additionally, there is a decline in historical family caregiving for several reasons such as international migration of offspring, and the country currently lacks a skilled geriatric workforce and formal long-term care support and services (LTSS). Together, this has created a challenge in adequately meeting the health and care needs of the older population. Findings also indicated that several geriatric health policies exist in the country, which ensure primarily free healthcare services for older adults. However, economic constraints limit the financial resources to implement these policies, build appropriate care facilities, and improve access and utilization.Conclusion: Therefore, the government must develop sustainable financing to adequately provide quality healthcare and LTSS for older adults as the population ages.","PeriodicalId":520283,"journal":{"name":"Discover public health","volume":"21 1","pages":"256"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0