"This pandemic is not over until it is over everywhere."

 

A commentary by COHRED's Executive Director, Board members, associates and partners published in Think Global Health highlights a complete change is needed in the approach to and funding of global preparedness.

 

Regardless of an increasing provision of vaccines, there are many of the poorest countries, health and research and development (R&D) systems are absolutely lacking to serve the needs of their populations. Although some are privileged to live in countries with effective health research and development systems that can ramp up their responses to such emergencies, many are not. This R&D inequity lies at the core of current and future lost lives.

 

The COVID-19 pandemic underlines the vaccine inequity is ethically wrong. Its continuation for more than two years into the pandemic shows the limits of global solidarity as an effective global public health strategy. For several decades, most LMICs have invested low in their own R&D ecosystems and remain depended on the scientific, and financing efforts of high-income countries to address their R&D requirements which does not solve the long-term problem of inequitable participation in effective R&D and resulting interventions.

 

The two biggest current threats to global health security—pandemics and climate change—require equitable access to R&D and implementation.

 

"Vaccine inequity" should not become "vaccination inequity."

 

R&D equity should become an explicit objective in national and international development and collaboration policy, especially between high- and low- and middle-income countries.

Read more: R&D : More Than Sharing Vaccines

Abstract


The coronavirus disease 2019 (COVID-19) pandemic has subjected the mental health and well-being of Filipino children under drastic conditions. While children are more vulnerable to these detriments, there remains the absence of unified and comprehensive strategies in mitigating the deterioration of the mental health of Filipino children. Existing interventions focus on more general solutions that fail to acknowledge the circumstances that a Filipino child is subjected under. Moreover, these strategies also fail to address the multilayered issues faced by a lower-middle-income country, such as the Philippines. As the mental well-being of Filipino children continues to be neglected, a subsequent and enduring mental health epidemic can only be expected for years to come.

 

Keywords: Mental Health, Philippines, COVID-19, Psychology, Child, Child care, Health services, Social problems

 

Read more: Mental health and well-being of children in the Philippine setting during the COVID-19 pandemic

ABSTRACT

Objective
Generations of colonialism, abuse, racism, and systemic trauma have contributed to Indigenous women in Canada bearing the greatest burden of substance use in pregnancy. Stigma associated with substance use in pregnancy translates into multiple barriers to women engaging in care. Care providers have key interactions that can act as a bridge or a barrier to care.

Methods
Patient journey maps were created for women living with substance use (n = 3) and semi-structured interviews (n = 20) were performed to understand perceptions of maternity-care providers around women with substance use in pregnancy at a regional hospital in northern British Columbia.

Results
Patient journey maps showed overall emotions of hurt, loss, judgment, and anger at their interface with health care during pregnancy. Providers described gaps in knowledge of substance use in pregnancy and harm reduction. Although care providers overall perceived themselves to be providing compassionate care without bias, the patient journey maps suggested profound judgment on behalf of providers.

Conclusion
Ongoing cultural humility and trauma-informed care training along the continuum of care is critical to impacting discrepancies between perceived lack of bias and harm in patient interactions. Acknowledgment of systemic racism's impact on provision of maternity care is critical for health system change.

Read more: Disconnected perspectives: Patient and care provider's experiences of substance use in pregnancy

 

With the theme “Fostering Research Integrity in an Unequal World”, the conference aims to be relevant to research integrity (RI) stakeholders across all disciplinary fields from the basic and applied natural and biomedical sciences to the humanities and social sciences. RI stakeholders include researchers, institutional leaders, national and international policy makers, funders, among others.


Important dates
Deadline for abstract submission & travel grant applications – 15 October2021
Notifications of acceptance of abstracts & travel grant applications – 15 February 2022
All accepted presenters must register before the deadline of the early registration – 15 March 2022


 

Abstract Submission

General Information
Submission of abstracts is now invited for presentation at the 7th World Conference on Research Integrity (7th WCRI). You may submit a maximum of 3 abstracts.


The abstracts must be written in English. All oral and poster presentations must be given in English and no translation service will be provided during the conference. Oral presentations will be made during concurrent sessions.


Oral presentations by participants in an early stage of their career (< 5 yrs post-education) will be according to the Pecha Kucha format, grouped together in a number of concurrent sessions and be considered for the Presentation Award.


Other oral presentations will be 10 minutes plus 5 minutes for discussion.


Posters will be displayed during the conference. At least one of the authors, preferably the first author, is expected to be in attendance during the poster walk (short pitches and discussion) in which the poster is included and as much as possible during the coffee and lunch breaks.

Read more: Invitation to the 7th World Conference on Research Integrity

Authors : Taylor Johansen (Canada), Emil Ackerman (Finland), Morenike Abidakun (Nigeria), Kushal Kadakia (United Kingdom), Alison Curfman (United States). Reviewed by Laura Lahuerta Valls and Omar Rodríguez Forner (YEL Alumni, Spain)
INTRODUCTION
Digital technologies are being implemented rapidly in healthcare systems around the world, offering potential benefits to streamline care coordination and improve population health. The World Health Assembly Resolution on Digital Health has recognised the value of digital technologies in advancing health aims of its Sustainable Development Goals (WHO, 2021). For example, in the United States, the use of telehealth has grown by 3800% since the beginning of the Covid-19 pandemic (Bestsennyy et al., 2021), which has enabled care continuity despite restrictions on in-person visits to healthcare facilities. However, challenges ranging from adequate coverage to equitable access remain, and must be addressed to avoid unintended consequences. For example, cyber-attacks, data breaches (e.g. the recent ransomware attack on Ireland’s health records (BBC, 2021)), fraud, and abuse (e.g., the rise in false virtual billing claims in the US (Muchmore, 2020)), can all cast a shadow on the successful growth of digital technologies.
Regardless of healthcare system type or geography, similar systemic changes have been observed, from the fourth industrial revolution (Industry 4.0) to increasingly digitally-native generations. Changes in technology availability, consumer habits, environmental needs, and the unrestrained flow of information can all create pressure for healthcare organizations to ride the wave of digitalisation with its attractive promises.
This article offers a simple framework for examining the benefits and drawbacks of digital and technology-driven transformations in healthcare. Selected benefits and drawbacks are discussed within the context of the framework.
THE SOFT FRAMEWORK
Digital transformations will continue to cascade through industries, including healthcare. Each change can itself give rise to a chain of events that can impact user experience, professional scope of practice, accessibility, and so on. With so many potential knock-on effects, which are not always positive, it is useful to organize one’s thoughts when contemplating digital transformation. This article presents the SOFT framework, which we have developed; a tool for operational managers to use in their leadership practice. S.O.F.T stands for SocialOperationalFinancial, and Technical – each, an axis of perspective.
The Social dimension refers to the human factors that should be considered. How will the patient experience change? What will clinicians/employees feel about transformation? Will introducing technological advancement help or hinder human communication and trust? One of healthcare’s fundamental tenets is the establishment of therapeutic relationships between patients and their providers; these nuanced  social dynamics must be considered in relation to digitalisation. The Operational dimension refers to the mechanics of the healthcare business. Will key performance indicators change? Where does digital transformation sit in relation to corporate strategy? In tandem with considering operational logistics, Financial implications must be evaluated. What kind of investment is required? How will short and long-term resource utilization be affected? Finally, Technical scenarios should be played forward. Does the digital transformation compromise data security? Will it cause a digital health equity divide?
Read more: EVALUATING DIGITAL AND TECHNOLOGY-DRIVEN TRANSFORMATIONS IN HEALTHCARE: TAKING THE SOFT APPROACH

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