Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Faculty of Education and Health Sciences, School of Medicine, University of Limerick, Limerick, Ireland.
Front Public Health. 2022 Jun 9;10:835330. doi: 10.3389/fpubh.2022.835330. eCollection 2022.
BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has exposed the public health preparedness and response system across the world. The current study was conducted to gauge the perception of public health professionals of Indian Technical and Economic Cooperation (ITEC) countries regarding the preparedness and responses of their countries in mitigating the COVID-19 pandemic. METHODOLOGY: Three capacity-building programs, namely "Managing COVID-19 Pandemic-Experience and Best practices of India" were conducted by PGIMER, Chandigarh, for public health professionals from ITEC countries from April to May 2021 in which 97 participants from 13 countries have participated. The tools used in the study were adapted from WHO's COVID-19 Strategic Preparedness and Response (SPRP), Monitoring and Evaluation Framework, interim guidelines for Critical preparedness, readiness and response actions for COVID-19, and a strategic framework for emergency preparedness, and finalized using Delphi technique. The overall preparedness of managing COVID-19 was rated using five-point Likert scale, whereas the overall score for the country in combating the COVID-19 pandemic was assessed using 10 point scale. RESULTS: We found that the perception of public health professionals to government response regarding COVID-19 for fostering improvement on COVID-19 situation was "moderate" with respect to transmission and surveillance mechanism, uniform reporting mechanism, and availability of adequate personal protective equipment (PPE) for health workers. However, the participants rated government response as "poor" in the availability of multisectoral national operational plan, human resource capacity, availability of trained rapid response team (RRT), preparedness in prevention and clinical management, training of healthcare workers, communication and community engagement strategies, facilities to test samples of patients, and transparent governance and administration. CONCLUSION: A poor level of preparedness of countries in diverse domains of managing the COVID-19 pandemic was observed. As the global threat of COVID-19 is still looming, great efforts on building a robust preparedness and response system for COVID-19 and similar pandemics are urgently required.
背景：2019 年冠状病毒病（COVID-19）大流行暴露了全世界的公共卫生准备和应对系统。本研究旨在评估印度技术经济合作（ITEC）国家公共卫生专业人员对其国家在减轻 COVID-19 大流行方面的准备和应对情况的看法。
方法：2021 年 4 月至 5 月，PGIMER，昌迪加尔为来自 ITEC 国家的公共卫生专业人员举办了三个能力建设项目，即“管理 COVID-19 大流行-印度的经验和最佳实践”，共有来自 13 个国家的 97 名参与者参加。研究中使用的工具改编自世界卫生组织的 COVID-19 战略准备和应对（SPRP）、监测和评估框架、COVID-19 关键准备、就绪和应对行动的临时指南以及紧急准备的战略框架，并使用德尔菲技术最终确定。使用五点李克特量表评估管理 COVID-19 的整体准备情况，而使用 10 分制评估国家在抗击 COVID-19 大流行方面的整体得分。
结果：我们发现，公共卫生专业人员对政府应对 COVID-19 的看法是“适度的”，认为政府在传播和监测机制、统一报告机制以及为卫生工作者提供足够的个人防护设备（PPE）方面有所改善。然而，参与者认为政府在多部门国家行动计划、人力资源能力、培训有素的快速反应小组（RRT）的可用性、预防和临床管理准备、医护人员培训、沟通和社区参与策略、测试患者样本的设施以及透明的治理和管理方面的反应不佳。
结论：我们观察到各国在管理 COVID-19 大流行的各个领域的准备水平较差。由于 COVID-19 的全球威胁仍然迫在眉睫，因此迫切需要努力建立一个强大的 COVID-19 和类似大流行的准备和应对系统。
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