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. 2022 Aug:25:100514.
doi: 10.1016/j.lanwpc.2022.100514. Epub 2022 Jul 5.

Lessons from the frontline: The COVID-19 pandemic emergency care experience from a human resource perspective in the Pacific region

Claire E Brolan  1   2 , Sarah Körver  3 , Georgina Phillips  4   5 , Deepak Sharma  6 , Lisa-Maree Herron  1 , Gerard O'Reilly  4   7 , Rob Mitchell  4   8 , Mangu Kendino  9 , Penisimani Poloniati  10 , Berlin Kafoa  11 , Megan Cox  12   13   14
Affiliations

Lessons from the frontline: The COVID-19 pandemic emergency care experience from a human resource perspective in the Pacific region

Claire E Brolan et al. Lancet Reg Health West Pac. 2022 Aug.

Abstract

Background: This study explores emergency care (EC) and other frontline healthcare worker (HCW) experiences responding to the COVID-19 pandemic in the Pacific region. The crisis has reinforced the crucial role well-trained, resourced, and supported EC providers play in supporting vital health systems and services in all global regions not only during 'business as usual' periods, but in times of tremendous stress and surge.

Methods: Qualitative data were collected from EC providers and relevant stakeholders in three research phases in 2020 and 2021. Data on the World Health Organization's (WHO) Human Resources Building Block, adapted for the Pacific EC context, was thematically analysed. Key findings were further analysed to identify enablers and barriers to effective EC pandemic management.

Findings: 116 participants from across the Pacific region participated in this study. Five themes emerged: (1) EC providers performed multiple pandemic roles; (2) Importance of authorities' valuing frontline HCWs; (3) HCW mental health and exhaustion; (4) HCW tension managing stigma, personal/professional expectations, and chronic health needs; and (5) Building health and human resource capacity.

Interpretation: This study significantly contributes to the limited scientific literature on HCW experiences responding to COVID-19 across the Pacific. Recommendations arising out of this research align with consensus priorities and standards that were identified pre-pandemic by health stakeholders across the Pacific for enhancing EC system development. With limited HCWs available for many Pacific nations, it is imperative the dignity and welfare of local HCWs is genuinely prioritised.

Funding: Epidemic Ethics/WHO, Foreign, Commonwealth and Development Office/Wellcome Grant 214711/Z/18/Z. Co-funding: Australasian College for Emergency Medicine Foundation, International Development Fund Grant.

Keywords: COVID-19; Emergency care; Health system building blocks health; Health workforce; Healthcare workers; Human resources; Pacific; Pacific region; Pandemic; health system strengthening.

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Conflict of interest statement

MC, GP, RM and GOR declare they are recipients of International Development Fund Grants from the Australasian College for Emergency Medicine Foundation. GP reports past research funding from the Pacific Community (SPC) and visiting Faculty status at the University of Papua New Guinea and Fiji National University. Additionally, RM reports grants from the Australian Government Department of Foreign Affairs and Trade as well as scholarships from the National Health and Medical Research Council (NHMRC) and Monash University. GOR reports that he is the recipient of an NHMRC Early Career Research Fellowship. CEB reports past research consultancy funding from SPC.

Figures

Figure 1
Figure 1
WHO health system building blocks, adapted for the Pacific EC context and this qualitative research project.
Figure 2
Figure 2
The multiple roles held by EC providers in a pandemic.
See this image and copyright information in PMC

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References

    1. Guillén E, Buissonnière M, Lee CT. From lionizing to protectinghealth care workers during and after COVID-19 – systems solutions for human tragedies. Int J Health Plann Manag. 2021;36:20–25. - PMC - PubMed
    1. WHO . World Health Organization; Geneva: 2006. The World Health Report 2006: Working Together for Health.https://www.who.int/whr/2006/whr06_en.pdf Available.
    1. Phillips G, Creaton A, Airdhill-Enosa P, et al. Emergency care status, priorities and standards for the Pacific region: a multiphase survey and consensus process across 17 different Pacific Island countries and territories. Lancet Reg Health - West Pac. 2020;1(1) - PMC - PubMed
    1. Sasser S, Varghese M, Kellermann A, Lormand JD. World Health Organization; Geneva: 2005. Prehospital Trauma Care Systems.https://www.who.int/violence_injury_prevention/publications/services/391... Available from.
    1. Dutta U, Sachan A, Premkumar M, et al. Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study. BMJ Open. 2021;11(2) - PMC - PubMed