Effects of COVID-19 in South African health system and society: An explanatory study
Effects of COVID-19 in South African health system and society: An explanatory study
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DOI：
10.1016/j.dsx.2020.09.016
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发表时间：
2020-11-01
影响因子：
10
通讯作者：
Mbunge, Elliot
中科院分区：
文献类型：
--
作者：
Mbunge, Elliot
背景和目的：南非政府低估了新冠肺炎的严重性，导致针对该大流行的行动被推迟。自从世卫组织宣布新冠肺炎为大流行以来，全球范围内的预防行动全面升级。这促使南非当局实施了物理隔离、自我隔离、关闭非必要服务、学校、旅行限制以及反复实施的国家封锁，以减轻新冠肺炎的影响。这项解释性研究试图回顾新冠肺炎在南非卫生系统和社会中的作用。方法：本研究采用文献研究的方法，从国家卫生部、世卫组织、非洲疾控中心的政策，以及谷歌学者、Science Direct、Web of Science、Scope us和PubMeds的文章。结果：南非卫生系统受到PPE缺乏、死亡率增加、心理健康问题、药物滥用、非传染性疾病死灰复燃的影响。国际边界的关闭、全球需求的崩溃、供应中断、封锁期间人类和工业活动的急剧减少都会造成社会经济问题。封锁对心理社会支持服务的长期影响导致不确定性的爆发、急性恐慌、恐惧、抑郁、强迫行为、社会动荡、污名化、焦虑、基于性别的暴力案件增加以及救援食品发放方面的歧视。结论：为减缓新冠肺炎的传播，必须采取大规模检测、接触者追踪、隔离和无症状病例的家庭检疫指南，促进行为改变和食品救助政策的审查。(C)2020年印度糖尿病。爱思唯尔有限公司出版。保留所有权利。
Background and aims: The underestimation of the severity of COVID-19 by the South African government resulted in delayed action against the pandemic. Ever since WHO declared COVID-19 a pandemic preventive action was comprehensively upgraded worldwide. This prompted South African authorities to implement physical distancing, self-isolation, closure of non-essential services, schools, travelling restrictions and recursive national lockdowns to mitigate the impact of COVID-19. This explanatory study sought to review the effects of COVID-19 in the South African health system and society.Methods: The study applied literature research of COVID-19 reports, policies from the National Department of Health, WHO, Africa CDC, and articles from Google Scholar, Science Direct, Web of Science, Scopus and PubMed.Results: The South African health system is affected by the lack of PPEs, increased mortality rates, mental health problems, substance abuse, resurgent of NCDs. The closure of international borders, global demand meltdown, supply disruptions, dramatic scaling down of human and industrial activities during lockdown cause socio-economic problems. The prolonged effects of lockdown on psychosocial support services resulted in the outbursts of uncertainties, acute panic, fear, depression, obsessive behaviours, social unrests, stigmatization, anxiety, increased gender-based violence cases and discrimination in the distribution of relief food aid.Conclusion: To slow down the spread of COVID-19, massive testing must be adopted, contact tracing, isolation, and home quarantine guidelines for asymptomatic cases which promote behavioural change and reviewing of policy on food relief. (C) 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.