Health personnel experiences on implementation of protocols for protection against COVID-19 in Argentina
Keywords:
COVID-19, health personnel, personal protective equipment, working environment, Argentina.
Abstract
During the COVID-19 pandemic, health personnel (HP) faced changes in their working conditions due to exposure to the virus and increased demand for attention. This study inquires on the experiences and perceptions of HP in Argentina about the implementation of protocols for their protection. A survey including information on sociodemographic characteristics, protocols, resources and psychological aspects was performed for HP all over the country. Two thousand and ten surveys were analyzed: 76.4% female, mean age 43 years old, 35% physician, 72.7% public institutions. Hours of work increased for 37.2%, 22.5% had at least one risk factor, of which 20.4% had leave or re-assigned tasks. Protocols about use of personal protective equipment (PPE) were established by 91% of institutions and less frequently about other topics. Clarity of protocols was well valueted, and in 60.8% of cases trainament was performed. Approval about access and quality of PPE was variable, with better performance on private institutions. 60.4% HP had to obtain PPE by their own means. 48.4% participants followed protocols on PPE, being this variable according to groups of risk. The global index for institutional valuation was 6.45/10 (CI 95%, 6.38-6.53). HCP expressed fear or anxiety in 87.2% cases, and this was related to worse communication with superiors and worse institutional valuation. This study raises difficulties on the implementation of new protocols and the need to reinforce efforts on resources and institutional organization, to improve working conditions for HP.
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6. World Health Organization. Coronavirus disease (COVID-19) outbreak: Rights, roles and responsibilities of health workers, including key considerations for occupational safety and health: Interim guidance. WHO, 2020.
7. Schwartz J, King CC, Yen MY. Protecting Healthcare Workers During the Coronavirus Disease 2019 (COVID-19) Outbreak: Lessons From Taiwan's Severe Acute Respiratory Syndrome Response. Clin Infect Dis 2020 Jul 28; 71(15):858-860. DOI: 10.1093/cid/ciaa255
8. Duré ML, Cadile MC. La gestión de recursos humanos en salud en Argentina. Una estrategia de consensos 2008-2015. En: https://docs.bvsalud.org/biblioref/2018/06/904960/2015_ms_arg_gestion_rhs_arg-1.pdf; consultado junio 2021.
9. Moralejo D, El Dib R, Prata RA, Barretti P, Corrêa I. Improving adherence to Standard Precautions for the control of health care-associated infections. Cochrane Database Syst Rev 2018, Issue 2. Art. No.: CD010768. DOI:10.1002/14651858.CD010768.pub2.
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11. Navarro Pérez P, Contreras Sánchez AJ, Junco Gómez MC, et al. Análisis de la distribución geográfica de médicos especialistas en la república argentina noviembre, 2015. OPS, 2015. En: https://docs.bvsalud.org/biblioref/2018/05/884869/2015_ops_ms_arg_eadp_demo_medica_argentina-1.pdf; consultado junio 2021.
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14. Ministerio de Salud, Argentina. Recomendaciones para el uso de los EPP. En: https://www.argentina.gob.ar/salud/coronavirus-COVID-19/recomendaciones-uso-epp; consultado mayo 2020.
15. Kruk ME, Myers M, Varpilah ST, Dahn BT. What is a resilient health system? Lessons from Ebola. Lancet 2015; 385(9980): 1910-1912.
16. Lotta G, Fernandez M, Corrêa M. The vulnerabilities of the Brazilian health workforce during health emergencies: Analysing personal feelings, access to resources and work dynamics during the COVID-19 pandemic. Int J Health Plann Mgmt 2021; 36: 42-57. DOI: 10.1002/hpm.3117.
17. Silberman P. Políticas de planificación y gestión del talento humano del Ministerio de Salud de Argentina durante la pandemia de COVID-19. Rev Argent Salud Pública 2020; 12 Supl COVID-19: e11.
18. Felice C, Di Tanna GL, Zanus G, Grossi U. Impact of COVID-19 outbreak on healthcare workers in Italy: results from a national e-survey. J Community Health 2020; 45(4):675-83. En: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242177/; consultado agosto 2020.
19. Ortiz Z, Antonietti L, Capriati A, et al. Preocupaciones y demandas frente a covid-19. Encuesta al personal de salud. Medicina (B Aires) 2020; 80 (Supl. III): 16-24 En: https://www.medicinabuenosaires.com/revistas/vol80-20/s3/16.pdf; consultado enero 2020.
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21. Zhang M, Zhou M, Tang F, et al. Short report. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect 2020. 105: 183-187. https://doi.org/10.1016/j.jhin.2020.04.012.
22. Silva AP, Aguirre MF, Ballejo C, et al. Seroprevalencia de infección por SARS-CoV-2 en personal de salud de la Región Sanitaria VIII, provincia de Buenos Aires, Argentina. Rev Argent Salud Pública 2020; 12 Supl COVID-19:e14. Publicación electrónica 19 Nov 2020.
23. Castro HM, Canale HL, Ferreyro BL, et al. Características clínicas de la enfermedad por coronavirus 2019 en un centro de Argentina. Cohorte retrospectiva. Medicina (B Aires) 2020; 80 (Supl 6): 35-43.
24. Chomali M, Guell M, Hervé B, et al. Impacto de la primera ola pandémica de COVID-19 en el personal de salud en un hospital privado. Rev Med Clin Condes 2021; 32(1) 90-104.
25. Colegio Médico Colombiano. Encuesta de Bioseguridad del personal de la salud y ruta de atención de la pandemia SARS COV2-COVID-19. En: https://epicrisis.org/2020/04/12/encuesta-de-bioseguridad-del-personal-de-la-salud-y-ruta-de-atencion-de-la-pandemia-sars-cov2-covid-19/; consultado mayo 2020.
26. Rearte A, Baldani AEM, Barcena Barbeira P, et al. Características epidemiológicas de los primeros 116974 casos de COVID-19 en Argentina, 2020. Rev Argent Salud Pública 2020; 12 Supl COVID-19:e5.
Published
2022-03-29
How to Cite
Danesi, E., Maltz, T. Y., Blanco, J., Peyran, P., Carbajal de la Fuente, A. L., & Fernández, M. L. (2022). Health personnel experiences on implementation of protocols for protection against COVID-19 in Argentina. Actualizaciones En Sida E Infectología, 30(108). https://doi.org/10.52226/revista.v30i108.118
Section
Original article
