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Background: Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenges, as well as strategies.
Materials And Method: The data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method.
Results: PHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID-19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information.
Conclusion: The results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918305 | PMC |
http://dx.doi.org/10.4103/jehp.jehp_1463_23 | DOI Listing |
JMIR Public Health Surveill
September 2025
Center of Indigenous Health Care, Department of Community Health, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.
Background: The COVID-19 pandemic has devastated economies and strained health care systems worldwide. Vaccination is crucial for outbreak control, but disparities persist between and within countries. In Taiwan, certain indigenous regions show lower vaccination rates, prompting comprehensive inquiries.
View Article and Find Full Text PDFEpidemiol Serv Saude
September 2025
Universidade Federal de Pelotas, Pelotas, Programa de Pós-Graduação em Odontologia, Pelotas, RS, Brazil.
Objective: To analyze the use of teledentistry in Primary Healthcare in Brazil at the end of the second year of the COVID-19 pandemic.
Methods: Cross-sectional study with dentists and dental surgeons in Primary Healthcare. Study data were obtained through an online form.
Crit Care Sci
September 2025
Universitätsklinikum Carl Gustav Carus - Dresden, Sachsen, Germany.
The PROtective VEntilation (PROVE) Network is a globally-recognized collaborative research group dedicated to advancing research, education, and collaboration in the field of mechanical ventilation. Established to address critical questions in intraoperative and intensive care ventilation, the network focuses on improving outcomes for patients undergoing mechanical ventilation in diverse settings, including operating rooms, intensive care units, burn units, and resource-limited environments in low- and middle-income countries. The PROVE Network is committed to generating high-quality evidence through a comprehensive portfolio of investigations, including randomized clinical trials, observational research, and meta-analyses.
View Article and Find Full Text PDFCien Saude Colet
August 2025
School of Public Health, Harvard University. Boston Estados Unidos.
In this multicenter, cross-sectional and quantitative study we evaluated the influence of urban violence and COVID-19 on the work process and team rapport of community health workers (CHWs) in eight municipalities of Northeastern Brazil. The collected information covered sociodemographics, work routines, exposure to violence, self-efficacy and coronavirus anxiety. A logistic regression was performed using as outcome variable the answer to the question: "Do you think your team work process changed during the pandemic?" The sample included 1,944 CHWs, of whom 56.
View Article and Find Full Text PDFRev Bras Enferm
September 2025
Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
Objectives: to highlight the strategies adopted by hospital managers in reorganizing managerial and care processes at a public university hospital in response to the COVID-19 pandemic.
Methods: this is a single-case, cross-sectional, descriptive study with a qualitative approach. Data collection was conducted through document analysis and interviews with managers between March and June 2022, with an average duration of 30 minutes.