ArticleThe Lancet regional health. Western Pacific2023
Exploring indirect impacts of COVID-19 on local health systems from the perspectives of health workers and higher education stakeholders in the Philippines using a phenomenological approach.
Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Collaboration Between local health authorities and community leaders in health emergency response in low- and middle-income countries: a scoping review of evidence from the COVID-19 era.Archives of public health = Archives belges de sante publique · 2026Article
- An Antimicrobial susceptibility study to compare the in vitro activity of antimicrobial agents in the Philippines against Enterobacterales and Pseudomonas aeruginosa from different infection sites: results from ATLAS surveillance program (2018-2021).BMC infectious diseases · 2026Article
- A qualitative evaluation of access to essential laboratory services for communicable diseases at the primary health care level in the Western Pacific Region.Tropical medicine and health · 2025Article
- Behavioural and social drivers of routine childhood immunization in selected low coverage areas in the Philippines.Global health research and policy · 2025Article
- Roles and experiences of nurses in primary health care during the COVID-19 pandemic: a scoping review.BMC nursing · 2024Article
- A post-COVID-19 assessment of resilience of nurses and paramedical workers in municipal hospitals of urban Pune, India.Journal of family medicine and primary care · 2024Article
- The COVID-19 pandemic's effects on mental and psychosocial health in the Philippines: A scoping review.Global mental health (Cambridge, England) · 2024Article
- Assessing COVID-19 pandemic's impact on essential diabetes care in Manila, the Philippines: A mixed methods study.PLOS global public health · 2024Article
- Strengthening mental health initiatives and care pathways for families affected by the Philippine drug war.The Lancet regional health. Western Pacific · 2023Article
- The influence of a quick educational video intervention on COVID-19-related knowledge in Ecuador.PloS one · 2023Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Our study aimed to explore the experiences of stakeholders from local government units, health facilities and higher education institutions on the delivery of non-COVID-19 health services after the initial wave of the pandemic. Methods: Twenty-nine public health workers, thirteen university staff, and four hospital administrators in the Philippines participated. Using a descriptive phenomenological approach, we analysed transcripts from six focus group discussions conducted online between March and June 2021. Findings: The COVID-19 pandemic made the routine health programs inaccessible due to hesitancy among patients to visit health facilities, a shift in public health priorities, and lack of students to augment the existing workforce.Public health workers reported stress and mental health exhaustion. Apart from fear of infection during service provision, public health workers and university staff experienced work overload, pressure to learn new technology, and webinar fatigue. Mental health problems have surfaced as health workers and young people have become more affected while support services remain insufficient.Public health workers have reported actions to maintain service delivery in the new normal such as use of telehealth and social media. However, issues on workforce wellbeing and digital equity posed adaptation challenges. Participants suggested partnership with higher education institutions as pivotal to position local health systems towards recovery. Interpretation: The rapid change in the service landscape highlights the importance of sustainable partnerships, effective workforce management, equitable digital innovations, and promoting mental wellbeing to preserve community, school, and occupational health and rebuild resilient local health systems in low-resourced areas. Funding: This research is proudly supported by the Australia-ASEAN Council, Australian Government Department of Foreign Affairs and Trade.
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