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ABSTRACT This article introduces the Discourse of Collective Affirmation (DCA) as a participatory research tool, showcasing its application in understanding and documenting pandemic living experiences within a favela. The resulting DCA, composed of texts and photographs provided by residents, contextualizes the pandemic, illustrates community care practices, highlights challenges faced by children and adolescents, and examines the benefits and difficulties of living with other-than-human animals. By incorporating residents’ texts and images into a discourse that they reviewed and approved, the process expanded the repertoire for understanding pandemic living experiences while facilitating the production of affirmative, informative, and advocacy-oriented material.

RESUMO Este artigo apresenta o Discurso Coletivo de Afirmação (DCA) como ferramenta de pesquisa participativa, exemplificando seu uso para compreender e documentar vivências da pandemia numa favela. O DCA resultante, composto por textos e fotos dos moradores, contextualiza a pandemia, descreve a gestão do cuidado comunitário, identifica desafios particulares com relação a crianças e adolescentes, além de explorar benefícios e dificuldades do convívio com animais outros-que-humanos. A utilização de textos e imagens dos moradores, num discurso revisado e aprovado por eles, aumentou o repertório disponível para aprofundar o conhecimento das vivências da pandemia, além de permitir a produção de um material afirmativo, informativo e reivindicativo.

https://doi.org/10.1590/2358-289820251447912p

Discurso Coletivo de Afirmação sobre vivências da pandemia de covid-19 na favela São Remo
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Baquero, Oswaldo Santos

; Faria, Júlia Amorim

; Silva, Sara Cristina Aparecida da

; Barrientos, Dora Mariela Salcedo

; Germani, Ana Claudia Camargo Gonçalves

; Santos, Gislene Aparecida dos

Saúde em Debate

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Mar 2025, Volumen 49 Nº 144 elocation e7912

Resumen: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/2358-289820251447912p

COVID-19 in patients with severe mental illness: An analysis of in-patients at a psychiatric hospital in Cape Town
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Sablay, Haseena B. Cossie, Qhama Z. Pieterse, Deirdre I.

South African Journal of Psychiatry

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Feb 2025, Volumen 31 Nº 1 Paginas 1 - 11

Resumen: En | Texto: En | PDF: En

BACKGROUND: Psychiatric patients in specialist units are more vulnerable to infections such as SARS-COV-2 (severe acute respiratory syndrome coronavirus 2) because of hospital infrastructure and patients' mental health. AIM: This study aimed to describe the psychiatric and medical profile, and the risk factors associated with more severe disease and clinical outcomes of coronavirus disease 2019 (COVID-19) in patients with severe mental illness (SMI) admitted to a specialist psychiatric hospital in South Africa between 01 April 2020 and 30 September 2021. SETTING: The study was executed at the Vàlkenberg Hospital (VBH), which is a government-funded, specialised psychiatric hospital. The hospital comprises 370 beds made up of 145 forensic service beds and 225 acute service beds. It provides in-patient and out-patient services. METHODS: Demographic and clinical information were collected for all VBH in-patients who tested positive for SARS-COV-2 from 01 April 2020 to 30 September 2021. RESULTS: A total of 254 participants tested positive for SARS-COV-2. The sample comprised 75% (n = 191) males with a mean age of 35.7 years. Most patients were diagnosed with schizophrenia (37%, n = 94), bipolar disorder (21%, n = 54) and schizoaffective disorder (19%, n = 49). Reported comorbidities included nicotine use (71%, n = 181), hypertension (11%, n = 28) and human immunodeficiency virus (7%, n = 18). Most patients (62%, n = 156) were symptomatic for COVID-19. Seven per cent (n = 17) required transfer to a medical ward. Almost all patients (99%, n = 252) recovered and 1% (n = 2) died. CONCLUSION: Contrary to early fears of high mortality among institutionalised SMI patients, most experienced mild COVID-19 illness and recovered. CONTRIBUTION: This descriptive study provided information on in-patients with COVID-19 disease at a specialised psychiatric hospital during the pandemic.

https://doi.org/10.4102/sajpsychiatry.v31i0.2286

Psychiatric nurses' knowledge of COVID-19 within a patient care context: A qualitative study
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Dyonase, Sandisiwe Swanepoel, Isabelle Lippi, Gian

South African Journal of Psychiatry

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Feb 2025, Volumen 31 Nº 1 Paginas 1 - 6

Resumen: En | Texto: En | PDF: En

BACKGROUND: Coronavirus disease 2019 (COVID-19) infection caused unparalleled hastening of the transmission of infection worldwide, commonly affecting healthcare workers' well-being. Nursing staff spend most hours caring for patients and are the first contact that patients utilise when reporting symptoms or receiving treatment. AIM: This study aims to evaluate the knowledge of COVID-19 among psychiatric nurses at a tertiary psychiatric hospital. SETTING: Weskoppies Hospital, Gauteng, South Africa. METHODS: We conducted a qualitative study comprising 14 semi-structured interviews with nurses working at Weskoppies Hospital in South Africa. We used open-ended questions to facilitate the discussion and provide some structure for the interview while still allowing the participants to elaborate freely. The recordings were later transcribed into text. RESULTS: Twenty nurses working full time at the hospital, were recruited for the study. The nurses' knowledge about COVID-19 was summarised into five major themes, each with subthemes: signs and symptoms of COVID-19, risk of contracting the virus, the spread of COVID-19, prevention, and complications. In this study, the majority of participants had relatively good knowledge regarding COVID-19. CONCLUSION: The majority of nurses at the hospital had adequate knowledge about COVID-19 but limited knowledge about the mode of transmission of the infection. Consistently improving healthcare workers' knowledge about infection control measures through training, supplying information and identifying areas for improvement can ultimately enhance patient care and outcomes. CONTRIBUTION: This study sheds light on the value of nurses' understanding of COVID-19, particularly in a psychiatric setting.

https://doi.org/10.4102/sajpsychiatry.v31i0.2344

Mental health and substance use among rehabilitation sciences students during the COVID-19 pandemic
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Ntatamala, Itumeleng Khan, Saajida Chakara, Zenzo

South African Journal of Psychiatry

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Feb 2025, Volumen 31 Nº 1 Paginas 1 - 8

Resumen: En | Texto: En | PDF: En

BACKGROUND: An increase in mental health problems have been documented in health sciences students globally during the coronavirus disease 2019 (COVID-19) pandemic. AIM: This study aimed to determine the prevalence and correlates of mental health problems and substance use among health and rehabilitation sciences (HRS) students during the pandemic. SETTING: The study was conducted at the University of Cape Town, Health Sciences Faculty. METHODS: A cross-sectional study of 113 voluntary undergraduate participants was conducted. Participants completed self-administered electronic questionnaires. Multiple logistic regression analysis was performed to explore the sociodemographic and COVID-19-related determinants of mental health diagnoses. RESULTS: Substance use was common, including alcohol (54.05%), cigarettes and/or tobacco (17.27%), and illicit drugs (5.56%). Below a quarter (23.85%) self-reported a mental health condition in their lifetime and 14.81% in the past 12 months. Diagnoses included major depressive disorders (13.27%) and anxiety disorders (11.50%). A mental health diagnosis in the past 12 months was significantly associated with alcohol use (AOR [adjusted odds ratio] = 4.02, 1.06-15.23), prescription medication used to manage academic/social stress (AOR = 5.74, 1.68-19.69), COVID-19 diagnosis (AOR = 5.51, 1.60-18.92) and physiotherapy programme (AOR = 12.35, 1.21-126.44). Barriers to accessing mental health support included academic commitments (61.90%) and the lack of time to attend student wellness services (36.19%). CONCLUSION: The self-reported prevalence of mental health problems and substance use among HRS students was high during the pandemic. CONTRIBUTION: Institutional and public health measures should address modifiable risk factors and barriers to accessing mental health support amongst students.

https://doi.org/10.4102/sajpsychiatry.v31i0.2376

The impact of the COVID-19 pandemic on forensic pathology services in Limpopo province, South Africa
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Mamashela, Thakadu A. Ntuli, Samuel T.

South African Family Practice

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Feb 2025, Volumen 67 Nº 1 Paginas 1 - 4

Resumen: En | Texto: En | PDF: En

BACKGROUND: To evaluate the effects of coronavirus disease 2019 (COVID-19) and the preventative measures taken, especially how they affect forensic pathology services in rural South Africa. METHODS: This retrospective analysis includes referred post-mortem cases from all forensic pathology services in Limpopo province, comparing the period before the COVID-19 pandemic (01 January 2019 to 31 December 2019) with the pandemic period (01 January 2020 to 31 December 2020). Data analysis was performed using STATA 16.0 software (StataCorp; College Station, TX). Chi-square test was employed for comparison, with a p-value < 0.05 deemed statistically significant. RESULTS: Approximately 9319 cases were submitted for post-mortem examinations, with 4857 occurring before the pandemic and 4462 during it, marking an 8.1% decrease. There was a decrease in the number of unnatural death cases, while the instances of natural deaths rose. Cases under investigation saw a notable increase. There was a marked decrease in referrals for forensic examinations across all districts. In addition, except for one facility, there was a decline in the number of cases sent for autopsies at all facilities. CONCLUSION: In conclusion, forensic pathology services in this province had been severely disrupted by the COVID-19 outbreak and the lockdown that followed, especially in the tertiary hospital. It has led to new challenges for case management and necessitated changes to operating procedures. CONTRIBUTION: It has required modifications to operational procedures and has introduced various challenges in case management.

https://doi.org/10.4102/safp.v67i1.6038

Final-year students' perceptions of online integrated primary care learning
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Ruch, Aviva Francis, Joel George, Ann Z.

South African Family Practice

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Feb 2025, Volumen 67 Nº 1 Paginas 1 - 9

Resumen: En | Texto: En | PDF: En

BACKGROUND: Integrated primary care (IPC) is a final-year medical subject at the University of the Witwatersrand, Johannesburg, South Africa. It focusses on primary health care training. The coronavirus disease 2019 (COVID-19) pandemic exacerbated existing decentralised training challenges, including standardisation and patient exposure. This study explored IPC students' experiences and perceptions of online learning during the COVID-19 pandemic. METHODS: This explanatory-sequential mixed-methods study was informed by the technology acceptance model, community of inquiry model and self-regulated learning theory. A cross-sectional online survey was followed by focus group discussions (FGDs) (n = 2 and n = 3, respectively). All 316 medical students in the 2021 cohort were eligible to participate. Closed-ended survey responses were analysed using descriptive and inferential statistics. Open-ended responses were analysed using content analysis. The FGDs were thematically analysed. RESULTS: The survey response rate was 52% (n = 164/316). Most students found the online content easily accessible (93.3%) and logically organised (80.0%). The course structure and organisation, and the range of online activities offered were the main features that supported learning. The main challenges included the content not being comprehensive and the difficulty of learning patient management from online content. Suggested improvements related to the course design and ways students and instructors can maximise the affordances of the online course. CONCLUSION: Acknowledging the limitations of learning clinical content online, the participants felt the course supported their learning. Our findings suggest that well-designed online content can augment clinical learning. CONTRIBUTION: This study contributes to the discourse on the value of online learning for clinical teaching.

https://doi.org/10.4102/safp.v67i1.6034

Seroprevalencia de infección por SARS-CoV-2 en personal de salud del Gran Santa Fe (Argentina) durante la pandemia de COVID-19
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Nilva, Gabriela

; Wettstein, Magalí

; Márquez, Gonzalo

; Garate, Ma. Verónica Vera

; Barrientos, Triana

; Fernández, Hugo

; Zerbini, Elsa

; Montemaggiore, Sandra

; Camuzzi, Beatriz

; Perig, Liliana

; Cisterna, Silvina

; Degiovanni, Gabriela

; Rico, Marina

; Bertona, María Lilian

; Rey, Carolina

; Argaraña, Fernanda

; Rigo, Laura

; Ulmari, Liliana

; Kusznierz, Gabriela

Horizonte Médico (Lima)

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Ene 2025, Volumen 25 Nº 1 elocation 2923

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT Objective: To estimate the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection through antibody detection among healthcare personnel (HP) in Gran Santa Fe (Argentina) during virus sustained circulation and remission phases. Materials and methods: A longitudinal, population-based, seroepidemiological study was conducted. The target population consisted of HP working in secondand third-level public health centers in the Gran Santa Fe region. The sample comprised 600 active health workers, proportionally distributed across selected health centers. A self-administered questionnaire collected data on sociodemographic, occupational, clinical and exposure variables of interest. IgG and IgM antibodies to SARS-CoV-2 were detected from serum samples using indirect enzyme-linked immunoassays. Results: The prevalence of IgG antibodies to SARS-CoV-2 was 7.6 times higher during the virus circulation phase compared to the remission phase (2.1 % vs. 15.9 %, respectively), while no IgM antibodies were detected. Regarding the level of workplace exposure risk, the highest cumulative prevalence, 26.7 %, was observed in the high-risk group (workers in direct contact with patients and "assigned to the Intensive Care Unit [ICU]" or "assigned to the COVID-19 Area" or "assigned to the Emergency Department"). Nearly one-third of workers reported inconsistent use of recommended personal protective equipment (PPE), and fewer than 10 % reported full adherence to PPE guidelines, regardless of the level of exposure risk. The seroprevalence among HP who reported no symptoms since the beginning of the Aislamiento Social Preventivo y Obligatorio (Preventive and Mandatory Lockdown) was 12.3 % during the remission phase, compared to 10.0 % among HP with a history of negative RT-PCR results (p < 0.05). Conclusions: Complementing passive epidemiological surveillance with active serological surveillance using simple and cost-effective tests is important for accurately tailoring mitigation strategies in vulnerable populations such as HP.

RESUMEN Objetivo: Estimar la prevalencia de infección por el coronavirus del síndrome respiratorio agudo grave de tipo 2 (SARS-CoV-2) mediante la determinación de anticuerpos en Personal de Salud (PS) del Gran Santa Fe (Argentina), en una fase de circulación viral sostenida y una fase de remisión. Materiales y Métodos: Se realizó un estudio longitudinal, seroepidemiológico y de base poblacional. La población objetivo estuvo constituida por el PS que se desempeñó en establecimientos de salud del subsector público, de segundo y tercer nivel, dentro del Gran Santa Fe. El tamaño muestral fue de 600 trabajadores de la salud activos, distribuidos proporcionalmente entre los establecimientos de salud seleccionados. Se aplicó un cuestionario autoadministrado para obtener datos sobre variables sociolaborales, clínicas y de exposición de interés. La detección de anticuerpos IgG e IgM anti-SARS-CoV-2 se realizó a partir de muestras de suero, mediante ensayos inmunoenzimáticos indirectos. Resultados: La prevalencia de IgG anti-SARS-CoV-2 fue 7,6 veces mayor en la fase de circulación viral respecto a la fase de remisión (2,1 % vs. 15,9 %, respectivamente); no se detectó IgM. Respecto al nivel de riesgo de exposición en el ámbito laboral, la mayor prevalencia acumulada se registró en el grupo de alto riesgo (tiene contacto con pacientes y "trabaja en la Unidad de Cuidados Intensivos [UCI]" o "trabaja en Área COVID-19" o "trabaja en Emergencia"), con 26,7 % de casos reactivos. Casi un tercio de los trabajadores señaló no usar siempre los equipos de protección personal recomendados y menos del 10 % declaró haberlos usado en su totalidad, independientemente del nivel de riesgo de exposición. La seroprevalencia en PS que no reportó síntomas desde el inicio del Aislamiento Social Preventivo y Obligatorio fue del 12,3 % en la fase de remisión, y del 10,0 % en aquellos trabajadores con antecedente de resultado RT-PCR negativo (p < 0,05). Conclusiones: Complementar la vigilancia epidemiológica pasiva con la vigilancia serológica activa mediante ensayos sencillos y económicos es importante para adecuar eficazmente las estrategias de mitigación en poblaciones vulnerables como el PS.

https://doi.org/10.24265/horizmed.2025.v25n1.03

O percurso e a atuação criativa e educativa de uma ilustradora
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Borges Porto-Oliveira, Edileusa

; Borges Formiga Sobrinho, Asdrúbal

Revista de Psicología (PUCP)

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Ene 2025, Volumen 43 Nº 1 Paginas 404 - 437

Résumé: Le développement du potentiel créatif peut être influencé par des aspects liés à l’individu lui-même et à ses expériences tout au long de la vie. L’étude visait à identifier et à analyser les aspects liés au parcours et à la performance créative et pédagogique d’une illustratrice, en mettant l’accent sur le rôle de l’enseignant. Le contenu des « lives » pour enseigner le dessin a été utilisé, en période de pandémie de Coronavirus, ainsi qu’un entretien semi-directif. Les résultats ont mis en évidence des singularités dans le développement et l’expression du dessin, et dans la manière de l’enseigner: les combinaisons entre le nouveau et l’adapté dans l’enseignement et l’apprentissage du dessin; la tension entre les règles de conception et la liberté de créer; le double rôle des modèles comme éléments inhibiteurs et déclencheurs du processus de création.

Resumo: O desenvolvimento do potencial criativo pode ser influenciado por aspectos relacionados ao próprio indivíduo e por suas experiências ao longo da vida. O estudo teve como objetivo identificar e analisar aspectos relacionados ao percurso e à atuação criativa e educativa de uma ilustradora, com foco no papel de professora. Foi utilizado o conteúdo das “lives” para ensinar desenho, no período de pandemia do Coronavírus, e uma entrevista semiestruturada. Os resultados evidenciaram singularidades no desenvolvimento e na expressão no desenho, e na forma de ensiná-lo: combinações entre o novo e o adaptado no ensino e aprendizagem de desenho; tensão entre regras para desenhar e liberdade para criar; duplo papel de modelos como elementos inibidores e disparadores do processo de criação.

Resumen: El desarrollo del potencial creativo puede ser influenciado por aspectos relacionados con el propio individuo y por sus experiencias a lo largo de la vida. El estudio tuvo como objetivo identificar y analizar aspectos relacionados a la trayectoria y a la actuación creativa y educativa de una ilustradora, centrándose en el papel del profesor. Fue utilizado el contenido de las “lives” para enseñar dibujo, en el período de pandemia del Coronavirus, y una entrevista semiestructurada. Los resultados evidenciaron singularidades en el desarrollo y expresión en el dibujo, y en la forma de enseñarlo: combinaciones entre lo nuevo y lo adaptado en la enseñanza y aprendizaje del dibujo; tensión entre reglas para dibujar y la libertad para crear; doble papel de modelos como elementos inhibitorios y desencadenantes del proceso de creación.

Abstract: The development of creative potential can be influenced by aspects related to the individual himself and his experiences throughout life. The study aimed to identify and analyze aspects related to the path of creative and educational performance of an illustrator, focusing on the role of the teacher. The content of the lives to teach drawing, in the period of the Coronavirus pandemic, and a semi-structured interview were used. The results showed uniqueness in the development and expression in drawing, and in the way of teaching it: combinations between the new and the adapted in teaching and learning of drawing; tension between rules to design and freedom to create; ambivalent role of models as inhibiting and triggering the creation process.

https://doi.org/10.18800/psico.202501.014

10.

Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
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Vilas-Boas, Vanessa Aparecida

; de Moraes, Pedro Antonio Teodoro

; de Lolo, Marcela Grispino Vieira Torres

; Guirardello, Edinêis de Brito

; de Freitas, Maria Isabel Pedreira

einstein (São Paulo)

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2025, Volumen 23 elocation eAO0951

Resumen: En | Texto: En | PDF: En

ABSTRACT Objective: Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic. Methods: Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidemiological indicators of healthcare-associated infection in the state. Data on monthly alcohol-based sanitizer use were collected from the intensive care units of public and private general hospitals of the municipality. Analysis was conducted using descriptive statistics and graphically with run charts. The Mann-Whitney test was applied to compare the median consumption of public and private hospitals, at a 5% significance level. Results: Adult, neonatal and pediatric intensive care units showed median increases in hand sanitizer use of 34.03 to 57.64, 31.53 to 48.66 and 34.38 to 60.35mL/patient-day, respectively. Private hospitals showed greater hand sanitizer use in the adult and pediatric intensive care units compared to public institutions. Conclusion: The pandemic contributed to increasing hand sanitizer use in municipal intensive care units, but there is still room for improvement. More effort is needed to ensure that hand sanitizer use remains high.

https://doi.org/10.31744/einstein_journal/2025ao0951

11.

The adoption of telemedicine by healthcare practitioners in South Africa
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Cullen, Margaret Calitz, Andre Boucher, Sasha Buddan, Prashna

Acta Commercii

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2025, Volumen 25 Nº 2 Paginas 1 - 15

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ORIENTATION: Telemedicine plays an important role in patient-centred healthcare, diagnosing and treating diseases and developing treatment plans. It includes both provider-to-provider and provider-to-patient communication, which can be synchronous (telephone and video) or asynchronous (messaging and electronic consultations. RESEARCH PURPOSE: The coronavirus disease 2019 pandemic sparked interest and awareness of telemedicine; however, there is a need to explore the adoption of telemedicine in the context of South Africa. This study examined South African healthcare practitioners' adoption of telemedicine using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. MOTIVATION FOR THE STUDY: The adoption of telemedicine by healthcare practitioners in South Africa has not been extensively researched. RESEARCH DESIGN, APPROACH AND METHOD: A positivistic approach using quantitative methods of analysis was adopted. The target population was registered healthcare practitioners practising in South Africa and 96 healthcare practitioners participated in the study. MAIN FINDINGS: The study established that the independent factors of Performance Expectancy, Facilitating Conditions, Social Media Technology and Attitude all have a significant positive relationship with the dependent factor, Behavioural Intention to adopt telemedicine. PRACTICAL AND/OR MANAGERIAL IMPLICATIONS: The need for healthcare practitioners to be trained in telemedicine technology is an essential prerequisite for its adoption. CONTRIBUTION AND/OR VALUE-ADD: Gender significantly influenced the dependent factor, behavioural intention to adopt telemedicine. Males rated the behavioural intention more positively than females. The theoretical contribution of the study is the extension of the UTAUT model for telemedicine adoption.

https://doi.org/10.4102/ac.v25i2.1329

12.

Implicações psicossociais da covid-19 em comunidades tradicionais pesqueiras: a luta das mulheres pescadoras artesanais do Brasil
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Félix-Silva, Antônio Vladimir

; Gomes, Camila Batista Silva

; Severo, Ana Kalliny de Sousa

; Amorim, Ana Karenina de Melo Arraes

Interface - Comunicação, Saúde, Educação

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2025, Volumen 29 elocation e240519

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O Brasil enfrentou a pandemia de Covid-19 em um contexto de precarização, colocando em risco muitas vidas, notadamente aquelas em vulnerabilidade, como as de mulheres pretas e pardas das comunidades tradicionais pesqueiras. Neste estudo, objetivamos analisar as implicações psicossociais que emergem dos processos de subjetivação e enunciação de pescadoras artesanais por ocasião da pandemia de Covid-19 no território das comunidades pesqueiras do Brasil. No período de março a novembro de 2020, cartografamos esses processos por meio de narrativas discursivas dessas mulheres, diálogos, informações e conteúdos produzidos pelo Grupo Observatório dos Impactos do Coronavírus nas Comunidades Pesqueiras e em redes virtuais públicas. Das análises emergem implicações psicossociais que vão de sofrimento ético-político (violências, racismo ambiental, invisibilidade e desassistência) à ética da alteridade-solidariedade (apoio social, amizade, luto coletivo e luta política).

Brasil enfrentó la pandemia de Covid-19 en un contexto de precarización, poniendo en riego muchas vidas, especialmente aquellas en situación de vulnerabilidad, como las de las mujeres negras y mestizas de las comunidades tradicionales pesqueras. El objetivo de este estudio es analizar las implicaciones psicosociales que surgen de los procesos de subjetivación y enunciación de pescadoras artesanales por ocasión de la pandemia de Covid-19 en el territorio de las comunidades pesqueras de Brasil. En el período de marzo a noviembre de 2002, cartografiamos esos procesos por medio de narrativas discursivas de esas mujeres, diálogos, informaciones y contenidos producidos por el Grupo Observatorio de los Impactos del coronavirus en las Comunidades Pesqueras y en redes virtuales públicas. De los análisis surgen implicaciones psicosociales que van del sufrimiento ético-político (violencias, racismo ambiental, invisibilidad, falta de asistencia) a la ética de la alteralidad-solidaridad (apoyo social, amistad, luto colectivo y lucha política).

Brazil confronted the Covid-19 pandemic in a context of precariousness, putting many lives at risk, especially among vulnerable groups such as black and brown women living in traditional fishing communities. The aim of this study was to explore the psychosocial implications of processes of subjectivation and enunciation of artisanal fisherwomen living in fishing communities in Brazil during the Covid-19 pandemic. We mapped these processes between March and November 2020 through the lens of these women’s discursive narratives and dialogues and using information and content produced by the Observatory Group on the Impacts of Coronavirus on Fishing Communities and public social media. Our findings reveal psychosocial implications ranging from ethical-political suffering (violence, environmental racism, invisibility, lack of assistance) to the ethics of otherness and solidarity (social support, friendship, collective grief and political struggle).

https://doi.org/10.1590/interface.240519

13.

An evaluation of RBM implementation in not-for-profit sector of Zimbabwe during COVID-19
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Mushayi, Wellington Dar, Javaid Mpundu, Mubanga

African Evaluation Journal

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2025, Volumen 13 Nº 1 Paginas 1 - 11

Resumen: En | Texto: En | PDF: En

BACKGROUND: Results-based management (RBM) aims to enhance accountability, transparency and effectiveness in the allocation and utilisation of resources. In the not-for-profit sector, particularly among non-governmental organisations (NGOs), RBM has been pivotal in ensuring interventions are aligned with organisational goals and community needs, thereby maximising impact. The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the not-for-profit sector in Zimbabwe by causing unprecedented challenges such as restrictions on movement, supply chain disruptions and economic downturns. OBJECTIVES: This study examines the impact of the pandemic on the implementation of RBM within the not-for-profit sector in Zimbabwe. METHOD: A concurrent mixed methods approach was employed, using a survey of 190 not-for-profit organisations (NPOs), in-depth interviews and focus group discussions with NPO staff. RESULTS: The findings reveal essential influences of COVID-19 on NPOs' ability to implement RBM, identifying key factors influencing effectiveness during the pandemic, including organisational flexibility, donor support and communication strategies. Additionally, it highlights the need for strengthened capacities, such as data analysis skills and potentially adjusted incentive structures to support effective RBM. CONCLUSION: The study underscores the inherent challenges of RBM during a crisis, including uncertainty, competing priorities and the potential focus on short-term relief. CONTRIBUTION: This research contributes to a greater understanding of the challenges and opportunities for NPOs implementing RBM during a global crisis. The findings offer valuable insights for NPOs, donors and policymakers to strengthen RBM practices and ensure continued effectiveness in achieving impactful results.

https://doi.org/10.4102/aej.v13i1.771

14.

How I experienced tele-intervention: Qualitative insights from persons who stutter
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Hoosain, Raadhiyah Abdoola, Shabnam Krüger, Esedra Pillay, Bhavani

South African Journal of Communication Disorders

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2025, Volumen 72 Nº 1 Paginas 1 - 9

Resumen: En | Texto: En | PDF: En

BACKGROUND: Tele-intervention gained popularity, during the coronavirus disease 2019 (COVID-19) pandemic, prompting healthcare providers to adapt to remote service delivery. Research about stuttering treatment via tele-intervention in South Africa is limited. Speech-language therapists (SLTs) require further insights to deliver a well-supported approach for treatment of stuttering using tele-intervention, despite limitations such as technological disruptions, including loadshedding, that impact service reliability. OBJECTIVES: The study aims to explore clients' experiences with tele-intervention for stuttering therapy, and to provide recommendations to improve service delivery. METHOD: Semi-structured interviews were conducted with 11 persons who stutter (PWS) recruited through purposive sampling. Written informed consent was obtained from all participants with experience in both tele-intervention and in-person treatment. Inductive thematic analysis supplemented by descriptive statistics was used to identify patterns and trends. RESULTS: Four main themes emerged: (1) User experiences and factors shaping perceptions of tele-intervention; (2) technical infrastructure: barriers and facilitators; (3) financial and access considerations and (4) in-person treatment experience compared to tele-intervention user experience. Likert scale ratings indicated no considerable difference in preferences between tele-intervention and in-person treatment. CONCLUSION: Participants' diverse experiences highlighted tele-intervention's benefits and challenges for stuttering therapy. While limitations exist, findings inform service enhancement in South Africa, emphasising the importance of users' perspectives in tele-intervention design CONTRIBUTION: Insights from PWS can be used in informing clinical practice, aiding SLTs in meeting the needs of PWS and guiding best practice. Tele-intervention should be integrated into a hybrid intervention model that PWS prefer.

https://doi.org/10.4102/sajcd.v72i1.1068

15.

Impact of viral load on sample pooling for reverse-transcription polymerase chain reaction detection-based diagnosis of coronavirus disease 2019 in Nigeria
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Eliya, Timan T. Isere, Elvis E. Emmana, Bassey Ugwu, Chukwuebuka Kushim, Jonathan Ishaku, Precious Ibrahim, Aisha E. Bimba, John S.

African Journal of Laboratory Medicine

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2025, Volumen 14 Nº 1 Paginas 1 - 6

Resumen: En | Texto: En | PDF: En

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic strained diagnostic testing capacities globally, particularly in low- and middle-income countries like Nigeria. Reverse-transcription polymerase chain reaction (RT-PCR) remains the gold standard for COVID-19 detection, but limited testing resources caused bottlenecks in Nigeria's response during the pandemic. Sample pooling offers a cost-effective strategy to enhance testing capacity during future outbreaks. OBJECTIVE: This study determined the maximum number of COVID-19 samples that can be pooled for RT-PCR testing in Nigeria without compromising the detection sensitivity of a single positive sample. METHODS: A total of 1222 nasopharyngeal samples from symptomatic COVID-19 patients in Nasarawa State, Nigeria, collected between March 2021 and August 2022, were retrieved from the laboratory biorepository and analysed from November 2022 to February 2023. These included five positive samples with cycle threshold (Ct) values ranging from ≤ 20 to 40, and 1217 negative samples. Positive samples were pooled with negative ones at increasing dilution ratios (1:4-1:64), to assess detection sensitivity on the GeneXpert platform RESULTS: A positive sample with a Ct value ≤ 25 could be pooled with up to 64 negative samples while maintaining a detectable positive result. However, samples with Ct values of 36-40 could only be pooled with a maximum of eight negative samples. Higher Ct values reduced pooling effectiveness. CONCLUSION: Sample pooling is a feasible method for scaling up COVID-19 RT-PCR testing in resource-limited settings like Nigeria. The Ct value is critical in determining optimal pool sizes for accurate detection. WHAT THIS STUDY ADDS: The findings provide critical guidelines for determining the optimal pool sizes based on Ct values, aiding in effective COVID-19 testing strategies. By optimising sample pooling based on viral load, health authorities can improve their response to future COVID-19 outbreaks and similar public health emergencies.

https://doi.org/10.4102/ajlm.v14i1.2514

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