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Impacts of industrial actions, protests, strikes and lockouts by health and care workers during COVID-19 and other pandemic contexts

2024-12Recensão Acesso aberto
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dc.contributor.authorCraveiro, Isabel
dc.contributor.authorChoudhury, Pradeep Kumar
dc.contributor.authorde OLiveira, Ana Paula Cavalcante
dc.contributor.authorPereira, Alessandra
dc.contributor.authorFronteira, Inês
dc.contributor.authorChança, Raphael
dc.contributor.authorCometto, Giorgio
dc.contributor.authorPoz, Mario Roberto Dal
dc.contributor.authorFerrinho, Paulo
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblWorld Health Organization | BioMed Central (BMC)
dc.date.accessioned2024-08-06T22:15:25Z
dc.date.available2024-08-06T22:15:25Z
dc.date.issued2024-12
dc.descriptionFunding Information: Mathieu Boniol\u2014Health Workforce Department, World Health Organization\u2014WHO Geneva, Switzerland for helpful discussions and guidance. Project developed in response to WHO\u2019s call 2021-016_UHC-HWF_WrkforceIntel published by the funder; grant registration number 2021/1175760-0\u2014Purchase Order 20275943\u2014Unit Reference HWF/HWP. Centro de Estudos, Pesquisa e Desenvolvimento Tecnol\u00F3gico em Sa\u00FAde Colectiva (CEPESC) and Instituto de Medicina at Universidade do Estado do Rio de Janeiro (IMS/UERJ) provided management/administrative support. Portuguese Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia provides funds to Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa (IHMT/UNL) (GHTM UID/04413/2020). Funding Information: Solidarity Fund, through a grant administered by the World Health Organization. Publisher Copyright: © The Author(s) 2024.
dc.description.abstractBackground: Public health emergencies of international concern (PHEICs) as the COVID-19 pandemic and others that have occurred since the early 2000s put enormous pressure on health and care systems. This is being a context for protests by health and care workers (HCWs) because of additional workload, working conditions and effects on mental and physical health. In this paper, we intended to analyze the demands of HCWs associated with industrial actions, protests, strikes and lockouts (IAPSLs) which occurred during COVID-19 pandemic and other PHEICs; to identify the impact of these grievances; and describe the relevant interventions to address these IAPSLs. Methods: We included studies published between January 2000 and March 2022 in PubMed, Embase, Scopus, BVS/LILACS, WHO’s COVID-19 Research Database, ILO, OECD, HSRM, and Google Scholar for grey literature. Eligibility criteria were HCWs as participants, IAPSLs as phenomenon of interest occurring in the context of COVID-19 and other PHEICs. GRADE CERQual was used to assess risk of bias and confidence of evidence. Results: 1656 records were retrieved, and 91 were selected for full-text screening. We included 18 publications. A system-wide approach, rather than a limited approach to institutions on strike, makes it possible to understand the full impact of the strike on health and care services. PHEICs tend to aggravate already adverse working conditions of HCWs, acting as drivers for HCWs strikes, leading to staff shortages, and financial issues, both in the North and in the Global South, particularly evident in Asia and Africa. In addition, issues related to deficiencies in leadership and governance in heath sector and lack of medical products and technologies (e.g., lack of personal protective equipment) were the main drivers of strikes, each contributing 25% of the total drivers identified. Conclusions: It is necessary to focus on the preparedness of health and care systems to respond adequately to PHEICs, and this includes being prepared for HCWs’ IAPSLs, talked much in the context of COVID-19 pandemic. Evidence to assist policymakers in defining strategies to respond adequately to the health and care needs of the population during IAPSLs is crucial. The main impact of strikes is on the disruption of health care services’ provision. Gender inequality being a major issue among HCWs, a proper understanding of the full impact of the strike on health and care services will only be possible if gender lens is combined with a systemic approach, rather than gender-undifferentiated approaches limited to the institutions on strike.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1512776
dc.identifier.doi10.1186/s12960-024-00923-y
dc.identifier.issn1478-4491
dc.identifier.otherPURE: 97132839
dc.identifier.otherPURE UUID: 3c173ad8-f645-4b25-9077-97a8aa082b1b
dc.identifier.otherScopus: 85197266895
dc.identifier.otherPubMed: 38956631
dc.identifier.otherPubMedCentral: PMC11221126
dc.identifier.otherWOS: 001260778900001
dc.identifier.urihttp://hdl.handle.net/10362/170376
dc.identifier.urlhttps://www.scopus.com/pages/publications/85197266895
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectHealth and care workforce policy
dc.subjectPublic health emergencies
dc.subjectStrikes
dc.subjectPublic Administration
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 5 - Gender Equality
dc.subjectSDG 10 - Reduced Inequalities
dc.titleImpacts of industrial actions, protests, strikes and lockouts by health and care workers during COVID-19 and other pandemic contextsen
dc.title.subtitlea systematic reviewen
dc.typereview
degois.publication.issue1
degois.publication.titleHuman resources for health
degois.publication.volume22
dspace.entity.typePublication
rcaap.rightsopenAccess

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