Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study

Objective: We aimed to identify the barriers and enablers that Health Care Workers (HCWs) in Papua New Guinea experienced in swabbing for COVID-19. Methods: We conducted a cross-sectional multi-methods study: a qualitative scoping exercise and a telephone survey. The target population was COVID-19-t...

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Autores principales:	Bernnedine S. Smaghi, Julie Collins, Rosheila Dagina, Gilbert Hiawalyer, Stefanie Vaccher, James Flint, Tambri Housen
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID-19 Papua New Guinea Swabbing Barriers Enablers Health Care Workers Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/fbec5affae7f4fa4b8ba07ea8c7a1181
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spelling	oai:doaj.org-article:fbec5affae7f4fa4b8ba07ea8c7a11812021-11-06T04:21:52ZBarriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study1201-971210.1016/j.ijid.2021.04.077https://doaj.org/article/fbec5affae7f4fa4b8ba07ea8c7a11812021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221003908https://doaj.org/toc/1201-9712Objective: We aimed to identify the barriers and enablers that Health Care Workers (HCWs) in Papua New Guinea experienced in swabbing for COVID-19. Methods: We conducted a cross-sectional multi-methods study: a qualitative scoping exercise and a telephone survey. The target population was COVID-19-trained HCWs from all provinces of Papua New Guinea. A descriptive analysis of survey responses was conducted alongside a rapid qualitative analysis of interviews and open-ended survey questions. Results: Four thematic areas were identified: human resources, logistics, HCW attitudes and community attitudes. The survey response rate was 70.3% (407/579). Commonly reported barriers to COVID-19 swabbing were insufficient staff trained (74.0%, n = 301), inadequate staffing in general (64.9%, n = 264), insufficient supply of personal protective equipment (60.9%, n = 248) and no cold chain to store swabs (57.5%, n = 234). Commonly reported enablers to swabbing were community awareness and risk communication (80.8%, n = 329), consistent and sufficient supplies of personal protective equipment (67.8%, n = 276), increased surge workforce (63.9%, n = 260) and having a fridge to store swabs (59.7%, n = 243). Conclusions: A comprehensive community and HCW engagement strategy combined with innovations to improve the supply chain are needed to increase COVID-19 swabbing in Papua New Guinea to reach national testing targets. Investments in increasing numbers of frontline workforce, consistent supplies of PPE, swabs, transport medium, cold boxes and ability to make ice packs, in addtion to establishing regular tranport of specimens from the facility to the testing site will strengthen the supply chain. Innovations are needed to address these issues.Bernnedine S. SmaghiJulie CollinsRosheila DaginaGilbert HiawalyerStefanie VaccherJames FlintTambri HousenElsevierarticleCOVID-19Papua New GuineaSwabbingBarriersEnablersHealth Care WorkersInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 110, Iss , Pp S17-S24 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 Papua New Guinea Swabbing Barriers Enablers Health Care Workers Infectious and parasitic diseases RC109-216
spellingShingle	COVID-19 Papua New Guinea Swabbing Barriers Enablers Health Care Workers Infectious and parasitic diseases RC109-216 Bernnedine S. Smaghi Julie Collins Rosheila Dagina Gilbert Hiawalyer Stefanie Vaccher James Flint Tambri Housen Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
description	Objective: We aimed to identify the barriers and enablers that Health Care Workers (HCWs) in Papua New Guinea experienced in swabbing for COVID-19. Methods: We conducted a cross-sectional multi-methods study: a qualitative scoping exercise and a telephone survey. The target population was COVID-19-trained HCWs from all provinces of Papua New Guinea. A descriptive analysis of survey responses was conducted alongside a rapid qualitative analysis of interviews and open-ended survey questions. Results: Four thematic areas were identified: human resources, logistics, HCW attitudes and community attitudes. The survey response rate was 70.3% (407/579). Commonly reported barriers to COVID-19 swabbing were insufficient staff trained (74.0%, n = 301), inadequate staffing in general (64.9%, n = 264), insufficient supply of personal protective equipment (60.9%, n = 248) and no cold chain to store swabs (57.5%, n = 234). Commonly reported enablers to swabbing were community awareness and risk communication (80.8%, n = 329), consistent and sufficient supplies of personal protective equipment (67.8%, n = 276), increased surge workforce (63.9%, n = 260) and having a fridge to store swabs (59.7%, n = 243). Conclusions: A comprehensive community and HCW engagement strategy combined with innovations to improve the supply chain are needed to increase COVID-19 swabbing in Papua New Guinea to reach national testing targets. Investments in increasing numbers of frontline workforce, consistent supplies of PPE, swabs, transport medium, cold boxes and ability to make ice packs, in addtion to establishing regular tranport of specimens from the facility to the testing site will strengthen the supply chain. Innovations are needed to address these issues.
format	article
author	Bernnedine S. Smaghi Julie Collins Rosheila Dagina Gilbert Hiawalyer Stefanie Vaccher James Flint Tambri Housen
author_facet	Bernnedine S. Smaghi Julie Collins Rosheila Dagina Gilbert Hiawalyer Stefanie Vaccher James Flint Tambri Housen
author_sort	Bernnedine S. Smaghi
title	Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
title_short	Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
title_full	Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
title_fullStr	Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
title_full_unstemmed	Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study
title_sort	barriers and enablers experienced by health care workers in swabbing for covid-19 in papua new guinea: a multi-methods cross-sectional study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/fbec5affae7f4fa4b8ba07ea8c7a1181
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Barriers and enablers experienced by health care workers in swabbing for COVID-19 in Papua New Guinea: A multi-methods cross-sectional study

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