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This report presents the findings of a quick-turn study conducted between February 2021 and May 2021. During this time frame, the coronavirus disease 2019 (COVID-19) pandemic had resulted in 83 million confirmed infections and more than 1.8 million deaths worldwide. In the Middle East, there were close to 21 million cases reported and 336,000 COVID-19 deaths. Many countries in the Middle East struggled with health care capacity and access prior to the pandemic, and this crisis has placed significant additional strain on health care delivery in the region. Evaluating strategies used by health care systems and public health and policies implemented by governments in the Middle East during the ongoing pandemic is critical to understanding and disseminating successful approaches to meeting the health care demands of populations in the region. This report outlines the results of an exploratory analysis of five Middle East countries - Iran, Jordan, Lebanon, Qatar, and Tunisia. Drawing from a literature review and qualitative data collected from focus groups and one-on-one interviews conducted between March 2021 and May 2021, the authors identify common challenges regarding COVID-19 faced by the countries studied, highlight successes and innovations in addressing these challenges, and recommend strategies for strengthening internal infrastructure and regional cooperation between countries. This work should be of interest to regional and international stakeholders as they continue to combat the pandemic, and its findings could inform future research around pandemic response.
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Like the United States as a whole, Virginia faces a significant shortage of health care workers in nursing, primary care, and behavioral health. If current trends persist, these shortages will increase across Virginia. The authors of this report identify interventions that can help the Virginia Health Workforce Development Authority (VHWDA) address these health care workforce shortages. To accomplish this goal, they applied an analytic framework to existing or potential interventions for retaining, recruiting, and improving the structural efficiency of the nursing, primary care, and behavioral health workforces in Virginia. In this report, they highlight which interventions VHWDA should prioritize based on its desired outcomes and policy goals.
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Many of the ethnic and racial workforce inequities in the United States are present in health care systems. Low representation of African American/Black individuals in the health care system workforce can be traced to a history of exclusionary practices that leave such individuals less likely to pursue health careers. Past research found that low representation is driven by inequities in health, education, and employment that are a result of structural racism. Pathways programs have been identified as one of the methods to increase recruitment, retention, and promotion in health-related career fields for African American/Black individuals. As prior research has shown, these programs recruit and support the graduation of students from underrepresented communities at all educational stages to increase their representation in specific fields. This report describes the development of key factors in framework design for the Health System-Community Pathways Program (HCPP), which aims to increase representation of African American/Black communities in the health care system workforce and improve the quality of their experience in pursuing careers in these fields. The HCPP framework of key factors is informed by an environmental scan, interviews and focus groups, and an expert discussion panel session. The report's authors come from diverse backgrounds; the team included African American/Black physicians and members of other historically marginalized communities. The qualitative research drew insights from diverse African American/Black community stakeholders; the report was reviewed by many stakeholders to ensure that the design of the research and the end product maximally benefits the community on which it focuses.
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