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    Impacts of DOH-led policy shifts on health workers and Iloilo public hospitals' management at the time of COVID-19
    Bauso, Christopher Mark C.; Dayata, Audrey Eurielle G.; Niñeza, Tristan L.; Zaldarriaga, Trisha I. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2023-07)
    This study explored the actual policy shifts in public hospitals in Iloilo Province during the first six months of the COVID-19 pandemic, from January to June 2020. The study looked into how the implementation of the DOH-crafted policies impacted healthcare delivery, the health workforce, and response to the care-seeking behavior of the patients. Key informant interviews (KII) and semi-structured interviews were employed among the hospital management and the frontline workers of Rep. Pedro G. Trono Memorial Hospital and DOH-retained Western Visayas Sanitarium and General Hospital to gather data for the study. The KJI were participated in by the hospital chiefs and the IPC heads. Meanwhile, doctors, nurses, medical technologists, admitting clerks, and non-medical health workers were respondents of semi-structured interviews to determine the impacts of the new policies. Conforming to the available literature on pandemic response, this study revealed that optimal conditions were not readily achieved in the public hospitals under this study, mainly due to lack of resources to materialize the DOH-mandated changes. The policies were not fit to the current structure and service capacity of the hospitals and health workers carried the burden of ensuring adequate delivery of care. We discovered that health workers were exhaustively working despite the lack of government support in terms of benefits, compensation, and hazard pays. Furthermore, health workers encountered difficulties in rendering immediate care to patients who initially avoided hospital care resulting in an increased number of recorded ER deaths. Overall, we observed that the hospitals were able to keep up with the policy shifts through exploring feasible alternatives. However, DOH-retained institutions garner more favorable outcomes than public district hospitals since resources were directly transferred to them from the DOH Regional Office. Crafting context-specific policies addressing public health crises is recommended following the results of this study.
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    The lived experiences of residents living near the sanitary landfill in Barangay Calajunan, Mandurriao Iloilo City amidst the Covid-19 pandemic
    Alegoro, Aohd Austin Josh R.; Layson, Marc Leo H. (Division of Social Sciences, College of Arts and Sciences, University of the Philippines Visayas, 2023-07)
    The COVID-19 pandemic had a significant impact on the Philippines' waste management system, including open dumpsites and landfills where COVID-19 wastes are processed and disposed, which in turn affected the way of life of the people who depend on these facilities for survival. This study aims to describe the lived experiences of residents living near the sanitary landfill in Barangay Calajunan, Mandurriao, Iloilo City amidst the COVID- 19 pandemic and to draw out lessons from these lived experiences that can improve current and future waste management practices and to advance the welfare of people living near the sanitary landfill. Particularly, this study focuses on the residents’ life as individuals, as members of the community, residents’ life in relation to their work, and the Iloilo City waste management amidst the pandemic. The data were collected through Key Informant Interviews and in-depth semi-structured interviews and were then analyzed using Collaizi’s Descriptive 7 Step Phenomenological Method. The study revealed that the pandemic altered the way the residents lived their lives around the landfill. These changes were caused by the policies and regulations implemented by the LGUs of Iloilo city and Barangay Calajunan as well as the changes that the landfill had undergone to adapt to the COVID-19 pandemic, this affected the residents who live near the landfill as their lives are intertwined with the waste management process of the landfill as Waste Pickers. Although there were many themes that were shared by the men and women residents in terms of their individual, communal, and work lives, there were other themes exclusive to only a particular sex that emerged. Further study is required in these specific areas because some of the themes found in this study contradict the reviewed literature or are unrecorded phenomena without any existing material to support or refute the findings.