scholarly journals COVID-19 and the future of microfinance: evidence and insights from Pakistan

2020 ◽  
Vol 36 (Supplement_1) ◽  
pp. S138-S168 ◽  
Author(s):  
Kashif Malik ◽  
Muhammad Meki ◽  
Jonathan Morduch ◽  
Timothy Ogden ◽  
Simon Quinn ◽  
...  
Keyword(s):  
Low Income ◽  
Household Income ◽  
Commercial Banks ◽  
Policy Reform ◽  
Rapid Response ◽  
The Novel ◽  
Microfinance Institutions ◽  
The Future ◽  
Loan Officers ◽  
Novel Coronavirus

Abstract The COVID-19 pandemic threatens lives and livelihoods, and, with that, has created immediate challenges for institutions that serve affected communities. We focus on implications for local microfinance institutions in Pakistan, a country with a mature microfinance sector, serving a large number of households. The institutions serve populations poorly-served by traditional commercial banks, helping customers invest in microenterprises, save, and maintain liquidity. We report results from ‘rapid response’ phone surveys of about 1,000 microenterprise owners, a survey of about 200 microfinance loan officers, and interviews with regulators and senior representatives of microfinance institutions. We ran these surveys starting about a week after the country went into lockdown to prevent the spread of the novel coronavirus. We find that, on average, week-on-week sales and household income both fell by about 90 per cent. Households’ primary immediate concern in early April became how to secure food. As a result, 70 per cent of the sample of current microfinance borrowers reported that they could not repay their loans; loan officers anticipated a repayment rate of just 34 per cent in April 2020. We build from the results to argue that COVID-19 represents a crisis for microfinance in low-income communities. It is also a chance to consider the future of microfinance, and we suggest insights for policy reform.

scholarly journals Working in the world of the pandemic

2020 ◽  
Vol 37 (3) ◽  
pp. 97-102
Author(s):  
Luke Tredinnick ◽  
Claire Laybats
Keyword(s):  
The Novel ◽  
The World ◽  
The Future ◽  
Information Professionals ◽  
Novel Coronavirus ◽  
The Way

This paper compiles a series of responses from key information professionals to the novel coronavirus pandemic of 2020. Respondents were invited to answer the questions how the pandemic has impacted on their work, and how it might change the way of working in the future. Contributors to the article include Scott Brown, Steve Dale, Denise Carter, Alison Day, Hal Kirkwood and Emily Hopkins.

scholarly journals Preparation for Quarantine on the Cruise Ship Diamond Princess in Japan due to COVID-19 (Preprint)

2020 ◽  
Author(s):  
Yoshihiro Yamahata ◽  
Ayako Shibata
Keyword(s):  
Large Scale ◽  
Emerging Infectious Diseases ◽  
The Novel ◽  
Cruise Ship ◽  
Rt Pcr ◽  
Ventilator Support ◽  
Cruise Ships ◽  
Asymptomatic Patients ◽  
The Future ◽  
Novel Coronavirus

BACKGROUND Japan implemented a large-scale quarantine on the Diamond Princess cruise ship in an attempt to control the spread of the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in February 2020. OBJECTIVE We aim to describe the medical activities initiated and difficulties in implementing quarantine on a cruise ship. METHODS Reverse transcription–polymerase chain reaction (RT-PCR) tests for SARS-CoV-2 were performed for all 3711 people (2666 passengers and 1045 crew) on board. RESULTS Of those tested, 696 (18.8%) tested positive for coronavirus disease (COVID-19), of which 410 (58.9%) were asymptomatic. We also confirmed that 54% of the asymptomatic patients with a positive RT-PCR result had lung opacities on chest computed tomography. There were many difficulties in implementing quarantine, such as creating a dividing traffic line between infectious and noninfectious passengers, finding hospitals and transportation providers willing to accept these patients, transporting individuals, language barriers, and supporting daily life. As of March 8, 2020, 31 patients (4.5% of patients with positive RT-PCR results) were hospitalized and required ventilator support or intensive care, and 7 patients (1.0% of patients with positive RT-PCR results) had died. CONCLUSIONS There were several difficulties in implementing large-scale quarantine and obtaining medical support on the cruise ship. In the future, we need to prepare for patients’ transfer and the admitting hospitals when disembarking the passengers. We recommend treating the crew the same way as the passengers to control the infection. We must also draw a plan for the future, to protect travelers and passengers from emerging infectious diseases on cruise ships.

scholarly journals Predicting a Pandemic: testing crowd wisdom and expert forecasting amidst the novel COVID-19 outbreak

2020 ◽  
Author(s):  
Emil O. W. Kirkegaard ◽  
Wael Taji ◽  
Arjen Gerritsen
Keyword(s):  
Online Survey ◽  
Educational Background ◽  
Individual Characteristics ◽  
The Novel ◽  
Crowd Wisdom ◽  
Final Sample ◽  
The Future ◽  
Future Events ◽  
Novel Coronavirus ◽  
The Individual

Taking countermeasures to protect against future events requires predicting what the future will be like. In late 2019, a novel coronavirus known as NCov-2019 emerged in Wuhan, China, and has since spread to most countries in the world. Anticipatory responses by civilians facing the crisis have included self-isolation measures, extreme stockpiling of food or medical supplies, and other forms of preparation to meet the expected crisis. However, no consensus exists as to the accuracy of civilian expectations, nor toward the relative value of different informational sources used by citizens to build these expectations (e.g. mainstream news as opposed to an educational background in virology). In the present study, we used an online survey (n = 333 in final sample) to collect individual characteristics and general knowledge regarding viruses and the novel coronavirus, in addition to their forecasts for the various outcomes expected to result from it in the near future. This will allow for the individual correlates of accurate forecasting to be known by 2021, which could prove important for assigning relative weights to forecasts for other events in the future.

scholarly journals Patient and Provider Experience With Cystic Fibrosis Telemedicine Clinic

2021 ◽  
Vol 9 ◽  
Author(s):  
Kalen Hendra ◽  
Fatima Neemuchwala ◽  
Marilynn Chan ◽  
Ngoc P. Ly ◽  
Elizabeth R. Gibb
Keyword(s):  
Cystic Fibrosis ◽  
Health Disparities ◽  
Response Rate ◽  
The Internet ◽  
The Novel ◽  
Telemedicine Technology ◽  
The Future ◽  
Provider Experience ◽  
Novel Coronavirus ◽  
Question Survey

In response to the novel coronavirus (COVID-19) pandemic, all in-person cystic fibrosis (CF) appointments were converted to telemedicine visits at UCSF Benioff Children's Hospital. The purpose of our study was to learn about the experiences that patients, families, and providers had with telemedicine visits and to assess their interest in using telemedicine in the future. Our hypothesis was that most patients, families, and providers want to continue telemedicine visits in the future. An anonymous 11-question survey was distributed to patients, families, and providers in November and December 2020. The survey was completed by 46 of 72 families (64% response rate) and 24 of 25 providers (96% response rate). Thirty-seven families (80%) and 21 providers (88%) were satisfied with their telemedicine experience. Thirty-three families (72%) want to have telemedicine visits in the future. Thirty-five families (76%) and 22 providers (92%) were satisfied with their experience using Zoom. Forty families (87%) and 19 providers (90%) want 2 or more visits each year to be via telemedicine. Our study showed that most families and providers were satisfied with telemedicine, would like to continue using telemedicine, and prefer to have at least 2 of the 4 recommended annual CF visits via telemedicine. Our survey identified the following benefits to telemedicine: decreased travel time, decreased cost, and avoiding exposure to COVID. However, we need to ensure that we do not exacerbate existing health disparities for families that do not speak English and/or do not have the internet capabilities to support telemedicine technology.

scholarly journals Covid-19, Fourth industrial revolution and the future of elections in Africa

2020 ◽  
Vol 19 (2) ◽  
pp. 1-17
Author(s):  
Joseph Olusegun Adebayo ◽  
Blessing Makwambeni ◽  
Colin Thakur
Keyword(s):  
Industrial Revolution ◽  
Human Existence ◽  
Specific Reference ◽  
The Novel ◽  
Fourth Industrial Revolution ◽  
The Future ◽  
Potential Impact ◽  
Novel Coronavirus ◽  
Initial Focus ◽  
The Way

The initial focus of this study was on exploring the potential impact of the Fourth Industrial Revolution (4IR) on future elections in Africa. The Fourth Industrial Revolution is fundamentally changing the way we live, work and relate to one another. In its scale and complexity, 4IR could change humanity and human existence as we presently know it. The suddenness with which the novel coronavirus pandemic has shut down life across the globe, including the cancellation and postponement of scheduled elections, led to a realignment of the research goals. The study thus includes ways in which 4IR and unforeseen global emergencies like pandemics can impact future elections, with specific reference to Africa.

Understanding the impact of COVID-19 on the colorectal cancer community: Barriers and opportunities for care.

2021 ◽  
Vol 39 (3_suppl) ◽  
pp. 29-29
Author(s):  
Reese Garcia ◽  
Andrea Dwyer ◽  
Molly McDonnell
Keyword(s):  
Colorectal Cancer ◽  
Focus Groups ◽  
Access To Care ◽  
Cancer Patients ◽  
Low Income ◽  
Primary Concern ◽  
The Novel ◽  
Care Providers ◽  
Novel Coronavirus ◽  
The Impact

29 Background: The novel coronavirus (COVID-19) has caused numerous disruptions across the cancer prevention and treatment landscape. Conservative modeling studies examining the effect of COVID-19 on cancer screening and treatment for breast and colorectal cancer (CRC) suggest that there will be 10,000 excess deaths from both cancers combined over the next decade. The goal of this analysis was to better understand the impact of COVID-19 on the CRC community, including gaps and opportunities for improving access to care and survivorship needs, and to advocate for the best possible care through policy, education and engagement of the entire cancer ecosystem. Methods: In April 2020, Fight Colorectal Cancer (Fight CRC) distributed an online survey to the colorectal cancer community. The survey was distributed through social media channels and targeted emails from April 24-May 5, 2020. Virtual focus groups were also conducted to gather rich qualitative data from cancer patients and caregivers about their experiences during the novel coronavirus pandemic. Results: In total, 222 individuals responded to the survey (survivors = 68%, caregiver = 12%, first degree family member = 8%, other = 8%), and 10 CRC survivors participated in focus groups (stage III = 30%, stage IV = 70%). Treatment disruptions and mental health were prevalent themes in both the survey and focus group. Over one-third of survey respondents indicated facing treatment disruptions (37%) and a majority (78%) of colorectal cancer patients reported feeling nervous and anxious. Another primary concern among respondents was access to care. Patients on Medicare were more likely than patients on private insurance to report having difficulties affording food and basic supplies. People living in rural areas were more likely to have greater concerns about maintaining a supportive network than those living in suburban areas. Conclusions: People with cancer face unique challenges as a result of the novel coronavirus, including treatment disruptions, increased feelings of anxiety, and financial concerns. Numerous health inequities also exist among low-income and rural patient groups. Identifying the barriers that patients face provides an opportunity to address the nuanced needs of the colorectal cancer community. Clinicians, supportive care providers, and advocacy organizations can tailor care delivery, increase access to care, and prepare patients for the future with reliable and accurate resources amidst a pandemic.

scholarly journals The future of conferences: lessons from Europe's largest online geoscience conference

2021 ◽  
Vol 4 (3) ◽  
pp. 437-451
Author(s):  
Hazel Gibson ◽  
Sam Illingworth ◽  
Susanne Buiter
Keyword(s):  
Scientific Discovery ◽  
Environmental Cost ◽  
Widening Participation ◽  
Annual Conference ◽  
The Novel ◽  
Regular Meeting ◽  
The Future ◽  
Challenges And Opportunities ◽  
Novel Coronavirus ◽  
The Impact

Abstract. In the early months of 2020, as the novel coronavirus (COVID-19) swept across the globe, millions of people were required to make drastic changes to their lives to help contain the impact of the virus. Among those changes, scientific conferences of every type and size were forced to cancel or postpone in order to protect public health. Included in these was the European Geosciences Union (EGU) 2020 General Assembly, an annual conference for Earth, planetary, and space scientists, scheduled to be held in Vienna, Austria, in May 2020. After a 6-week period of changing the format to an online alternative, attendees of the newly designed EGU20: Sharing Geoscience Online took part in the first geoscience conference of its size to go fully online. This paper explores the feedback provided by participants following this experimental conference and identifies four key themes that emerged from an analysis of the following questions: what did attendees miss from a regular meeting, and to what extent did going online impact the event itself, both in terms of challenges and opportunities? The themes identified are “connecting”, “engagement”, “environment”, and “accessibility”. These themes include concepts relating to discussions of the value of informal connections and spontaneous scientific discovery during conferences, the necessity of considering the environmental cost of in-person meetings, and the opportunities for widening participation in science by investing in accessibility. The responses in these themes cover the spectrum of experiences of participants, from positive to negative, and raise important questions about what conference providers of the future will need to do to meet the needs of the scientific community in the years following this coronavirus outbreak.

scholarly journals SARS to novel coronavirus – old lessons and new lessons

2020 ◽  
Vol 148 ◽  
Author(s):  
Brian McCloskey ◽  
David L. Heymann
Keyword(s):  
Public Health ◽  
Health Science ◽  
The Novel ◽  
Costs And Benefits ◽  
International Response ◽  
The Future ◽  
Science And Politics ◽  
Novel Coronavirus

Abstract The response to the novel coronavirus outbreak in China suggests that many of the lessons from the 2003 SARS epidemic have been implemented and the response improved as a consequence. Nevertheless some questions remain and not all lessons have been successful. The national and international response demonstrates the complex link between public health, science and politics when an outbreak threatens to impact on global economies and reputations. The unprecedented measures implemented in China are a bold attempt to control the outbreak – we need to understand their effectiveness to balance costs and benefits for similar events in the future.

scholarly journals COVID-19 in Brazil—Preliminary Analysis of Response Supported by Artificial Intelligence in Municipalities

2021 ◽  
Vol 3 ◽  
Author(s):  
Hugo M. P. Morales ◽  
Murilo Guedes ◽  
Jennifer S. Silva ◽  
Adriano Massuda
Keyword(s):  
Artificial Intelligence ◽  
Health System ◽  
Low Income ◽  
Health Care Systems ◽  
Low Income Countries ◽  
The Novel ◽  
Continuous Increase ◽  
Care Systems ◽  
Source Of Care ◽  
Novel Coronavirus

The novel coronavirus disease (COVID-19) forced rapid adaptations in the way healthcare is delivered and coordinated by health systems. Brazil has a universal public health system (Sistema Unico de Saúde—SUS), being the main source of care for 75% of the population. Therefore, a saturation of the system was foreseen with the continuous increase of cases. The use of Artificial Intelligence (AI) to empower telehealth could help to tackle this by increasing a coordinated patient access to the health system. In the present study we describe a descriptive case report analyzing the use of Laura Digital Emergency Room—an AI-powered telehealth platform—in three different cities. It was computed around 130,000 interactions made by the chatbot and 24,162 patients completed the digital triage. Almost half (44.8%) of the patients were classified as having mild symptoms, 33.6% were classified as moderate and only 14.2% were classified as severe. The implementation of an AI-powered telehealth to increase accessibility while maintaining safety and leveraging value amid the unprecedent impact of the COVID-19 pandemic was feasible in Brazil and may reduce healthcare overload. New efforts to yield sustainability of affordable and scalable solutions are needed to truly leverage value in health care systems, particularly in the context of middle-low-income countries.

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