Issues of Implementation of Government Programs Related to Social Protection of Medical Workers During the Spread of the Covid-19 Pandemic

  • Mykola Inshyn Taras Shevchenko National University of Kyiv
  • Dmytro Sirokha Taras Shevchenko National University of Kyiv
  • Nataliia Kaida Higher Private Educational Institution King Daniel University
  • Tetiana Egorova-Lutsenko Kharkiv Regional State Administration
  • Andrii Stratiuk Taras Shevchenko National University of Kyiv
Keywords: COVID 19 pandemic, healthcare workers, incentive measures, social protection

Abstract

The purpose of this study is to identify existing policies related to social protection of healthcare workers during the spread of a pandemic. The study is based on the assumption that it is mainly developing countries that resort to extensive government programs. Using the method of political and legal analysis the research considers the initiatives of government bodies aimed at increasing the level of social protection of health workers and determining effective incentive measures for medical workers. The study notes that to date incentive measures and government programs are mostly implemented by developing countries. At the same time, it seems premature today to make a final conclusion about the direct relationship between incentive measures and the standard of living in the country or similar indicators. The research results can be used by the subjects of legislative initiative to improve existing policies in the field of social protection.

References

Adams, J. G. & Walls R. M. (2020) Supporting the health care workforce during the COVID-19 global epidemic, JAMA, 323, pp. 1439-1440, https://doi.org/10.1001/jama.2020.3972.

Afulani, P. A., Gyamerah, A. O., Aborigo, R., Nutor, J., Malechi, H., Laar, A., Sterling, M. & Awoonor-Williams, J. J. (2020) Perceived preparedness to respond to the COVID-19 pandemic: a study with healthcare workers in Ghana, Journal of Global Health Science, 2, e24, https://doi.org/10.35500/jghs.2020.2.e24.

Agbenyo, F., Nunbogu, A. M., & Dongzagla, A. (2017) Accessibility mapping of health facilities in rural Ghana, Journal of Transport & Health, 6, pp. 73-83, https://doi.org/10.1016/j.jth.2017.04.010

Ali, S., Noreen, S., Farooq, I., Bugshan, A., & Vohra, F. (2020) Risk assessment of healthcare workers at the frontline against COVID-19, Pakistan Journal of Medical Sciences, 36(4), pp. 99-103, https://doi.org/10.12669/pjms.36.COVID19-S4.2790.

Almaghrabi, R. H., Huda, A., Al Hebshi W. A. & Albaadani, M. M. (2020) Healthcare workers experience in dealing with Coronavirus (COVID-19) pandemic, Saudi Medical Journal, 41(6), pp. 657-660.

Androniceanu, A. & Ohanyan, G. (2016) Comparative approach on education and healthcare in Romania and Bulgaria as beneficiaries of the IMF financial assistance, Administratie si Management Public, 26, pp. 25-48.

Åslund, A. (2020) Responses to the COVID-19 crisis in Russia, Ukraine, and Belarus, Eurasian Geography and Economics, 61(4-5), pp. 532-545, https://doi.org/10.1080/15387216.2020.1778499.

Aspinwall, N. (2020) Filipino Health Workers Protest Overseas Work Restrictions, available at: https://thediplomat.com/2020/09/filipino-health-workers-protest-overseas-work-restrictions/ (December 26, 2020).

Batmanova, A. (2020) Kommersant about the new mechanism of payments to doctors for work with COVID, available at: https://www.rbc.ru/society/23/10/2020/5f9242089a7947164c791038 (December 26, 2020).

Bekieva, M. (2020) Uzbekistan doctors are forced to sign a formal written commitment under which they are not to make any claims in case of getting infected with COVID-19, available at: https://rus.ozodlik.org/a/30732099.html (December 26, 2020).

Center for Public Monitoring and Control (2020) Social protection for healthcare workers fighting COVID-19, available at: https://naglyad.org/ru/2020/05/18/sotsialnaya-zashhita-vrachej-kotorye-boryutsya-s-covid-19/ (December 26, 2020).

Chan, H. Y. (2020) Hospitals’ liabilities in times of pandemic: Recalibrating the legal obligation to provide personal protective equipment to healthcare workers, Liverpool Law Review, 42, pp. 185-205, https://doi.org/10.1007/s10991-020-09270-z.

Chughtai, A. A., Seale, H., Islam, M. S., Owais, M. & Macintyre, C. R. (2020) Policies on the use of Respiratory Protection for Hospital Health Workers to Protect from Coronavirus Disease (COVID-19), International Journal of Nursing Studies, 105, pp. 103567, https://doi.org/10.1016/j.ijnurstu.2020.103567.

Code Blue (2020) Covid-19 frontline health workers get allowance raise to RM600 monthly, available at: https://codeblue.galencentre.org/2020/03/27/covid-19-frontline-health-workers-get-allowance-raise-to-rm600-monthly/ (December 26, 2020).

Covid-19 Health System Response Monitor (2020) Policy responses for Bulgaria, available at: https://www.covid19healthsystem.org/countries/bulgaria/livinghit.aspx?Section=4.1%20Health%20financing&Type=Section (December 26, 2020).

El Moussawi, M. A. E., Mironenkova, Z. V., Umarov, S. Z., Knysh, O. I. & Nemyatykh, O. D. (2020) Comparative analysis of lebanon development. Prospects for cooperation with the Russian Federation, Pharmacy & Pharmacology, 8(3), pp. 205-218, https://doi.org/10.19163/2307-9266-2020-8-3-205-218.

Esparagoza, C. (2020) Challenges in the Philippine healthcare system: Social Determinants to health, Health system strengthening and Health engagement in development towards issues in equity, Synthesis Paper, HPAD, 201.

EY Global (2020) Ghana announces plans to provide relief to frontline health workers in response to COVID-19, available at: https://www.ey.com/en_gl/tax-alerts/ghana-announces-plans-to-provide-relief-to-frontline-health-workers-in-response-to-covid-19 (December 26, 2020).

FINANCE.UA (2020) Salaries for healthcare workers in Ukraine will be increased: amounts announced, available at: https://news.finance.ua/ru/news/-/480552/medikam-v-ukraine-povysyat-zarplaty-ozvucheny-summy (December 26, 2020).

Government Portal (2020) Medical workers who have expanded workload will receive higher salaries, says Denys Shmyhal, available at: https://www.kmu.gov.ua/en/news/medichni-pracivniki-yaki-mayut-bilshe-navantazhennya-otrimayut-pidvishcheni-zarplati-denis-shmigal (December 26, 2020).

Hasnain, Z. (2020) How to increase compensation for health workers during COVID-19, available at: https://blogs.worldbank.org/governance/how-increase-compensation-health-workers-during-covid-19 (December 26, 2020).

ILO (2020a) Five ways to protect health workers during the COVID-19 crisis, available at: https://iloblog.org/2020/04/01/five-ways-to-protect-health-workers-during-the-covid-19-crisis/ (December 26, 2020).

ILO (2020b) The COVID-19 crisis and the health sector, available at: https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/briefingnote/wcms_747870.pdf (December 26, 2020).

Inshyn, M. & Moskalenko, O. (2018) Ensuring Freedom of Labor in Ukraine in the Context of Labor Emigration, Baltic Journal of Law & Politics, 11(2), pp. 1-31, https://doi.org/10.2478/bjlp-2018-0009.

Interfax (2020) Lukashenko orders not to spare money for doctors working with COVID-19, available at: https://interfax.by/news/policy/raznoe/1284859/ (December 26, 2020).

International Council of Nurses (2020) High proportion of healthcare workers with COVID-19 in Italy is a stark warning to the world: protecting nurses and their colleagues must be the number one priority, available at: https://www.icn.ch/news/high-proportion-healthcare-workers-covid-19-italy-stark-warning-world-protecting-nurses-and (December 26, 2020).

Khoury, P., Azar E., & Hitti, E. (2020) COVID-19 Response in Lebanon: Current Experience and Challenges in a Low-Resource Setting, JAMA, 324(6), pp. 548-549, https://doi.org/10.1001/jama.2020.12695.

Kruzel, J. (2020) Hospitals threatening to fire workers for speaking out about coronavirus shortages: report, available at: https://thehill.com/regulation/court-battles/490361-hospitals-threatening-to-fire-workers-for-speaking-out-about (December 26, 2020).

Leng, C. H., & Hong, H. (2014) ‘1Care’and the politics of healthcare in Malaysia, in Routledge Handbook of Contemporary Malaysia (pp. 312-323), Routledge, https://doi.org/10.4324/9781315756240-29

Lisitsyna, M., & Askerova, K. (2020) The government approved a 24 billion rubles allocation for doctors, available at: https://www.rbc.ru/rbcfreenews/5f9ddae09a794726eda22f4b (December 26, 2020).

Mayol, A. V., & Semilla, N. (2020) Health workers to Cebu City gov’t: Where are our cash incentives?, available at: https://newsinfo.inquirer.net/1345116/health-workers-to-city-govt-where-are-our-cash-incentives (December 26, 2020).

Ministero dell’Economia e delle Finanze (2020) Protect health, support the economy, preserve employment levels and incomes. The Italian economic response to the Covid-19 outbreak, available at: https://www.mef.gov.it/en/inevidenza/Protect-health-support-the-economy-preserve-employment-levels-and-incomes-00001/ (December 26, 2020).

Ministry of Healthcare (2020) Maxim Stepanov: Surcharges to doctors are made in full, available at: https://moz.gov.ua/article/news/maksim-stepanov-doplati-medikam-zdijsnjujutsja-v-povnomu-obsjazi (December 26, 2020).

Morishita, K., Takase, K., Ishikane, M., & Otomo, Y. (2021) Impact of incentives for health-care workers wearing personal protective equipment while dealing with coronavirus disease in Japan, Journal of Occupational Health, 63(1), pp. e12213, https://doi.org/10.1002/1348-9585.12213.

Naadi, T. (2020) Ghana daily Covid-19 infections jump five-fold over fortnight, available at: https://www.bbc.com/news/topics/cnx753jejjlt/ghana (December 26, 2020).

Nastoyaschee Vremia (2020) Uzbekistan paramedics are promised additional payments of $250. Complaints about not received allowances grow steadily, available at: https://www.currenttime.tv/a/uzbekistan-ambulance-covid-19-vyplaty-250-usd/30738967.html (December 26, 2020).

New Straits Times (2020) Medical frontliners deserve better, available at: https://www.nst.com.my/opinion/columnists/2020/07/609925/medical-frontliners-deserve-better (December 26, 2020).

Pallares, G. (2020) Financial incentives for frontline health workers, available at: https://www.devex.com/news/financial-incentives-for-frontline-health-workers-98447 (December 26, 2020).

Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020) Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis, Brain, Behavior, and Immunity, 88, pp. 901-907.

Petkova, M. (2020) Dozens of Bulgarian doctors resign amid COVID-19 crisis, available at: https://www.aljazeera.com/news/2020/3/18/dozens-of-bulgarian-doctors-resign-amid-covid-19-crisis (December 26, 2020).

President of the Republic of Uzbekistan (2020) Resolution of the President of the Republic of Uzbekistan on Additional Measures to Support Medical Workers and Workers of the Sanitary and Epidemiological Service Involved to Counter Injection, available at: https://lex.uz/ru/docs/4775233 (December 26, 2020).

Ravindran, A. (2020) What Malaysia’s 2021 Covid Budget Should Look Like, According To Health Groups, available at: https://codeblue.galencentre.org/2020/11/04/what-malaysias-2021-covid-budget-should-look-like-according-to-health-groups/ (December 26, 2020).

Reuters (2020a) Bulgaria to pay medics on coronavirus frontline extra, available at: https://www.reuters.com/article/us-health-coronavirus-bulgaria-idUSKBN2120MZ (December 26, 2020).

Reuters (2020b) Italy to give further support to companies including tax incentives, hybrid bonds: minister, available at: https://www.reuters.com/article/us-health-coronavirus-italy-economy-idUSKBN22M0BN (December 26, 2020).

Ruslina, E., & Sekarsari, R. (2020) Legal Protection of Medical Staff in Hospitals during The Covid-19 Pandemic Era, International Journal of Latin Notary, 1(1), pp. 29-35.

Saleh, A., Aydin, S. & Koçak, O. (2018) A comparative study of Syrian refugees in Turkey, Lebanon, and Jordan: healthcare access and delivery, OPUS Uluslararası Toplum Araştırmaları Dergisi, 8(14), pp. 448-464, https://doi.org/10.26466/opus.376351.

Sputnik (2020) Uzbekistan has changed the procedure for encouraging medical personnel during the pandemic, available at: https://uz.sputniknews.ru/society/20200925/15058948/V-Uzbekistane-izmenili-poryadok-pooschreniya-medpersonala-v-period-pandemii.html (December 26, 2020).

Starikova, M. (2020) Medical personnel protests fail to agree with the sanitary regime, available at: https://www.kommersant.ru/doc/4509721 (December 26, 2020).

State Duma of the Federal Assembly of the Russian Federation (2020) Support for Russian healthcare workers fighting the spread of COVID-19, available at: http://duma.gov.ru/news/49309/ (December 26, 2020).

Szambor, T., Masiak, J., Urbańska, A. & Składanowski, M. (2019) Relationship between taking medical care of people infected with COVID-19 and mental health of healthcare professionals, Polish Journal of Public Health, 129(4), pp. 145-147, https://doi.org/10.2478/pjph-2019-0033

Tampa Bay Times (2020) PolitiFact: On hospitals and the possible financial incentive of COVID-19 patients, available at: https://www.tampabay.com/news/health/2020/04/22/politifact-on-hospitals-and-the-possible-financial-incentive-of-covid-19-patients/ (December 26, 2020).

Telepraf.by (2020) Do the health professionals leave for Poland? What would be the consequences of massive doctors' imprisoning, available at: https://telegraf.by/zdorove/vrachi-na-samom-dele-uedut-v-polshu-eksperty-rasskazali-k-chemu-privedut-massovye-posadki-vrachej/ (December 26, 2020).

Today (2020) Malaysian govt gives out special allowance for doctors, frontline workers amid Covid-19 outbreak, available at: https://www.todayonline.com/world/malaysian-govt-gives-out-special-allowance-doctors-frontline-workers-amid-covid-19-outbreak (December 26, 2020).

Tsoneva, Y. (2020) Bulgaria’s public health crisis Europes most underfunded welfare state struggles to cope with Covid-19, available at: http://www.europe-solidaire.org/spip.php?article52843 (December 26, 2020).

WHO (2020a) Keep health workers safe to keep patients safe: WHO, available at: <https://www.who.int/news/item/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who> (December 26, 2020).

WHO (2020b) WHO: Healthcare workers are to be safe to protect patients, available at: https://news.un.org/ru/story/2020/09/1385942 (December 26, 2020).

Williams, G. A., Scarpetti, G., Bezzina, A., Vincenti, K., Grech, K., Kowalska-Bobko, I., Sowada, C., Furman, M., Gałązka-Sobotka, M. & Maier, C. B. (2020) How are countries supporting their health workers during COVID-19? Eurohealth, 26(2), pp. 58-62.

World Bank (2018) Current health expenditure (% of GDP), available at: https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD (December 26, 2020).

World Bank (2020) Social Protection and Jobs Responses to COVID-19: A Real-Time Review of Country Measures, available at: http://documents1.worldbank.org/curated/en/295321600473897712/pdf/Social-Protection-and-Jobs-Responses-to-COVID-19-A-Real-Time-Review-of-Country-Measures-September-18-2020.pdf (December 26, 2020).

Yadav, P. K. (2017) Ethical issues across different fields of forensic science, Egyptian Journal of Forensic Sciences, 7(1), pp. 10-15, https://doi.org/10.1186/s41935-017-0010-1

Yakymenko, Y. (2020) Ukraine 2020-2021: Inflated expectations, unexpected challenges (Assessments), Razumkov Centre, available at: https://razumkov.org.ua/uploads/other/2021-PIDSUMKI-PROGNOZI-UKR-ENG.pdf?fbclid=IwAR2AfPgQ8UFS_sS4kJb86u53ZbYYu9gSC_hxHqQyTlAZGB7IQz091D85X1Q (December 26, 2020).

Young, K. (2020) Need for nurses is driving record pay as coronavirus nears its peak, available at: https://www.cnbc.com/2020/04/02/need-for-nurses-is-driving-record-pay-as-coronavirus-nears-its-peak.html (December 26, 2020).

Published
2021-10-22
Section
Article