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The managers' perspectives on service providing in women's harm reduction centers during the COVID-19 pandemic: mixed method study.
Rahmani, Azam; Janatolmakan, Maryam; Rezaei, Elham; Tabarrai, Malihe.
Afiliação
  • Rahmani A; Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
  • Janatolmakan M; Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. mjanat135@yahoo.com.
  • Rezaei E; Nursing and Midwifery Care Center, Tehran University of Medical Sciences, Tehran, Iran. mjanat135@yahoo.com.
  • Tabarrai M; Midwifery Department, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Harm Reduct J ; 21(1): 133, 2024 07 12.
Article em En | MEDLINE | ID: mdl-38997734
ABSTRACT

BACKGROUND:

The COVID-19 pandemic posed significant challenges for managers overseeing women's harm reduction centers. This study seeks to capture managers' perspectives on the service providing in women's harm reduction centers during the COVID-19 pandemic.

METHODS:

This convergent mixed-method study conducted in three provinces of Iran Tehran, Khuzestan, and Kermanshah. The study was carried out between January and May 2023. In the quantitative part, the researchers utilized reports from 10 center managers. A researcher-designed questionnaire was employed to collect data on a wide range of services and referrals provided by the centers. The qualitative part of the research involved conventional content analysis and included 12 individual interviews. Two directors from the Ministry of Health and ten managers of women's harm reduction centers participated in the interviews. During the interpretation phase, the researchers compared the quantitative and qualitative findings to obtain a comprehensive understanding of the topic.

RESULTS:

During the quantitative stage of the study, it was observed that all the managers were women, with an average age of 40.7 ± 7 years. More than half of the managers had obtained a postgraduate education (n = 6, 60%), and a majority of them were married (n = 7, 70%). Additionally, 40% of the managers (n = 4) were working as contractors. During the non-COVID-19 period, there were higher coverage by centers and residents, more referrals of non-injecting drug users and sex workers, and a higher number of group counseling sessions in all three provinces compared to the COVID-19 period. The qualitative analysis revealed two primary themes "challenges" and "capabilities."

CONCLUSIONS:

During the COVID-19 pandemic, providing some services and client referrals decreased in the centers, and center managers faced increased challenges. Many of these challenges were in the communication, executive, management, structure, education, financial, civilization, facilities, and socio-cultural sectors. Managers used their skills to manage and control these challenges. It is important to focus on these challenges and managerial capabilities to effectively handle future crises.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Redução do Dano / COVID-19 Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Redução do Dano / COVID-19 Idioma: En Ano de publicação: 2024 Tipo de documento: Article