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Long-term strategies to control COVID-19 in low and middle-income countries: an options overview of community-based, non-pharmacological interventions
by
Luhar, Shammi
,
Choudhury, Sohel Reza
,
Franco, Oscar H.
in
Betacoronavirus
,
Cardiology
,
Communicable Disease Control - methods
2020
In low and middle-income countries (LMICs), strict social distancing measures (e.g., nationwide lockdown) in response to the COVID-19 pandemic are unsustainable in the long-term due to knock-on socioeconomic and psychological effects. However, an optimal epidemiology-focused strategy for ‘safe-reopening’ (i.e., balancing between the economic and health consequences) remain unclear, particularly given the suboptimal disease surveillance and diagnostic infrastructure in these settings. As the lockdown is now being relaxed in many LMICs, in this paper, we have (1) conducted an epidemiology-based “options appraisal” of various available non-pharmacological intervention options that can be employed to safely lift the lockdowns (namely, sustained mitigation, zonal lockdown and rolling lockdown strategies), and (2) propose suitable application, pre-requisites, and inherent limitations for each measure. Among these, a sustained mitigation-only approach (adopted in many high-income countries) may not be feasible in most LMIC settings given the absence of nationwide population surveillance, generalised testing, contact tracing and critical care infrastructure needed to tackle the likely resurgence of infections. By contrast, zonal or local lockdowns may be suitable for some countries where systematic identification of new outbreak clusters in real-time would be feasible. This requires a generalised testing and surveillance structure, and a well-thought out (and executed) zone management plan. Finally, an intermittent, rolling lockdown strategy has recently been suggested by the World Health Organization as a potential strategy to get the epidemic under control in some LMI settings, where generalised mitigation and zonal containment is unfeasible. This strategy, however, needs to be carefully considered for economic costs and necessary supply chain reforms. In conclusion, while we propose three community-based, non-pharmacological options for LMICs, a suitable measure should be context-specific and based on: (1) epidemiological considerations, (2) social and economic costs, (3) existing health systems capabilities and (4) future-proof plans to implement and sustain the strategy.
Journal Article
Macroeconomic lockdown and SMEs
by
Sáez, Francisco
,
Delgado-Márquez, Blanca L.
,
Pedauga, Luis
in
Business and Management
,
Classification
,
Companies
2022
The relative importance of small-and mediumsized enterprises (SMEs) and large firms is a recurrent topic in the small business economics literature. This paper presents a real and financial social accounting matrix (FSAM) capable of distinguishing the direct and indirect effects that are transferred from micro-, small, medium, and large firms to the rest of the economy. We use the hypothetical extraction method (HEM) to explore the sequence of reactions associated with shocks that arise from the COVID-19 lockdown. Using a structural model for the Spanish economy, we identify the role of different firm size categories in the aggregate gross domestic product (GDP). Our results allow us to reconcile the mixed narrative that accompanies the evaluation of the role played by these categories in economic activity by revealing that both SMEs and large firms are important for supporting economic activity. In particular, SMEs help explain 43% of the income and two-thirds of the unemployment decline caused by the COVID-19 pandemic. Our findings also show the importance of conditioning SME industrial policy to sectoral analysis.
The effects of the macroeconomic lockdown and its transmission to the rest of the economy differ by firm size and across sectors. Using the Spanish context for micro-, small, medium, and large firms, we distinguish the direct and indirect effects caused by the COVID-19 pandemic. The main implications are the following: (1) Research: results emphasize that SMEs and large firms are both important to support economic activity but, in order to account for the relative effects on SMEs, it is crucial to consider the specific sector that receives the disruption. 2) Policy: SMEs are an important focus of business support policies within the EU. According to our estimations, disruptions in SMEs produce larger reductions in demand. These results could support credit policies for SMEs with a strong impact on the aggregate economy due to their greater productive and financial linkages with the domestic economy.
Journal Article
COVID-19 pandemic
by
Anumudu, Christian K
,
Al-Sharify, Zainab T
,
Mbaegbu, Paul
in
Abuse
,
Aggression
,
Air pollution
2021
COVID-19, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), was declared a pandemic by the World Health Organization (WHO) on the 11th of March 2020, leading to some form of lockdown across almost all countries of the world. The extent of the global pandemic due to COVID-19 has a significant impact on our lives that must be studied carefully to combat it. This study highlights the impacts of the COVID-19 pandemic lockdown on crucial aspects of daily life globally, including; Food security, Global economy, Education, Tourism, hospitality, sports and leisure, Gender Relation, Domestic Violence/Abuse, Mental Health and Environmental air pollution through a systematic search of the literature. The COVID-19 global lockdown was initiated to stem the spread of the virus and 'flatten the curve' of the pandemic. However, the impact of the lockdown has had far-reaching effects in different strata of life, including; changes in the accessibility and structure of education delivery to students, food insecurity as a result of unavailability and fluctuation in prices, the depression of the global economy, increase in mental health challenges, wellbeing and quality of life amongst others. This review article highlights the impacts of the COVID-19 pandemic lockdown across the globe. As the global lockdown is being lifted in a phased manner in various countries of the world, it is necessary to explore its impacts to understand its consequences comprehensively. This will guide future decisions that will be made in a possible future wave of the COVID-19 pandemic or other global disease outbreak.
Journal Article
Exploring the Socio-Economic Impact of COVID-19 Pandemic in Marketplaces in Urban Ghana
2020
This article explores Ghana’s preventive measures for stemming the spread of the COVID-19 disease among its population and the socio-economic impact of these measures in urban marketplaces. It argues that Ghana’s COVID-19 approach in marketplaces was characterised by (1) improving hygiene conditions through disinfection of all markets, (2) closing down markets to enforce social distancing among traders, and (3) imposing a lockdown to decongest densely populated marketplaces. Yet the micro-geographies of Ghana’s marketplaces complicated the implementation of these preventive measures. The socio-economic impacts of the COVID-19 pandemic in marketplaces were evident in the increased food prices, the economic hardships associated with the lockdown directive, and the forceful relocation and decongestion exercises to enforce social distancing among traders. The hostile nature with which municipal authorities implemented the COVID-19 preventive measures in marketplaces is akin to how they sought to decongest inner cities prior to the emergence of COVID-19.
In diesem Artikel werden die Präventivmaßnahmen Ghanas zur Eindämmung von COVID-19 und die sozioökonomischen Auswirkungen dieser Maßnahmen auf städtische Märkte untersucht. Der ghanaische Ansatz im Hinblick auf COVID-19 und Märkte war dadurch gekennzeichnet, dass (a) die hygienischen Bedingungen durch Desinfektion aller Märkte verbessert wurden, (b) durch Schließung der Märkte die Abstandsregeln zwischen den Händlern erzwungen wurden und (c) durch den Lockdown überfüllte Märkte vermieden wurden. Die Mikrogeografien der ghanaischen Märkte erschwerten jedoch die Umsetzung dieser Präventivmaßnahmen. Die sozioökonomischen Auswirkungen der COVID-19-Pandemie auf den Märkten zeigten sich in gestiegenen Lebensmittelpreisen, der wirtschaftlichen Not in Folge der Lockdown-Verordnung und der Zwangsumsiedlung und Entzerrung, um Social Distancing der Händler durchzusetzen. Die feindselige Art, mit der die kommunalen Behörden die COVID-19-Präventivmaßnahmen auf den Märkten umsetzten, ähnelt vorherigen Versuchen, der Überlastung der Innenstädte entgegenzuwirken.
Journal Article
Changes in the Dog’s and Cat’s Behaviors, as Reported by the Owners, before and during the Lockdown in China
2022
Considering the effects that the COVID-19 pandemic had and still has on human psychological health, it is expected that it might also affect household dogs’ and cats’ welfare. The current study explores the behavioral changes in dogs and cats before (BL) and during the lockdown (DL), as reported by their owners in China. Besides demographic parameters, variables related to the daily management of dogs and cats were analyzed in relation to behavioral problems, stress-related behaviors, and anxiety-related behaviors before and during the lockdown. A total of 261 questionnaires were collected. In general, behavioral problems and stress-related behaviors in dogs (p < 0.001) and cats (p < 0.001) decreased DL compared to BL, while anxiety-related behaviors in cats did not show any differences between the two periods considered. On the other hand, anxiety-related behaviors were more frequent in dogs DL (36.3%) compared to BL (35%), which were associated with reduced frequency of play activities with the owners (p = 0.016) and altered sleeping habits (p < 0.01). During the lockdown, dogs’ and cats’ daily routines and management (feeding and sleeping habits, dogs’ walks, dogs’ and cats’ play activities, litter box management, and cats’ lifestyle) experienced changes, but they were not associated with any behavioral issues. On the other hand, the behavioral issues considered for dogs and cats were more frequent BL, which were influenced by the daily management of the pets. The current study showed how critical the attention the owners can provide to the pets could be, to improve their companion animals’ welfare. Therefore, it is important to provide pet owners with behavioral management support both during particularly difficult periods such as a lockdown and during regular daily routines.
Journal Article
Digital Literacy and Higher Education during COVID-19 Lockdown: Spain, Italy, and Ecuador
by
Cervi, Laura
,
Tejedor, Santiago
,
Jumbo, Fernanda Tusa
in
COVID-19
,
digital literacy
,
generation Z
2020
Digital literacy constitutes the basis for citizenship in order to be effective and efficient in the 21st Century in professional and personal lives. The set of skills and competences integrating digital literacy are expected to be guaranteed in higher education. During the lockdown globally imposed for the COVID-19 pandemic, educational systems worldwide had to face many disruptive changes. The aim of this research is to present a comparative study of three countries’ higher education institutions (Spain, Italy, and Ecuador), analyzing how they have faced the global lockdown situation, focusing on the development of digital literacy. The methodological approach followed in this study was quantitative with an exploratory-correlational scope using a questionnaire designed ad hoc and applied in a sample of 376 students. Results point the necessity of enhancing the main aspects such as the teacher’s digital skills, sources for learning that may be adapted, communication between universities and students, and teaching methodologies that should be appropriate to the current context. Conclusions may suggest rethinking higher education learning and reinforcing main issues for this transformation, mainly: communication, teaching, and digital competences. Otherwise, digital literacy is not being guaranteed, which means higher education is not accomplishing one of its main objectives.
Journal Article
The impact of COVID-19 lockdown on child and adolescent mental health: systematic review
2023
COVID-19 was declared a pandemic in March 2020, resulting in many countries worldwide calling for lockdowns. This study aimed to review the existing literature on the effects of the lockdown measures established as a response to the COVID-19 pandemic on the mental health of children and adolescents. Embase, Ovid, Global Health, PsycINFO, Web of Science, and pre-print databases were searched in this PRISMA-compliant systematic review (PROSPERO: CRD42021225604). We included individual studies reporting on a wide range of mental health outcomes, including risk and protective factors, conducted in children and adolescents (aged ≤ 19 years), exposed to COVID-19 lockdown. Data extraction and quality appraisal were conducted by independent researchers, and results were synthesised by core themes. 61 articles with 54,999 children and adolescents were included (mean age = 11.3 years, 49.7% female). Anxiety symptoms and depression symptoms were common in the included studies and ranged 1.8–49.5% and 2.2–63.8%, respectively. Irritability (range = 16.7–73.2%) and anger (range = 30.0–51.3%), were also frequently reported by children and adolescents. Special needs and the presence of mental disorders before the lockdown, alongside excessive media exposure, were significant risk factors for anxiety. Parent–child communication was protective for anxiety and depression. The COVID-19 lockdown has resulted in psychological distress and highlighted vulnerable groups such as those with previous or current mental health difficulties. Supporting the mental health needs of children and adolescents at risk is key. Clinical guidelines to alleviate the negative effects of COVID-19 lockdown and public health strategies to support this population need to be developed.
Journal Article