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Kayı, İlker

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İlker

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Kayı

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Kayı, İlker

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2017 - 201952020 - 202312

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    Policy analysis of suppression and mitigation strategies in the managementof an outbreak through the example of COVID-19 pandemic
    (DOC Design and Informatics, 2020) N/A; N/A; Kayı, İlker; Sakarya, Sibel; Faculty Member; Faculty Member; School of Medicine; School of Medicine; 168599; 172028
    Objective: The objective of this study is to review the containment approaches adopted by countries to control COVID-19 pandemic. In our analysis, we have used Bacchi’s framework for interpretive policy analysis and examined the measures countries have taken and discussed the premise underlying containment strategies. We have included in our analysis United States of America, United Kingdom, Netherlands, Sweden, Denmark, Norway, Germany, Italy, Turkey, South Korea, Singapore, Japan and China. There are essentially two strategies that are used in the management of an outbreak: suppression or mitigation. Suppression strategy aims to lower the basic reproduction number (Ro) below 1 and thereby reduce the number of infected people or eliminate the person-to-person transmission. Mitigation approach, on the other hand, aims to generate community (herd) immunity by allowing the controlled infection of people. In this approach, the aim is not to bring Ro under 1 but to mitigate the health effects of the outbreak. It is seen that given the epidemiological features of the disease, the scope of the virus, and the limitation of the intervention resources at hand, the suppression approach is accepted more widely by the countries in terms of Covid-19 pandemic. In contrast, the mitigation strategy is approached with suspicion. The approach aiming to achieve herd immunity seems more suitable for situations in which it is possible to protect the high-risk groups by administrating vaccine. These evaluations should be carried out following the circumstances of the country in question. It is essential to form an evidence-based plan that is appropriate for the national context. It should be kept in mind that the solutions for the fight against the virus do not solely consist of those ready-made implementations by choosing one option over the other and that mixed models could be brought to the agenda when required.
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    Health mediator model as a way to access to care and health information for Syrian refugees in Turkey
    (Oxford Univ Press, 2019) Simsek, Z.; Yildirimkaya, G.; N/A; Kayı, İlker; Faculty Member; School of Medicine; 168599
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    Predictors of human papilloma virus vaccination uptake among female university students in Turkey
    (DOC Design and Informatics, 2020) Yavaş, Gökçe; Uçurum, Bahar Ezgi; Yılmaz, Pelinsu; Gökçek, Betül; Oğuzer, Şeyda Ece; Eğlenen, Buse; N/A; Kayı, İlker; Ergönül, Önder; Faculty Member; Faculty Member; School of Medicine; School of Medicine; 168599; 110398
    Introduction: Human Papilloma Virus (HPV) vaccine provides a primary prevention opportunity to decrease the morbidity and mortality of cervical cancer. Turkey has not yet included it in the national immunization program, but it is commercially available. We aimed to explore the predictors of HPV vaccine uptake among female students in a university in Turkey. Methods: This is a cross-sectional survey conducted with 1,115 female students via a questionnaire assessing the sociodemographic characteristics, vaccination uptake, knowledge and attitudes towards HPV and related conditions. Results: 75.2% (n=838) of the participants reported hearing HPV vaccine and 17.9% (n=200) reported they had received at least one dose of HPV vaccine. The median knowledge score was 6 out of 10. Multivariate analysis showed that age (OR: 1.181; 95% CI 1.070-1.304), knowledge score (OR: 1.183; 95% CI 1.075-1.302), department (OR: 1.667; 95% CI 1.087- 2.557), sexual activity (OR: 2.384; 95% CI 1.596-3.561), and level of family income (OR: 3.205; 95% CI 2.066-4.970), were significantly associated with vaccination uptake. Conclusion: Our study indicates that the cost of HPV vaccines is an important barrier to equitable access to vaccines. Policies ensuring equitable access and raising awareness has the potential to promote the vaccination uptake among youth.
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    Modeling mobile health service delivery to Syrian migrant farm workers using call record data
    (Elsevier, 2021) Yücel, Eda; Coşkun, Abdullah; Department of Industrial Engineering; N/A; Department of International Relations; Salman, Fatma Sibel; Kayı, İlker; Alışık, Sedef Turper; Faculty Member; Faculty Member; Faculty Member; Department of Industrial Engineering; Department of International Relations; College of Engineering; School of Medicine; College of Administrative Sciences and Economics; 178838; 168599; 128176
    A significant number of Syrian refugees under temporary protection in Turkey work in agriculture seasonally in various rural areas during several months a year. These migrant farm workers and their families are deprived of access to the regular health care system and preventive services due to their remote locations. The government supports the delivery of different types of mobile health care services, such as vaccination for children, reproductive health and screening services. While planning the mobile health care service delivery, it is critical to know where the refugees will work during what time frame; hence the demand for the services. By analyzing the call record data of a major mobile network operator in Turkey, we quantify the increase in the volume of calls made by Syrian refugees in various agricultural areas during the harvesting season of local crops. This information helps us to forecast spatial and temporal distribution of demand for mobile health care services at a fine granularity. Taking demand over multiple periods as input into a mathematical programming model, we optimize the routing of mobile clinics that visit locations close to where refugees are concentrated over the given planning horizon. We consider three hierarchical objectives. Given the availability of a number of mobile clinics at community health centers in the districts, the first objective aims to maximize the percentage of refugees that can benefit from each service type within pre-defined close distances. The second objective minimizes the number of clinics needed while covering the maximum percentage of refugees. The third objective minimizes the total travel distance of the clinics, while keeping the maximum coverage level using a minimum number of clinics to achieve this level. We quantify the benefits of centralized planning (by the province directorate) over decentralized planning (by each district separately). We also show the trade-off between the required number of clinics and coverage of potential patients.
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    Burnout in primary healthcare physicians and nurses in Turkey during COVID-19 pandemic
    (Cambridge University Press (CUP), 2023) Kirimli, Emrah; N/A; Ayaşlıer, Ata Arda; Albayrak, Beyza; Çelik, Esra; Özdemir, Özgür; Özgür, Özlem; Kayı, İlker; Sakarya, Sibel; Undergraduate Student; Undergraduate Student; Undergraduate Student; Undergraduate Student; Undergraduate Student; Faculty Member; Faculty Member; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; N/A; N/A; N/A; N/A; N/A; 168599; 172028
    Background:Due to additional responsibilities and uncertainties during the COVID-19 pandemic, primary healthcare (PHC) workers are at increased risk of burnout. Aim:To determine and compare the burnout levels and related factors in PHC nurses and family physicians (FPs) during the COVID-19 pandemic. Methods:An online survey was delivered to PHC workers. Non-random sampling method was used. To evaluate burnout, the Maslach Burnout Inventory was used, which investigates burnout in three categories: emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA). Multivariate linear regression was used to analyze factors associated with burnout for FPs and nurses separately. Findings:Among the participants, 55.7% were nurses, the mean age was 42.34. FPs and nurses experienced similar levels of burnout in terms of EE. Family physicians had higher levels of low PA and DP. Based on the results of the multivariate analysis, while higher EE levels were significantly associated with unequal distribution of workload and communication problems within the Family Health Center for physicians, the unequal distribution of PPE, lack of appreciation by patients or colleagues and restrictions on work-related rights were relevant factors for nurses. Lack of appreciation and restrictions of the rights were associated with increased DP scores in both groups. Unequal distribution of workload was also associated with reduced PA among FPs. Conclusion:PHC physicians and nurses are affected by burnout in different ways under the conditions of the COVID-19 pandemic based on gender, socioeconomic status and working conditions. To protect the mental health of PHC workers in the next public health emergency, clarification in the organization of services, empowering PHC workers in emergency risk communication and provision of timely, adequate and free PPE is essential. It is also crucial to ensure the rights of health workers through macro policy changes especially during emergencies.
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    Successful fight against the COVID-19 pandemic: Singapore
    (Türk Tabipler Birliği, 2022) N/A; N/A; N/A; Uçku, Duygu; Tanrıöver, Cem; Kayı, İlker; Undergraduate Student; Undergraduate Student; Faculty Member; School of Medicine; School of Medicine; School of Medicine; N/A; N/A; 168599
    Singapore has shown a successful fight against the COVID-19 pandemic. Singapore has always been prone to infectious diseases due to its location, climate and tourism. Lessons learned while tackling the past SARS epidemic have guided the country’s current approach to the pandemic. Singapore’s first case was reported on January 23, 2020, when a 66-year-old patient from Wuhan showed symptoms of pneumonia and had a positive PCR test. The country has adopted a multidimensional surveillance approach to combat the pandemic. This includes updated case definitions, contact tracing, expanded surveillance in different patient groups (respiratory tract infections and intensive care admissions) and increased testing opportunities for physicians, as well as investigation of the etiology of deaths from infectious causes. In this article, we discuss Singapore’s healthcare system, the measures that were implemented in order to fight against the COVID-19 pandemic and the reasons for their success. / COVID-19 pandemisi yönetimi bakımından Singapur örnek gösterilebilecek ülkeler arasında yer almaktadır. Singapur, lokasyonu, iklimi ve sık seyahat edilen bir ülke olması nedeniyle bulaşıcı hastalıklara yatkın bir ülke olmuştur. Geçmişteki SARS salgını ile mücadelede alınan dersler, ülkenin pandemi planına yön vermiştir. Singapur’un ilk vakası, 23 Ocak 2020’de Wuhan’dan gelen 66 yaşındaki bir hastanın pnömoni semptomları göstermesi ve PCR testinin pozitif çıkması ile doğrulanmıştır. Ülke, pandemiyle mücadelede çok boyutlu bir sürveyans yaklaşımını benimsemiştir. Bu, güncellenen vaka tanımları, temaslı izlemi, farklı hasta gruplarında (solunum yolu enfeksiyonları ve yoğun bakım yatışları) genişletilmiş bir sürveyans ve hekimlere artırılmış test imkanlarına ek olarak, enfeksiyöz nedenli ölümlerin etiyolojisinin araştırılması gibi farklı uygulamaları içermektedir. Bu yazıda Singapur’un sağlık sisteminin tanıtılmasının yanı sıra, COVID-19 pandemisinde yürüttüğü pandemi kontrol önlemleri ve bunların başarılı olmasındaki nedenler değerlendirilecektir.
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    Durinng COVID-19 outbreak situation of refugees in Turkey
    (Sağlık ve Sosyal Yardım Vakfı, 2020) Mardin, Deniz; Özvarış, Şevkat Bahar; Gürsoy, Gül; Yukarıkır, Neslihan; Başpınar, Anıl; Sakarya, Sibel; Kayı, İlker; Faculty Member; Faculty Member; School of Medicine; School of Medicine; 172028; 168599
    Turkey is hosting sum of 5.5 million refugees and international migrants and has become the number one refugee hosting country in the world. Their right to health and access to health condition varies based on their legal status. During the pandemic both their access to health care and their living conditions are changed. After the declaration of the first COVID-19 case in Turkey on 10th of March 2020, has been published different regulations for accessing the health care of these population. However non-governmental organizations’ reports on access to health care conditions of refugees have declared that there are still barriers encountered by refugees. As an example, refugees do not have the necessary information about COVID-19, they do not have information about which hospital they can apply to, there are some problems about the registration process of undocumented migrants and language barriers are encountered during the filiation. In addition, refugees have lost their jobs during the epidemic which affects their conditions for access to shelter, nutrition and health services. In addition, it is an important problem that they do not have enough information about where to apply when there are any health problems other than COVID-19 In conclusion, in Turkey there is a need to make further efforts to provide public supports to the refugees coming from various countries either for health or for other socio economic issues by the supports of the international organizations and with the collaboration of the NGOs / Dünyada en fazla zorunlu göçmene ev sahipliği yapan Türkiye’de toplam 5,5 milyon geçici koruma altında Suriyeli, mülteci ve uluslararası göçmen bulunmaktadır. Bu kişilerin sağlık hizmetlerine erişimi ve sağlık hakkı hukuki statülerine göre farklılık göstermektedir. Salgın sürecinde ise hem sağlık hizmetlerine erişimin hem de kişilerin yaşam koşullarının değiştiği gözlemlenmektedir. Türkiye’de 10 Mart 2020 itibari ile ilk COVID-19 vakasının açıklanmasından sonra bu grupların da sağlık hizmetlerine erişimi konusunda farklı düzenlemeler yapılmıştır. Ancak, mültecilerle çalışan sivil toplum kuruluşlarının tespitlerine göre hala bazı sorunların devam ettiği görülmektedir. Mültecilerin COVID-19 konusunda gerekli bilgilendirmeye erişemedikleri, hangi hastaneye başvurabilecekleri konusunda bilgiye sahip olmadıkları, kayıtsız göçmenlerin kayıt süreçlerinde sorun yaşadıkları, filyasyon sürecinde dil bariyeri ile karşılaşıldığı belirtilmektedir. Ayrıca, mültecilerin salgın sürecinde işlerini kaybetmeleri, barınma, beslenme ve sağlık hizmetlerine erişim koşullarını da etkilemektedir. Bunların yanı sıra, COVID-19 dışında herhangi bir sağlık sorunları olduğunda nereye başvurulması gerektiği ile ilgili bilgiye sahip olmamaları da önemli bir sorundur. Sonuç olarak, Türkiye’de farklı ülkelerden gelen mültecilere yönelik, uluslararası kuruluşların desteği ve sivil toplum kuruluşların işbirliği ile kamusal olarak hem sağlık hem de sosyal ve ekonomik konularda çalışmaların yapılmasına ihtiyaç duyulmaktadır
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    COVID-19 barriers and response strategies for refugees and undocumented migrants in Turkey
    (Elsevier B.V., 2020) Bahar Özvarış, Şevkat; Mardin, Deniz; Ekzayez, Abdulkarim; Meagher, Kristen; Patel, Preeti; Kayı, İlker; Sakarya, Sibel; Faculty Member; Faculty Member; School of Medicine; School of Medicine; 168599; 172028
    Introduction: With more than 40 million confirmed cases of COVID-19 globally, the pandemic is continuing to severely challenge health systems around the world. Countries with high numbers of refugees face an additional burden on COVID-19 preventive and curative services made available and accessible to refugees. Turkey hosts the largest number of refugees globally, with a total of 4 million in 2020. Over 98% of refugees in Turkey reside in urban areas in large, crowded cities such as Istanbul, Gaziantep, and Hatay posing severe challenges for all health responses, including COVID-19. This study provides insights and analysis on the current situation for refugees, migrants under temporary protection and undocumented migrants in Turkey by focusing on the right to health and access to health care under pandemic conditions. Its main aim is to discuss the challenges and opportunities for COVID-19 responses relating to refugees, migrants under temporary protection and undocumented migrants in Turkey. Methods: This is a non- systematic and exploratory literature review from academic and grey sources. We reviewed published documents, meeting summaries, media reports/news and policy briefs in Turkish and English on the COVID-19 response in Turkey. Results: Since the start of the COVID-19 outbreak in Turkey, the Ministry of Health (MoH) has taken various steps to provide health care for all residents. However, several challenges arise when providing health care to refugees, migrants under temporary protection and other undocumented migrants including language barrier in accessing reliable information and access to health services for existing chronic conditions. Conclusion: While refugees, migrants under temporary protection and undocumented migrants have been granted access to services for COVID-19 related health problems, social and cultural barriers remain beyond the current legislation. Solidarity and whole-of-society inclusive approaches should always be the guiding principles in the COVID-19 response.
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    Reproductive health, consanguineous and teenage marriages among farmworkers in Turkey
    (2018) Şimşek, Z.; Beyazgül, B.; N/A; Kayı, İlker; Faculty Member; School of Medicine; 168599
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    Worldbuilding and mandala as a tool for co-speculating on the healthcare domain in 2050
    (Assoc Computing Machinery, 2021) Department of Media and Visual Arts; Department of Media and Visual Arts; N/A; N/A; N/A; Yantaç, Asım Evren; Vatansever, Ali; Kayı, İlker; Kuşçu, Kemal; Omaç, Tevfik; Faculty Member; Teaching Faculty; Faculty Member; Other; Undergraduated Student; Department of Media and Visual Arts; College of Social Sciences and Humanities; College of Social Sciences and Humanities; School of Medicine; School of Medicine; School of Medicine; 52621; 121209; 168599; N/A; N/A
    Covid-19 pandemic that demanded distancing from social life had a drastic impact on our societal systems from economy to education but especially healthcare, which became the center of attention in 2020. While making gaps in the social systems visible, these times have reminded us the significance of exploring possible futures, scenarios and how design methods can help co-speculating on possible futures. With a motivation to co-speculate on possible futures with the healthcare domain experts, discuss how 2020 might effect the world in general and reflect back on the future of the healthcare domain based on these speculations, we have started a series of worldbuilding workshops. Here in this paper, we are sharing the lessons learned through the first three workshops conducted in this long term project, where we worked with 8 domain experts, used design fiction stories and the worldbuilding mandala tool to co-speculate on possible futures of 2030, 2040, and finally 2050. This paper shares insights regarding the methods used and how they helped the co-speculation process, but not the implications regarding healthcare sector.