{"id":935,"date":"2020-08-30T09:49:16","date_gmt":"2020-08-30T08:49:16","guid":{"rendered":"https:\/\/tceltintr679475724.wordpress.com\/?p=935"},"modified":"2020-08-30T09:49:16","modified_gmt":"2020-08-30T08:49:16","slug":"blog-22-the-opportunity-of-covid-19-for-health-equity-what-are-the-invisible-lockdowns-beyond-the-pandemic-situation","status":"publish","type":"post","link":"https:\/\/sites.dundee.ac.uk\/tcelt\/2020\/08\/30\/blog-22-the-opportunity-of-covid-19-for-health-equity-what-are-the-invisible-lockdowns-beyond-the-pandemic-situation\/","title":{"rendered":"Blog 22. The opportunity of Covid-19 for health equity: What are the \u201cinvisible lockdowns\u201d beyond the pandemic situation?"},"content":{"rendered":"\n<p>By Camila Biazus Dalcin<\/p>\n\n\n\n<p>As a nurse and as a PhD student,&nbsp;<a href=\"https:\/\/www.who.int\/health-topics\/coronavirus#tab=tab_1\" target=\"_blank\" rel=\"noreferrer noopener\">Covid-19 pandemic<\/a>&nbsp;brought reflection around the people\u2019s and the barriers to access healthcare services. I always worked with vulnerable populations trying to help people to have their voices heard and to get the best healthcare outcomes. In Brazil, I worked in&nbsp;<a href=\"https:\/\/www.scielo.br\/scielo.php?pid=S0034-71672018001001799&amp;script=sci_arttext&amp;tlng=pt\">vulnerable communities<\/a>, with&nbsp;<a href=\"https:\/\/periodicos.ufpe.br\/revistas\/revistaenfermagem\/article\/view\/11207\" target=\"_blank\" rel=\"noreferrer noopener\">teenagers<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/periodicos.ufpe.br\/revistas\/revistaenfermagem\/article\/view\/11207\" target=\"_blank\" rel=\"noreferrer noopener\">their families<\/a>, looking at health promotion. In Scotland, my research focuses on the underpinning issues associated with healthcare access for&nbsp;vulnerable groups.<\/p>\n\n\n\n<p>In this pathway, I have been working with&nbsp;<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00127-016-1276-6\" target=\"_blank\" rel=\"noreferrer noopener\">marginalized groups<\/a>,&nbsp;<a href=\"https:\/\/www.kingsfund.org.uk\/publications\/what-are-health-inequalities\" target=\"_blank\" rel=\"noreferrer noopener\">health inequalities<\/a>,&nbsp;<a href=\"https:\/\/www.ted.com\/talks\/kimberle_crenshaw_the_urgency_of_intersectionality\" target=\"_blank\" rel=\"noreferrer noopener\">intersectionality<\/a>,&nbsp;<a href=\"https:\/\/scielosp.org\/article\/sausoc\/2017.v26n1\/115-128\/\" target=\"_blank\" rel=\"noreferrer noopener\">equity<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.who.int\/bulletin\/volumes\/89\/1\/10-082388\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\">social justice<\/a>.<\/p>\n\n\n\n<p>At the beginning of lockdown, other two colleagues and I wrote a&nbsp;<a href=\"https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3608568\" target=\"_blank\" rel=\"noreferrer noopener\">paper<\/a>&nbsp;about the Transformation of Life and Research with COVID-19 (we are 3 international PhD students). We faced many transitions during this time, that lead us to questions around the new normal, the challenges for social science research and the lockdown.<\/p>\n\n\n\n<p>After that experience of collaborative writing, I realized how different and similar all of us were experiencing lockdown. With that, I guess my reflection went more to a broad perspective, where I started the reflection about existing&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/hex.12864\" target=\"_blank\">\u201clockdowns\u201d before the pandemic<\/a>, what I will call \u201cinvisible lockdowns\u201d. This reflection came into the encounter with my thesis topic of boundaries of healthcare for <a href=\"https:\/\/discovery.dundee.ac.uk\/en\/persons\/camila-biazus-dalcin\">young people in con<\/a>flict with the law that have been in imprisonment. While I was looking deep into my data analysis during my experience of transition to a lockdown, I realized that the pandemic lockdown can be outside many other \u201cinvisible lockdowns\u201d.<\/p>\n\n\n\n<p>Confinement in the experience of fighting against COVID-19 has been a&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)30936-3\/fulltext#%20\" target=\"_blank\">shared experience<\/a>&nbsp;for all of us in the UK and other countries. Some questions came to my mind: How strange people felt with the imposed regulations by the government? How hard is to adapt to a new norm? How much effort it was to change our lives? These reflections were based in the understanding that we should be at home, to protect the NHS and safe lives.<\/p>\n\n\n\n<p>More than thinking about my own experience, the shared lockdown that we were all presented with, made me think about the \u201cinvisible lockdowns\u201d that vulnerable people live every day, much before than SARS-CoV-2. <br><\/p>\n\n\n\n<h2 class=\"has-white-color has-dark-red-background-color has-text-color has-background has-medium-font-size wp-block-heading\">The \u201cinvisible lockdowns\u201d of people deprived of liberty, people who suffer domestic violence, people without food to share with their families, people without a family. People face so many invisible challenges around society, so many \u201cinvisible lockdowns\u201d that make access to a better life harder for them.<\/h2>\n\n\n\n<p>It is not fair to say that we are all in the&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7221360\/\" target=\"_blank\">same boat during the COVID-19 pandemic<\/a>. I believe that \u201c<em>We are not all in the same boat. We are all in the same storm. Some are on super-yachts. Some have just the one oar<\/em>\u201d (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.damianbarr.com\/latest\/https\/we-are-not-all-in-the-same-boat\" target=\"_blank\">Damian Barr<\/a>). It is a unique time to look at the ones with just an oar to face same challenges as the others. Some people do not even have an oar. People face \u201cinvisible lockdowns\u201d inside our society. They live in a lockdown. A lockdown that may not end, a lockdown that does not have funding from the government, a lockdown that can be part of anyone\u2019s life from one day to another. We are all at risk of the \u201cinvisible lockdown\u201d.&nbsp;<\/p>\n\n\n\n<p>I deeply hope, that when we go out of the pandemic lockdown, we learn how hard is the confinement. Hopefully, we can look with&nbsp;<a href=\"https:\/\/www.rcn.org.uk\/news-and-events\/news\/the-importance-of-dignity-and-compassion-in-care\" target=\"_blank\" rel=\"noreferrer noopener\">compassion<\/a>&nbsp;to people in \u201cinvisible lockdowns\u201d. They don\u2019t have the same conditions, they don\u2019t have the same knowledge, they are lost in the middle of rules that are made for people with yachts, not for people with an oar.<\/p>\n\n\n\n<p>Is that fair? I don\u2019t think so. I hope we manage to think about public policy that addresses the complexity of the issues of populations that need more support. People in the margin of society. It is our responsibility to give fair conditions for them to fight the next storm. A fight worth fighting for me is for health equity &#8211; available to all. Here, I stress the importance of campaign of the World Health Organization, about&nbsp;<a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/universal-health-coverage-(uhc)\" target=\"_blank\" rel=\"noreferrer noopener\">Universal health coverage (UHC)<\/a>&nbsp;and fight against&nbsp;<a href=\"https:\/\/www.who.int\/features\/factfiles\/health_inequities\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health inequalities<\/a>.<\/p>\n\n\n\n<p>I believe in a pathway to a happier, healthier and more fair society, where we do not deny the lockdowns of other people.<\/p>\n\n\n\n<p class=\"has-white-color has-dark-red-background-color has-text-color has-background has-medium-font-size\"><strong>I know that the fight against the COVID-19 is not over. I also believe that the fight against the \u201cinvisible lockdowns\u201d is just starting. I invite you to use your yacht to help someone with just an oar. What do you think about starting now? I believe it is the right pathway.<\/strong><\/p>\n\n\n\n<p><em>Camila Biazus Dalcin is a PhD student at the University of Dundee, Scotland, in Community Learning and Education. She is also a PhD student in Nursing at the Federal University of Santa Catarina (UFSC), Brazil. Camila has a fellowship from the Coordination for the Improvement of Higher Education Personnel \u2013&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.capes.gov.br\/\" target=\"_blank\">CAPES<\/a>, Brazil. Camila did her Master\u2019s in nursing in the Federal University of Rio Grande (FURG), Brazil, related to the violence, use of drugs and tobacco in teenagers with a vulnerable background. During her PhD studies, she is studying the concept of symbolic violence, capitals and practice from Bourdieu, as well as the concepts of stigma and intersectionality. Camila has an interest in the theme of public health, health inequities, health inequalities, nursing practice, vulnerable populations, marginalized populations, transitions, young people, healthcare and social justice. Camila already worked with the Complexity Theory from Edgar Morin. She holds affiliation in The&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/peripheriesresearchtheme.wordpress.com\/\" target=\"_blank\">Peripheries<\/a>&nbsp;Theme, from the University of Dundee and also from the Research Group in Children and Adolescents Health (<a rel=\"noreferrer noopener\" href=\"https:\/\/gepesca.paginas.ufsc.br\/\" target=\"_blank\">GEPESCA<\/a>) from UFSC. Camila is engaged with the International Network of Transitions Researchers (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.dundee.ac.uk\/tcelt\/\" target=\"_blank\">TCELT<\/a>). Camila is member of the Sigma Theta Tau International Honor Society of Nursing (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.sigmanursing.org\/\" target=\"_blank\">Sigma<\/a>) society, as a recognition for the committeemen with nursing leadership. Camila\u2019s CV can be found&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/lattes.cnpq.br\/7796032781727172\" target=\"_blank\">here<\/a>.<\/em><br><br><em>Image copyright: Camila Biazus Dalcin<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Camila Biazus Dalcin As a nurse and as a PhD student,&nbsp;Covid-19 pandemic&nbsp;brought reflection around the people\u2019s and the barriers to access healthcare services. I always worked with vulnerable populations trying to help people to have their voices heard and to get the best healthcare outcomes. In Brazil, I worked in&nbsp;vulnerable communities, with&nbsp;teenagers&nbsp;and&nbsp;their families, looking [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":938,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,24,45,57,58,116],"tags":[156],"class_list":["post-935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compassion","category-dignity","category-health-equity","category-intersectionality","category-invisible-lockdown","category-social-justice","tag-covid-19"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/posts\/935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/comments?post=935"}],"version-history":[{"count":0,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/posts\/935\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/media\/938"}],"wp:attachment":[{"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/media?parent=935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/categories?post=935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.dundee.ac.uk\/tcelt\/wp-json\/wp\/v2\/tags?post=935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}