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Global Health Economics and
            Sustainability
                                                                                        COVID-19 changed our world


            Tuma  et al. emphasized the need to replace traditional   challenges in Guyana: the paucity of computers, laptops,
            face-to-face activities with alternative surgical curricular   or tablets; insufficient prior preparation of both students
            components (Tuma  et al., 2021). Ng (2021) explored   and educators; inadequate national infrastructure; slow
            pre-registration adjustments in the Medical Radiation   Internet speeds; inconsistent electricity supply; ineffective
            Science curriculum in response to the pandemic, noting   course delivery; and poor student-teacher engagement.
            their impact on varied stakeholders. Smith & Farra (2022)   Issues such as long working hours, compromised
            highlighted significant healthcare reforms triggered by   deadlines, limited review capabilities, and concerns over
            the  pandemic,  including  changes in  nursing  practices   mental health, cybersecurity, and viral exposure further
            and education. Investigations comparing traditional   exacerbated the difficulties faced by students and educators
            classroom settings with VLS indicated that online learning   (Oyedotun, 2020).
            can prove more effective because it offers benefits such as   Discrete surveys have  been  conducted with students
            easier tracking of student progress, increased engagement,   in different countries: for instance, in the Kitwe district
            scheduling flexibility, enhanced efficiency, and improved   in  Zambia (Mukuka  et al.,  2021), at Western Michigan
            academic collaborations (Hong et al., 2021).       University in the United States (Al-Mawee  et al., 2021),
              VLS emerged as crucial tools that allowed educational   and at an Afghan university (Noori, 2021). Most students
            continuity during the pandemic but their implementation   articulated both good and bad aspects of distance learning,
            posed several challenges. Principal problems included   such as the loss of social connection or the flexibility of
            technological difficulties, high costs, low student   time and place (Al-Mawee  et al., 2021) in places where
            engagement, and trouble with focus maintenance. Specific   most residents did not enjoy adequate access to ICT,
            concerns for medical students included two-dimensional   power, or online services (Mukuka  et al., 2021). Reuge
            representations in anatomy or surgical skill courses,   et al. (2021) published a paper titled “Education response
            limited time to engage in academic discussions, and the   to COVID-19 pandemic, a special issue proposed by
            refusal of health institutions to accept trainees for practical   UNICEF: Editorial review.” This review article included
            experience  stints  during  the  pandemic  (Ofori-Manteaw   comments from UNICEF on the effects of school closures,
            et al., 2022). VLS cannot completely replace traditional   the efficacy of remote learning solutions, equality-related
            in-person instruction but they offer notable advantages   implications, and the prevention of learning losses, and
            and serve as valuable educational aids in difficult times   presented ideas about more effectively reopening schools.
            (Onigbinde et al., 2021; Hilburg et al., 2020). Hao et al.   The transition from in-person to online apparently exerted
            underscored the growing significance of Internet-based   a negative impact on the well-being of students enrolled
            learning  for  medical and nursing students, both now   in higher education institutions in discrete nations such
            and in the future (Hao  et al., 2022). Discrete research   as Turkey (Topuz et al., 2021), Pakistan (Maqsood et al.,
            groups (Patil  et  al., 2022; Chen  et  al., 2022) have also   2021), and Ethiopia (Mengistie, 2021). Students in these
            highlighted the rapid advancements and improvements   countries suffered mostly from anxiety and depression,
            in radiology education during the pandemic. A  hybrid   and such psychiatric abnormalities were more prevalent in
            approach combining simulation-based innovations,   adolescent populations. Most students with mental health
            virtual readouts, virtual teaching seminars, and remote   difficulties belonged to migrant contexts, were female, or
            work could potentially refine the traditional model of   did not own substantial social support resources (Van de
            in-person instruction by delivering flexibility, increasing   Velde et al., 2021; Fretheim et al., 2021).
            convenience, and offering residents more wide-ranging   4.4. Impact of COVID-19 on business
            exposure (Patil et al., 2022).
                                                               The COVID-19 crisis opened doors to innovation and
              The imperative of remote learning disproportionately   offered many commercial organizations the opportunity to
            impacted children belonging to racial minorities, living   adopt new business models that could help them navigate
            in poverty, requiring special education, or speaking   the difficulties posed by the pandemic. However, the
            English as a second language (Hoofman & Secord, 2021;   crisis also introduced significant obstacles for enterprises.
            Garg  et al., 2020). Studies conducted across different   The initial economic impact was characterized by abrupt
            regions have revealed that inadequate online education   decreases in the aggregate demand as well as supply; thus,
            infrastructure and the shortage of qualified personnel were   many businesses were jeopardized and their revenues
            significant issues. For example, the absence of sustainable   were significantly diminished (Seetharaman, 2020). For
            online systems and limited Internet access in remote and   instance,  Internet-based  businesses  found it  difficult to
            rural areas were major obstacles in Nepal (Pal et al., 2021).   sell their products online because lockdowns severely
            Similarly,  Oyedotun  identified  critical  online  education   restricted import and export activities (Hasanat  et al.,


            Volume 3 Issue 1 (2025)                         48                       https://doi.org/10.36922/ghes.3992
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