TABLE 3.

Impact of COVID‐19 on Pediatric Hematology/Oncology Providers: Representative Quotes by Impact Area

Impact Area	Representative Quotes
Physical	“We just had to bring everybody into the COVID response so running those 400 beds required four times more people than it used to and that's because we have a lot of critical care patients and then we used to just really max out the number of hours that each person had to put in like for example our residents, they wouldn't blink an eye at 24 hours on duty even more.” (Philippines)
	“Maybe a point that I think we still have a deficit is the issue of the PPE, that I don't know if we're going to talk about that later, it is still a weak point in the services, especially in the surgical area.” (Spain)
Psychological	“Without a doubt there is stress, without a doubt there is exhaustion, and sometimes, there really is a lack of this type of support.” (Belarus)
	“So, it has been a very stressful at times … we have been trying to go and speak to mothers, patients themselves and it is frightening for ourselves because we're exposing ourselves so much, so it has been a very difficult time.” (Zambia)
	“I think there was a lot of fear about the disease and older colleagues were afraid.” (South Africa)
	“Honestly I think that sometimes we put aside the mental health of all of us involved, myself included, I think we were all on the verge of collapse … practically all the residents who were rotating here told us that they had anxiety attacks, panic attacks, they could not sleep, many of them needed psychiatric medicine.” (Mexico)
	“[Parents] don't comply with the rules, so the technical nurses must be like babysitters, repeating constantly, Sir, please, keep your distance. Sir please, stay on your seat. And we even had some cases where they disrespected the staff.” (Peru)
	“… the psychological trauma that comes along with the COVID. Sometimes staff wherever I would hear, oh, there is a staff, who is affected, everyone shakes, everyone becomes timid.” (Uganda)
Financial	“People don't really want to admit that they don't feel well … they know, that if infected, unpaid self‐isolation is waiting for them. Either, you don't go to work for two weeks, unpaid, or you go to work for two weeks, paid, and endanger all of your colleagues with your infection … Because, obviously, people don't want to sit at home hungry, for two weeks' time.” (Belarus)
	“And also, the staffs that were working with us, some of them were from very far until they couldn't afford that transport to come and work.” (Uganda)