{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T05:20:47Z","timestamp":1740547247386,"version":"3.38.0"},"reference-count":19,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"\nBackground & objectives<\/jats:title>\nInternet shutdowns, although rare can be imposed by governments or affiliated entities and can intentionally disrupt online information and communication systems. While justified for maintaining public order, these shutdowns cause substantial economic losses, public suffering, and reputational damage. The internet shutdown in Manipur, initiated on May 3, 2023, due to civil unrest, has affected various sectors. The impact on doctors, amidst an era where internet access is considered as an integral part of practice, warrants deeper exploration of the challenges faced during such a prolonged shutdown period. Therefore, this study was conducted to explore the impact of internet shutdown among postgraduate trainees from two tertiary care hospitals in Manipur.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nA study was conducted in two tertiary healthcare centers in Manipur from July to August 2023 among medical postgraduate trainees. Participants were selected using purposive sampling. Twenty-two in-depth interviews (IDIs) were conducted, recorded, and transcribed verbatim. Thematic analysis was done to identify codes, categories and themes.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nThis qualitative study was undertaken among postgraduate trainees in two different academic institutes. A total of 21 IDIs were carried out. The major themes emerged from the study, namely, impact on professional life, impact on personal life, social consequences and coping. Internet shutdown affected patient care such as seeking timely opinions from consultants, delays in sharing patient reports and inconveniences in the hand-off process and the academic performance of postgraduate trainees like unavailability of study materials or keeping up with recent advancements. On a personal level, it negatively affected communication with family and friends, mental well-being and caused inconvenience in shopping and transactions. The study also found some positive impacts, such as less screen time leading to better sleep and increased physical activities.<\/jats:p>\n<\/jats:sec>\n\nInterpretation & conclusions<\/jats:title>\nThe findings of this study suggest that the internet shutdown significantly affected both the professional and personal aspects of postgraduate trainees\u2019 lives in Manipur. The implementation of a targeted ban on social media platforms and the establishment of designated internet access points are proposed as potential alternatives.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/ijmr_206_2024","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T13:20:27Z","timestamp":1737552027000},"page":"630-636","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of internet shutdown on postgraduate trainees in Manipur: A qualitative study"],"prefix":"10.25259","volume":"160","author":[{"given":"S.","family":"Jyothi","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sneha","family":"Dhali","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brogen Singh","family":"Akoijam","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pangambam Amrita","family":"Devi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"10.25259\/IJMR_206_2024\/ref-1","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.future.2015.09.021","article-title":"Integration of cloud computing and internet of things: a survey","volume":"56","author":"Botta","year":"2016","journal-title":"Future Gener Comput 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providers\u2019 perception towards utilization of health information applications and its associated factors in healthcare delivery in health facilities in Cape Coast Metropolis, Ghana","volume":"19","author":"Okyere Boadu","year":"2024","journal-title":"PLOS One."},{"key":"10.25259\/IJMR_206_2024\/ref-8","first-page":"6229","article-title":"Impact of Internet blockade post abrogation of article 370 of Indian constitution on doctoral students pursuing research on Kashmir","author":"Misgar","year":"2021","journal-title":"Lib Phil Pract"},{"key":"10.25259\/IJMR_206_2024\/ref-10","first-page":"3917","article-title":"Understanding shutdowns: A case study from Pakistan","volume":"12","author":"Wagner","year":"2018","journal-title":"Int J Comm"},{"key":"10.25259\/IJMR_206_2024\/ref-11","first-page":"3896","article-title":"Authoritarian practices in the digital age: Blocking the bottleneck: Internet shutdowns and ownership at election times in Sub-Saharan 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Soc"},{"key":"10.25259\/IJMR_206_2024\/ref-15","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1177\/01634437231155568","article-title":"Protests, Internet shutdowns, and disinformation in a transitioning state","volume":"45","author":"Bhatia","year":"2023","journal-title":"Media Cult Soc"},{"key":"10.25259\/IJMR_206_2024\/ref-16","first-page":"1","article-title":"The study on reasons of internet shutdown in J&K","volume":"55","author":"Qadir","year":"2022","journal-title":"MSUB J"},{"key":"10.25259\/IJMR_206_2024\/ref-17","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1080\/13600834.2019.1619906","article-title":"The Internet shutdown muzzle(s) freedom of expression in Ethiopia: competing narratives","volume":"28","author":"Ayalew","year":"2019","journal-title":"Inf Commun Technol L"},{"key":"10.25259\/IJMR_206_2024\/ref-18","first-page":"553","article-title":"Impact of the internet shutdown in Ranchi, Jharkhand: A survey","volume":"9","author":"Upadhyay","year":"2022","journal-title":"J Emerg Tech Innovative Res"},{"key":"10.25259\/IJMR_206_2024\/ref-19","first-page":"17","article-title":"Effects of network disruptions on health service delivery among private practicing physicians in Bulawayo Metropolitan Province, Zimbabwe","volume":"14","author":"Madziwa","year":"2021","journal-title":"IJHISI"},{"key":"10.25259\/IJMR_206_2024\/ref-20","first-page":"19","article-title":"Internet shutdown in Indonesia: An appropriate response or a threat to human rights","volume":"7","author":"Satriawan","year":"2023","journal-title":"SL Rev"},{"key":"10.25259\/IJMR_206_2024\/ref-21","first-page":"1670","article-title":"A study to explore the impact of internet shutdown among nursing students in selected colleges, Guwahati, Assam","volume":"9","author":"Borgohain","year":"2019","journal-title":"Int J Sci Res"},{"key":"10.25259\/IJMR_206_2024\/ref-22","first-page":"109","article-title":"How internet shutdowns 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