Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review

Psychiatry Research, Journal Year: 2022, Volume and Issue: 317, P. 114814 - 114814

Published: Aug. 28, 2022

Language: Английский

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The impact of the Covid-19 pandemic on primary health care utilization: an experience from Iran

BMC Health Services Research, Journal Year: 2022, Volume and Issue: 22(1)

Published: March 27, 2022

The Covid-19 pandemic affected the performance of Primary Health Care (PHC) worldwide. This study was performed to investigate impact on utilization PHC in Iran.A before and after conducted between 2019 2021. 56 medical science universities across country were studied. data extracted from Electronic Record (EHR) is entitled "SIB". Three major indicators included a weighted average essential services provided by (physician, dentist, mental health expert, midwife, nutritionist), percentage actual delivered service, customer satisfaction selected as criterion for assessing PHC. Descriptive statistics analytical (Wilcoxon test) using SPSS 16 software used analyzing reporting.There significant difference among examined dimensions separation all studied except level (P < 0.05). So that actually decreased about 1% physician, experts, nutritionist 627.95, 718.81, 460.85, 2914.66, 2410.65 numbers, respectively.Covid-19 Pandemic has Iranian at beginning overall, negative consequence services. Preparedness respond pandemics develop programs interventions necessary cover weaknesses

Language: Английский

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Disruptions, restorations and adaptations to health and nutrition service delivery in multiple states across India over the course of the COVID-19 pandemic in 2020: An observational study

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(7), P. e0269674 - e0269674

Published: July 27, 2022

Background Modeling studies estimated severe impacts of potential service delivery disruptions due to COVID-19 pandemic on maternal and child nutrition outcomes. Although anecdotal evidence exists disruptions, little is known about the actual state at scale. We studied restorations, challenges adaptations in health by frontline workers (FLWs) India during 2020. Methods conducted phone surveys with 5500 FLWs (among them 3118 Anganwadi Workers) seven states between August–October 2020, asking April 2020 (T1) August-October (T2), analyzed changes T1 T2. also systems administrative data from 704 districts restoration services pre-pandemic (December 2019, T0), Results In (T1), village centers, fixed day events, growth monitoring, immunization were provided <50% several states. Food supplementation was least disrupted. T2, center-based restored over a third most Administrative highlights geographic variability both restorations. Most had for pregnant women children T2 but not yet reached T0 levels. Adaptations included home (60 96%), coordinating other (7 49%), use phones counseling (~2 65%). Personal fears, long distances, limited personal protective equipment, antagonistic behavior beneficiaries reported challenges. Conclusions Services mothers disrupted stringent lockdown thereafter, albeit Rapid policy guidance enabled remains uptake client populations. As continues surge India, focused attention ensuring essential critical mitigate these major indirect pandemic.

Language: Английский

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Provision and utilisation of health and nutrition services during COVID‐19 pandemic in urban Bangladesh

Maternal and Child Nutrition, Journal Year: 2021, Volume and Issue: 17(4)

Published: July 15, 2021

Abstract The COVID‐19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists service provision, utilisation, or adaptations. This study aimed (1) examine the changes health and nutrition delivery utilisation in urban Bangladesh during after enforcement of restrictions (2) identify adaptations potential solutions strengthen uptake. We conducted longitudinal surveys with care providers ( n = 45), pregnant women 40), mothers children <2 years 387) February 2020 (in‐person) September (by phone). used Wilcoxon matched‐pairs signed‐rank tests compare before pandemic. Services for which require proximity were severely affected; weight height measurements fell by 20–29 percentage points (pp) 37–57 pp children, child immunisations 38 pp. Declines large, including drops facility visitations (35 among 67 mothers), counselling (up 73 pp), (50 (61 pp). primary method adaptation was provision services over phone (37% antenatal services, 44%–49% counselling). Despite continued availability routine maternal did not translate into utilisation. Further investments are needed provide timely accurate information general public, improve training incentives ensure personal protective equipment beneficiaries.

Language: Английский

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Accessing Antenatal Care (ANC) services during the COVID-19 first wave: insights into decision-making in rural India

Reproductive Health, Journal Year: 2022, Volume and Issue: 19(1)

Published: July 8, 2022

Antenatal care (ANC) services are a prime focus of the Government India's National Health Mission (NHM), which key pillar is promotion maternal and child health. To ensure uninterrupted service delivery at last mile, cadre Frontline Workers (FLHWs) has been appointed health centres established village level. However, onset COVID-19 pandemic nationwide lockdown from late March to June 2020 impacted pregnant women's access institutional antenatal services.Using qualitative research design, data was collected through 12 in-depth interviews (IDIs) with women 17 IDIs frontline workers in selected six districts under study. The narratives were analysed using inductive coding Atlas.ti.During first wave pandemic, women, most whom belonged poor marginalised groups, left limited FLHWs. Respondents study areas rural Jharkhand, Madhya Pradesh Uttar extensively reported concerns stemming that influenced their decision ANC services. These included anxieties around meeting families' daily needs due loss livelihood (in particular, abject food insecurity), inability healthcare, sense mistrust public systems functionaries. All these, coupled real threat posed by COVID-19, disrupted plans for pregnancy delivery, further compunding risk wellbeing.This identified several social, behavioural structural facets communities contributed confusion, anxiety helplessness experienced during both viz. In planning implementing initiaves uptake this similar contexts times crisis, these must be considered.This article highlights status imposed Indian states Pradesh. Data workers. Findings suggest aware unprecedented recommended protective measures trusted sources information, including local Accredited Social Activist (ASHA). FLHWs believed information they received on risks strategies address inadequate. Temporary suspension countryside meant could not track foetus's status, resulting confusion distress. Limited or no interaction FLHWs, lack attention conditions unrelated discrimination healthcare institutions increased uncertainty deliveries. This heightened livelihoods shutdown businesses lockdown, as respondents turn private hospitals childbirth. resulted collapse trust families system. bridge gap alleviate created its end-users, improve utilisation should respond barriers

Language: Английский

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Healthcare Utilisation Amongst Children Under 2 Years in India During the COVID-19 Pandemic: Results from a Cross-sectional Survey

Journal of Health Management, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 6, 2025

The COVID-19 pandemic has led to widespread disruptions in child healthcare utilisation globally. We conducted a cross-sectional household-based survey between July 2021 and May 2022 Chandigarh West Bengal, India understand the impact of these on patterns for acute routine among caregivers young children. Among 460 children enrolled, median age was 13.6 months (IQR 6.7–18.3), 49.8% were male. majority participants (>90%) reported no problems accessing or treatment their Weight checks 89.1% all amongst age-eligible children, 94.9% received vitamin A supplements 97.4% had immunisation. However, only 14.3% 42.9% heights checked deworming medication, respectively. Common issues faced while seeking services included unavailability height measuring scales (54.8%) lack awareness (50%). ability access with minimal despite is likely attributable study areas being served by tertiary care medical colleges outreach mechanisms. Models similar need be adapted cope future pandemics.

Language: Английский

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Pandemic preparedness in Vietnam: a review of health system resilience and areas for improvement

Journal of Global Health, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 24, 2025

In this viewpoint, we explore Vietnam's health system vulnerabilities and its national response to the COVID-19 pandemic, as well critical areas of resilience, including financing, workforce distribution, information systems, governance. While Vietnam achieved early success through strong governance mass vaccination campaigns, pandemic revealed weaknesses in resource procurement, imbalance, limitations system. There are challenges ensuring rapid disbursement financial resources reliance on imported medical supplies, which delayed times. Uneven healthcare particularly rural areas, further strained Although telemedicine digital solutions were implemented, weak infrastructure inadequate technology literacy hindered their effectiveness. Governance efforts, while generally strong, highlighted need for better coordination role clarity during emergencies. Our findings identify improvement, effective mobilisation allocation, enhanced infrastructure, expanded access, support workers. enhancements, such improved priority setting interagency coordination, also critical. These insights offer valuable guidance strengthening greater preparedness future pandemics, but could help other low- middle-income countries facing similar challenges.

Language: Английский

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COVID-19 related disruption and resilience in immunisation activities in LMICs: a rapid review

BMJ Open, Journal Year: 2024, Volume and Issue: 14(8), P. e076607 - e076607

Published: Aug. 1, 2024

We conducted a rapid review to determine the extent that immunisation services in low-income and middle-income countries (LMICs) were disrupted by COVID-19 pandemic synthesised factors can be used build resilience future. Rapid reported accordance with Preferred reporting for Systematic reviews Meta-Analyses (PRISMA) guidelines. PubMed Web of Science searched through 6 October 2023. included studies focused on disruption activities due LMICs. Outcomes routine vaccine coverage, supplementary activities, doses, timing vaccination, supply chain changes, contributing or resilience. Two independent reviewers standardised methods search, screen code studies. Quality assessment was performed using modified version Critical Appraisal Skills Programme qualitative research. Findings summarised qualitatively. Of 4978 identified studies, 85 met eligibility criteria. Included showed declines across LMICs related pandemic. These reductions achieved cancellation postponement campaigns underimmunised cohorts. Immunisation most early months pandemic; however, recovery varied country, age-group vaccine. Though many observed partial 2020, continued into 2021. It has also been noted clinician staff shortages stock-outs caused disruptions contributed delays, but concern over transmission leading factor. Key resiliency community outreach healthcare worker support. There is limited information whether vaccination coverage delays have persisted beyond Further research needed assess ongoing identify missed

Language: Английский

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COVID-19 and Global Poverty and Food Security

Annual Review of Resource Economics, Journal Year: 2022, Volume and Issue: 14(1), P. 151 - 168

Published: June 2, 2022

The impacts of coronavirus disease 2019 (COVID-19) on food systems, poverty, and nutrition have been caused by generalized economic recession disruptions in agrifood supply chains. This article reviews a growing empirical literature assessing those impacts. review confirms that income shocks affected security livelihoods more where chains were poorly integrated poverty market informality had greater presence before COVID-19. Yet, as the pandemic persists, outcomes remain uncertain reliable data are still sparsely available. also reveals how methodological approaches evolved during pandemic, ranging from model-based scenario analyses, telephone survey evidence, case-study collection policy responses their effects. concludes while we good insight into COVID-19 pandemic's security, there is much do not know, requiring rigorous hypothesis testing based observed data.

Language: Английский

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Assessing the hidden burden and costs of COVID-19 pandemic in South Asia: Implications for health and well-being of women, children and adolescents

PLOS Global Public Health, Journal Year: 2023, Volume and Issue: 3(4), P. e0001567 - e0001567

Published: April 12, 2023

The COVID-19 pandemic has disproportionately affected vulnerable populations. With its intensity expected to be cyclical over the foreseeable future, and much of impact estimates still modeled, it is imperative that we accurately assess date, help with process targeted rebuilding services. We collected data from administrative health information systems in six South Asian countries (Afghanistan, Bangladesh, Nepal, India, Pakistan Sri Lanka), determine essential services coverage disruptions between January-December 2020, January-June 2021, compared same calendar months 2019, estimated this disruption on maternal child mortality using Lives Saved Tool. also modelled prolonged school closures continued enrollment, as well potential sequelae for cohort girls who have likely dropped out. Coverage key interventions, including antenatal care immunizations, decreased by up 60%, largest observed April June 2020. This was followed a period recovery July 2020 March but reversal most these gains April/May due delta variant-fueled surge Asia at time. January 2021 potentially resulted an additional 19,000 317,000 deaths, increase 19% 13% respectively, 2019. Extended 9 million adolescents dropping out permanently, 40% being poorest households, resulting lifetime earnings. A projected early marriages could result 500,000 adolescent pregnancies, 153,000 low birthweight births, 27,000 children becoming stunted age two years. To exceeded overall number deaths Asia. indirect effects were borne populations, are long-lasting, permanent some cases inter-generational, unless policies aimed alleviating impacts instituted scale reach poor. There implications future preparedness.

Language: Английский

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