COVID-19 among migrants, refugees, and internally displaced persons: systematic review, meta-analysis and qualitative synthesis of the global empirical literature

EClinicalMedicine, Год журнала: 2024, Номер 74, С. 102698 - 102698

Опубликована: Июль 10, 2024

Язык: Английский

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Impact of Ebola and COVID-19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply-side barriers and solutions

Conflict and Health, Год журнала: 2024, Номер 18(1)

Опубликована: Янв. 30, 2024

Abstract Introduction Armed conflicts have a severe impact on the health of women and children. Global emergencies such as pandemics disease outbreaks further exacerbate challenges faced by vulnerable populations in accessing maternal, neonatal, child healthcare (MNCH). There is lack evidence that summarizes conflict-affected pregnant women, mothers, children MNCH services during global emergencies, mainly Ebola COVID-19 pandemics. This scoping review aimed to analyze studies evaluating addressing barriers comprehensive affected conflict. Methods The search was conducted PubMed, Scopus, Web Science databases using terms related COVID-19, conflicts, MNCH. Original published between 1990 2022 were retrieved. Articles MNCH-related settings included. Thematic analysis performed categorize findings identify solutions. Results Twenty-nine met inclusion criteria. Challenges identified various domains, including antenatal care, intrapartum postnatal vaccination, family planning, management childhood illnesses. Ebola-related supply-side concerned accessibility issues, workforce constraints, adoption stringent protocols. has resulted access pertaining workforce, new service adoption. On demand-side, Ebola- COVID-19-related risks apprehensions leading care. Community constraints utilizing caused trust awareness. Demand-side included fear disease, language barriers, communication difficulties. Strategies partnerships, strengthening systems, innovation, community-based initiatives been employed overcome these barriers. Conclusion amplify populations. Cultural, linguistic, factors are key affecting domains. Community-sensitive enhancing primary care (PHC), mobile clinics, or outreach programs, integration into PHC delivery should be implemented. Efforts prioritize well-being empowerment Addressing crucial for achieving universal coverage Sustainable Development Goals.

Язык: Английский

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Temporal trends in the incidence and case severity of COVID-19 cases among the Syrian refugees in Azraq camp in Jordan: A retrospective observational study

PLoS neglected tropical diseases, Год журнала: 2025, Номер 19(2), С. e0012875 - e0012875

Опубликована: Фев. 19, 2025

Background Azraq Syrian refugee camp, located in Jordan, is where the challenges of managing COVID-19 epidemic meet vulnerabilities displaced people. This study aimed to investigate epidemiological characteristics, incidence, risk factors, and outcomes among camp residents. Methods data from were collected by International Medical Corps clinics analyzed retrospectively August 1, 2020, 31, 2022. Data included demographics, testing history, contact tracing, vaccination profiles. We estimated incidence factors using Poisson multilevel logistic regression. Results A total 2,468 confirmed cases identified, with a prevalence 5.6 per 100 The camp’s monthly rate was more than 50% lower national rate, 1.7% decrease. Females had higher males (6.4% vs. 4.9%, p < 0.001), while elderly bore greatest disease burden. Home-based isolation main strategy, except during second wave. Vaccination coverage reached 31.6%, primarily Pfizer (49.8%). Symptomatic made up 44.0% cases, 10.4% requiring hospitalization. Factors independently associated hospitalization age, comorbidity, status. Conclusion highlights need for robust surveillance, targeted healthcare interventions, equitable resource allocation, campaigns manage future epidemics camps.

Язык: Английский

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Estimating the effects of COVID-19 on essential health services utilization in Uganda and Bangladesh using data from routine health information systems

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Сен. 27, 2023

Since March 2020, the coronavirus disease 2019 (COVID-19) pandemic has been a major shock to health systems across world. We examined national usage patterns for selected basic, essential services, before and during COVID-19 in Uganda Bangladesh, determine whether affected reporting of service utilization use services each country.

Язык: Английский

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The first year of the COVID-19 pandemic in humanitarian settings: epidemiology, health service utilization, and health care seeking behavior in Bangui and surrounding areas, Central African Republic

Conflict and Health, Год журнала: 2023, Номер 17(1)

Опубликована: Май 20, 2023

Despite increasing evidence on COVID-19, few studies have been conducted in humanitarian settings and none investigated the direct indirect effects of pandemic Central African Republic. We studied COVID-19 epidemiology, health service utilization, care seeking behavior first year Bangui surrounding areas.This mixed-methods study encompasses four components: descriptive epidemiological analysis reported cases data; interrupted time series utilization using routine qualitative workers' perceptions how services were affected; community members with a household survey focus group discussions.The epidemiology CAR aligns that most other countries males representing tested people positive cases. Testing capacity was mainly concentrated skewed towards symptomatic cases, travelers, certain professions. Test positivity high, many went undiagnosed. Decreases outpatient department consultations, consultations for respiratory tract infections, antenatal found districts. Cumulative differences districts ranged from - 46,000 Begoua to + 7000 3; 9337 infections 301 1; 2895 Bimbo 702 2. Consultations suspected malaria showed mixed results while delivery BCG vaccine doses increased. Fewer at beginning compared summer 2021, especially urban areas. The fear testing complying related restrictions main obstacles care.A large underestimation decreased characterized area. Improved decentralized enhanced efforts maintain will be crucial future epidemics. A better understanding access is needed, which require strengthening national information system ensure reliable complete data. Further research public measures interact security constraints needed.

Язык: Английский

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Health care utilisation in Cox’s Bazar district, Bangladesh, during the first year of the COVID-19 pandemic: A mixed-methods study among host communities

Global Public Health, Год журнала: 2024, Номер 19(1)

Опубликована: Янв. 22, 2024

To respond to the COVID-19 pandemic, countries introduced public health and social measures that had indirect societal, economic consequences. Concerns during epidemics include continuity of routine services. We investigate how healthcare utilisation seeking behaviour changed first year pandemic among host communities in Cox’s Bazar, Bangladesh. This mixed-methods study combines quantitative analyses data population-based findings about behaviours. Trends consultations according facility level (higher-level facilities included Upazila Health Complexes District Hospitals; lower-level Community Clinics Union Family Welfare Centers). At pandemic’s beginning, drops were seen at higher-level for outpatient department (OPD) consultations, respiratory infections, antenatal care. Minor reductions or increases same Half subdistricts reported a cumulative increase OPD tract infection consultations. Most decrease Child vaccinations dropped all subdistricts, half which did not catch-up, resulting delivered doses. Fear contracting financial constraints main reasons decreased access. Drivers behaviours should be better understood guide preparedness service delivery modalities primary secondary levels.

Язык: Английский

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The impact of COVID-19 on health service utilization in sub-Saharan Africa—a scoping review

BMC Global and Public Health, Год журнала: 2024, Номер 2(1)

Опубликована: Авг. 6, 2024

Despite comparatively low rates of COVID-19 admissions and recorded deaths in sub-Saharan Africa (SSA), the pandemic still had significant impact on health service utilization (HSU). The aim this scoping review is to synthesize available evidence HSU SSA during pandemic, focusing types studies, changes compared with pre-pandemic period, among specific patient groups.

Язык: Английский

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Public Health in Settings of Conflict and Political Instability

Elsevier eBooks, Год журнала: 2023, Номер unknown, С. 25 - 32

Опубликована: Авг. 3, 2023

Язык: Английский

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Impact of COVID-19 on health service utilisation in sub-Saharan Africa: protocol for a scoping review

BMJ Open, Год журнала: 2023, Номер 13(9), С. e074769 - e074769

Опубликована: Сен. 1, 2023

Introduction The COVID-19 pandemic has exposed weaknesses in health systems of many countries, including those sub-Saharan Africa. Despite comparatively low rates admissions and deaths Africa, the still had a significant impact by disrupting service utilisation (HSU). aim this scoping review is to synthesise available evidence on HSU Africa during pandemic, especially focusing (1) changes compared with prepandemic period, (2) among particular patient groups studied (3) identifying factors determining as result pandemic. Method analysis will be guided methodological framework for conducting reviews developed Arskey O’Malley. We identify relevant studies using PubMed (MEDLINE), Embase, Scopus Web Science databases from 1 December, 2019 31 March 2023. search grey literature, government organisational websites reports conference proceedings. Included restricted reported English or French. Two reviewers independently screen articles at title abstract stage inclusion into full text screening. provide general descriptive overview, tabular summaries content extracted data. Ethics dissemination Ethical approval not required conduct review. disseminate our findings via open access peer-reviewed journals scientific presentations. Our help determine feasibility subsequent systematic (and meta-analysis)

Язык: Английский

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Prevalence and Factors Associated With Compliance With COVID-19 Presidential Lockdown Measures: A Cross-Sectional Study

INQUIRY The Journal of Health Care Organization Provision and Financing, Год журнала: 2023, Номер 60

Опубликована: Янв. 1, 2023

The coronavirus disease 2019 (COVID-19) is one of the most severe global health uncertainties to date. Although significant effort has been put into implementing COVID-19 pandemic control measures such as lockdowns, travel restrictions, and hygiene precautions, transmission expected resurface once these efforts are discontinued. We aimed determine prevalence factors associated with compliance presidential 53-day lockdown in June-July 2021 northern Uganda. In this cross-sectional study, 587 adult participants (≥18 years old) from Uganda were selected using a systematic sampling method. Data collection involved interviewer-administered questionnaires an internal validity Cronbach’s α = .72. Socio-demographic characteristics described, multivariable modified Poisson regressions performed assess ratios between dependent independent variables, respective P values at 95% confidence intervals. All analyses conducted Stata 17.0. Participants’ directives was high 88%(95% CI: 85%-90%). Compliance more likely among who agreed [adjusted Prevalence Ratio, aPR 1.28 (95% 1.10-1.49; .001)] compared those did not, afraid death [aPR 1.08 1.01-1.15; .023)] than not. However, less males 0.91 0.86-0.97; .002)] females, aged 35 44 0.87 0.79-0.97; .013)] 25 years; unmarried 0.89 0.82-0.97; .011)] married. high. fear agreement measures. males, persons, persons 44. authors recommend community engagements, participation, sensitization, mobilization, simultaneous application multiple public approaches improve COVID-19.

Язык: Английский

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