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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

das Neves Martins Pires P.H. , Macaringue C. , Abdirazak A. et al. BMC Health Services (2021) CC

The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people's movements and reduced public services, leading ...to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. METHODS: Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March-May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. RESULTS: Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. CONCLUSION: Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique. more

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An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

Thomas, L.S., E. Buch and Y. Pillay Human Resources for Health (2021) C1

Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide ho... more

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South Africa’s protracted struggle for equal distribution and equitable access – still not there

Hendrik CJ van Rensburg (2014) CC

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HEARTS. Technical package for cardiovascular disease management in primary health care. Access to essential medicines and technology

World Health Organization WHO, et al. (2018) C_WHO

Procurement and supply management activities are fundamental to consistent and reliable access to essential medicines and health products. To reduce the impact of CVD, action needs to be taken to improve prevention, diagnosis, care and management of CVD diseases. Affordable essential medicines and t... more

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Where did all the aid go? An in-depth analysis of increased health aid flows over the past 10 years

Piva P., Dodd. R. Bull World Health Organ (2009) CC

To examine how health aid is spent and channelled, including the distribution of resources across countries and between subsectors. Our aim was to complement the many qualitative critiques of health aid with a quantitative review and to provide insights on the level of development assistance availa... more

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Health Logistics in Nepal Two Decades of Investments in Public Health Supply Chain Management: How Access to Supplies Improved Health Outcomes in Nepal

USAID, Deliver Project (2014) C_WHO

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Walking in our shoes: Perspectives of pregnant and breastfeeding women living with HIV on access to and retention in care in Malawi, Uganda and Zambia

Global Network of People Living with HIV (GNP+), International Community of Women Living with HIV (ICW) et al. (2017) C1

The study sought to understand the factors that facilitate women to adhere to treatment and return to health facilities for routine care from their own perspective. The researchers focused on Malawi, Uganda and Zambia, early adopters of the global guidance to provide lifelong treatment for pregnant ... more

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Young people and the law in Asia and the Pacific: a review of laws and policies affecting young people's access to sexual and reproductive health and HIV services

UNESCO Office Bangkok and Regional Bureau for Education in Asia and the Pacific United Nations Educational, Scientific and Cultural Education; UNFPA; UNAIDS; UNDP; Youth Lead (2013) C2

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Untangling the Web of Antiretroviral Price Reductions. 18th edition

MSF Access Campaign Médecins Sans Frontières (2016) C3

This report provides an update on the key facets of HIV treatment access, including the latest HIV treatment guidelines from World Health Organization (WHO), an overview on pricing for first-line, second-line, and salvage regimens, and a summary of the opportunities for – and threats to – expand... more

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Community Discussion Guide for Maternal and Newborn Health Care

Mobilising Access to Maternal Health Services in Zambia Programme, District Health Management Teams UK Aid; Health Partner International, MOH Zambia (2012) C1

A training manual for safe motherhood action groups (MAMaZ)

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Antimicrobial Resistance Benchmark 2020

Access to Medicine Foundation (2020) C2

The Antimicrobial Resistance Benchmark has evaluated for the second time how the most important players in the antibiotic market are addressing the rise of resistance and the global need for appropriate access to antibiotics. Although we can see progress — it’s hanging by a thread. We have reac... more

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Take Charge! A Reproductive Health Guide for Women with Disabilities

Healy, K.; Panko Reis, J.; M. Martin Access Living; The Empowered Fe Fes (2016) CC

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Putting HIV and HCV to the test - A product guide for point-of-care CD4 tests and laboratory-based and point-of-care HIV and HCV viral load tests

Medecins Sans Frontieres (Access Campaign) (2017) C2

3rd Edition – July 2017 www.msfaccess.org

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Treating Buruli Ulcer: A Review of Prospects for Existing Antibiotics and New Therapeutics

Access Campaign, Médecins sans Frontières (2013)

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Lesotho Nursing Initiative (poster)

Ministry of Health and Social Welfare MOHSW and the Clinton Health Access Initiative (CHAI) (2011) C2

Second Global Forum on Human Resources for Health 25 - 29 January 2011 | Bangkok, Thailand | Empower health workers for health outcomes | Reviewing progress, renewing commitments to health workers towards MDGs and beyond

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Developing, Implementing, and Monitoring the Use of Standard Treatment Guidelines: A SIAPS How-To Manual

Systems for Improved Access to Pharmaceuticals and Services (SIAPS) MSH, USAID (2015) CC

STGs are designed to assist health care professionals in making decisions about appropriate, effective patient care. However, health managers often have trouble setting and meeting the high standards required of modern, developed health care systems. With stakeholders expressing concern over issues ... more

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Zambia's Community Health Assistancts (CHAs)

UK Aid; Clinton Health Access Iniative (2016) CC

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Child TB/HIV - Module 5

International Union Against Tuberculosis and Lung Disease, World Health Organization (2017) C_WHO

Accessed November 2017

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Know Your Epidemic through COVID-19 Testing

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C2

Accessed: 31.03.2020

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Priority Assistive Products List

World Health Organization WHO (2016) C_WHO

Improving access to assistive technology for everyone, everywhere. The first WHO Priority Assistive Products List was launched in May 2016. The List includes hearing aids, wheelchairs, communication aids, spectacles, artificial limbs, pill organizers, memory aids and other essential items for many... more