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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

GLI Quick guide to TB diagnostics connectivity solutions

Global Laboratory Initiative World Health Organization (2016) C_WHO

Malawi Country Operational Plan 2021 Strategic Direction Summary May 19, 2021

U.S. President's Emergency Plan for AIDS Relief (2021) CC2

PEPFAR Malawi’s Country Operational Plan (COP) 2021 reflects a culmination of strong interagency collaboration between the PEPFAR Malawi team, Government of Malawi (GoM), and civil society organizations (CSOs) to mitigate the devastating impacts of COVID-19 and sustain progress achieved over the l ... more

Community-based rehabilitation: CBR guidelines - Health component
recommended

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, WHO (2010) C_WHO

Available in: English, French, Chinese, Spanish, Russian, Arabic, Thai, Korean, Tajik, Vietnamese, Uzbek http://www.who.int/disabilities/cbr/guidelines/en/

National HIV Prevention Strategy 2011 - 2015

Uganda Aids Commission, Republic of Uganda (2011) C1

Adolescent HIV Care and Treatment: A Training Curriculum for Health Workers . Module 13 Trainer Manual

ICAP; CDC; University Teaching Hospital, et al. (2011)

Operational Guidelines on Community Care Centres

National AIDSControl (NACO), Government of India; Ministry of Health and Family Welfare (2007) C1

MHPSS Considerations during COVID-19 pre-outbreak response in South Sudan

MHPSS Technical Working Group (2020) C1

UNICEF Central African Republic COVID-19 Situation Report No.10 reporting period November – December 2020

UN Children's Fund UNICEF (2021) C_UNICEF

Disease Surveillance, Emergency Preparedness and Response in Eastern and Southern Africa

World Bank, et al. (2021) CC

A Situational Assessment and Five-YearAction Plan for the Africa CDC Strengthening Regional Public Health Institutions and Capacity for Surveillance and Response Program

IOM Ukraine internal displacement report: Area baseline report - Round 4, 6 June 2022

International Organization for Migration IOM (2022) CC

This routine assessment supports the targeting and provision of humanitarian assistance to the affected population and serves as a preliminary source to identify oblasts and hromadas hosting high numbers of IDPs.

SAVE Advocacy Strategy - The Kenyan Case Study

Inerela + Kenya (International Network of Religious Leaders Living with or personally affected by HIV - Kenya Chapter); Christian aid (2019) C2

Accessed: 17.11.2019

SYRIAN ARAB REPUBLIC response to earthquake: Situation report #1

World Health Organisation (WHO) (2023) C_WHO

TUATION UPDATE In the early morning of 6 February 2023, a magnitude 7.8 earthquake occurred in southern Türkiye near the northern border of Syria. The earthquake was followed 11 minutes later by a magnitude 6.7 aftershock. Many aftershocks are still being felt across the region. Whilst the imp ... more

Community Case Management Essentials: Treating Common Childhood Illnesses in the Community

David Marsh, Ashley Aakesson, Kechi Anah et al. CORE Group; Save the Children; BASICS; MCHIP (2012)

2nd edition. Known as “Community Case Management of Sick Children” (CCM), this approach sends community-based health workers out to find, diagnose, and successfully treat sick children, in partnership with their families. Inspired by the classic “Immunization Essentials”, this guide methodic ... more

Street Child & Child Protection AoR: Accelerating localised response to COVID-19: Practical pathways

Protection Cluster Street Child (2020) CC

The COVID-19 pandemic presents a rare and immediate opportunity for a norm shift towards localisation in the humanitarian architecture. Whils tinternational humanitarian actors are facing constraints in funding and restrictions on movement and travel, national and local level ... more

South-East Asia regional vaccine action plan 2016-2020

World Health Organization (WHO), Regional Office for South-East Asia (2018) C_WHO

The current SEARVAP (South-East Asia regional vaccine action plan) describes a set of regional goals and objectives for immunization and control of vaccine-preventable diseases for 2016 – 2020 and highlights priority actions, targets and indicators that address the specific needs and challenges of ... more

Promoting Community Participation through Development of Community Level Risk Reduction Action Plans

Myanmar Red Cross Society (2013) C1

CBDRR Practice. Case Studies 4
No publication year indicated.

Communiqué adopted at end of Ebola Virus Meeting 3 July 2014

World Health Organization, Regional Office for Africa; (2014)

The Emergency Ministerial meeting on Ebola Virus Disease (EVD) with Health Ministers agreeing on a range of priority actions to end the Ebola outbreak in West Africa. The scale of the ongoing outbreak is unprecedented with reports of over 750 cases and 445 deaths in Guinea, Sierra Leone and Liberia ... more