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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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OCHA Policy Brief on Gendered Drivers, Risks and Impacts of Food Insecurity in the Sahel and the Horn of Africa

UN Office for the Coordination of Humanitarian Affairs (2023) CC

It is widely understood that the food insecurity crisis in the Sahel and the Horn of Africa is one of the world’s fastest growing and most neglected crises. It lacks sufficient global focus, resources and urgency. As in so many crises, women and girls are disproportionately affected and shoulder t...he consequences of protracted neglect, with unconscionable impacts on their safety, life chances and agency. Gaining a holistic view of the gendered drivers, risks and impacts of food insecurity in the Sahel and the Horn of Africa is difficult. This is due to a lack of data and prioritization, and the large geographical and socioeconomic terrain covered by both regions. However, what we do know about this crisis is more than enough to urgently address the needs of women and girls. An OCHA discussion paper on this topic (which will be published imminently, and from which this policy brief is drawn) found that there is: A strong risk of profound regression in gender equality gains made to date in the countries of concern, including on education, sexual and reproductive health, and the economic independence of women and girls (with knock-on effects on broader humanitarian and development outcomes). An increasing challenge to reverse what must be recognized as a protracted and growing gender-based violence (GBV) emergency in the Sahel and the Horn of Africa. The food insecurity crisis in the Sahel and the Horn of Africa is protracted, multidimensional and highly gendered, with spiralling impacts on gender equality and food security outcomes. It is driven by interwoven and overlapping factors, including climate change, political instability, conflict, socioeconomic conditions, migration and displacement and, more recently, COVID-19 and the war in Ukraine. Interlinked with these factors are gendered structural drivers of food insecurity, including deeply entrenched gender inequalities and harmful social norms. Gendered risks and impacts of food insecurity include alarming limitations on access to education, sexual and reproductive health rights, women’s agency and participation, and dramatic increases in different existing forms of GBV and the emergence of new ones. Recognition of such gendered dimensions of food insecurity and of the need for a multisectoral approach in the response is key to addressing the crisis, along-side sustained commitment and adequate allocation of resources. This policy brief draws out key findings from the OCHA discussion paper on this topic, which includes a desk review of studies, assessments and reports, and interviews with local women’s organizations on the front lines of the food insecurity crisis in communities across both regions. Below are the most pressing gendered drivers, risks and impacts of food insecurity (not in order of priority), as well as key gaps in the current humanitarian response to food insecurity, and recommendations to take forward. more

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Early Warning Alert And Response Network in emergencies: evaluation protocol

World Health Organisation (WHO) Centers for Disease Control and Prevention (CDC) (2018) C_WHO

The document provides a standardized protocol for evaluating the Early Warning Alert and Response Network (EWARN), a surveillance system used during humanitarian emergencies when regular national health surveillance may be disrupted. The purpose of EWARN is to detect outbreaks of communicable diseas... more

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Diagnostics, medical devices & other health products catalog (GDF)

Stop TB Partnership World Health Organization WHO (2022) C_WHO

GDF is the largest global provider of quality-assured tuberculosis (TB) medicines, diagnostics, and laboratory supplies to the public sector. Since 2001, GDF has facilitated access to high-quality TB care in over 130 countries, providing treatments to over 30 million people with TB and procuring ... more

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Lista de dispositivos médicos prioritarios para el primer nivel de atención en los países de la Región de las Américas. Tercera versión, noviembre del 2021

Organización Mundial de la Salud OMS OPS (2021) C_WHO

La Organización Panamericana de la Salud publica la tercera versión de la lista de dispositivos médicos prioritarios (LDMP) para el primer nivel de atención, elaborada de acuerdo con la realidad epidemiológica de los países de la Región de las Américas y adaptada al contexto de la pandemia d... more

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Where, Why And For How Much: Diversity In Career Preferences Of Future Health Workers In Rwanda

Lievens, T., Serneels, P. & Butera, D. Human Resources for Health (2008) C2

Health Systems for Outcomes Publication | The government of Rwanda has identified human resources for health as one of its policy priorities. This study aims to contribute to building a better understanding of health worker choice and behaviour, and to improve evidence based polcies.

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Priorities in Operational Research to Improve Tuberculosis Care and Control

Stop TB Partnership; World Health Organization; The Global Fund (2011) C_WHO

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National Physical Activity Action Plan 2018-2023

Republic of Kenya, Ministry of Health (2018) CC

Although Kenyans enjoy comparatively good health, the prevalence of chronic disease is increasing and our ageing population is placing evergrowing pressures on the finite resources of our health system.

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Urban HEART : Urban Health Equity Assessment and Response Tool

World Health Organization WHO (2010) C_WHO

The Urban Health Equity Assessment and Response Tool (Urban HEART) is a user-friendly guide for policy- and decision-makers at national and local levels to: identify and analyse inequities in health between people living in various parts of cities, or belonging to different socioeconomic groups with... more

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Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings
recommended

World Health Organization WHO; Regional Office for Africa (2020) C_WHO

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Guidance on Mainstreaming Disaster Risk Reduction in the Education Sector – Rural Settings

The Republic of the Union of Myanmar, Ministry of Social Welfare, Relief and Resettlement (MSWRR), Ministry of Education (2011) C1

The scope of the Guidance is primarily the education in rural settings in Myanmar, but it covers some of the issues which have pan Myanmar implication and relevance. Considering the importance, complexity and vastness of the subject, similar type of initiatives on urban school and education system a... more

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Global report on urban health: equitable healthier cities for sustainable development

World Health Organization WHO (2016) C_WHO

This timely report comes at a decisive moment in history where we can reshape urban environments and health systems for the majority of the world’s population that live in cities. Enabling this transformation are the SDGs, which have reconfigured how governments and the international community... more

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Document d’orientation pour une riposte différenciée à la pandémie de COVID-19 en milieu urbain et rural
recommended

World Health Organization WHO; Regional Office for Africa (2020) C_WHO

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National Strategy for Rural Water Supply, Sanitation and Hygiene (WASH), WASH in Schools and WASH in Health Facilities 2016 - 2030

Government of the Republic of the Union of Myanmar (2016) C1

The purpose of this Strategy is to set out the way to meet the needs of the rural populations for improved domestic water supply services, access to and use of improved sanitation with elimination of open defecation, and improved hygiene behaviour by the Year 2030. It also addresses water, sanitatio... more

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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings
recommended

United Nations Office on Drug and Crime UNODC (2017) C1

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Access to health care for people with disabilities in rural Malawi: what are the barriers?

Harrison, J.A.K.; Thomson, R.; Banda, H.T. et al. BMC Public Health (2020) CC

People with disabilities experience significant health inequalities. In Malawi, where most individuals live in low-income rural settings, many of these inequalities are exacerbated by restricted access to health care services. This qualitative study explores the barriers to health care access experi... more

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Attraction and Retention of Rural Primary Health-care Workers in the Asia Pacific Region

Liu Xiaoyun; Zhu, Anna; Tang, Shenglan World Health Organization, Regional Office for South-East Asia (2018) C_WHO

The Asia Pacific Observatory on Health Systems and Policies is a collaborative partnership which supports and promotes evidence-based health policy making in the Asia Pacific Region. Based in WHO’s Regional Office for South-East Asia, it brings together governments, international agencies, foundat... more

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Retrospective Performance Evaluation of the Afghan Sustainable Water Supply and Sanitation Project 2009-2012

USAID (2017) C1

USAID/Afghanistan’s $443 million investment in the Afghan Sustainable Water Supply and Sanitation (SWSS) activity is one of the Agency’s largest single investments in sustainable rural water supply delivery. The project installed about 2,123 wells with hand pumps across Afghanistan from 2009–2... more

Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings recommended

Document d’orientation pour une riposte différenciée à la pandémie de COVID-19 en milieu urbain et rural recommended

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings recommended

Guidance document for a differentiated response to COVID-19 outbreak in urban and rural settings
recommended

Document d’orientation pour une riposte différenciée à la pandémie de COVID-19 en milieu urbain et rural
recommended

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings
recommended