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Publication Years
1141
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Category
2236
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1
Toolboxes
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INTRODUCTION: The COVID-19 pandemic has disrupted health systems around the world. The objectives of this study are to estimate the overall effect of the pandemic on essential health service use and outcomes in Mexico, describe observed and predicted trends in services over 24 months, and to estimat
...
e the number of visits lost through December 2020.
METHODS: We used health information system data for January 2019 to December 2020 from the Mexican Institute of Social Security (IMSS), which provides health services for more than half of Mexico's population-65 million people. Our analysis includes nine indicators of service use and three outcome indicators for reproductive, maternal and child health and non-communicable disease services. We used an interrupted time series design and linear generalised estimating equation models to estimate the change in service use and outcomes from April to December 2020. Estimates were expressed using average marginal effects on the risk ratio scale.
RESULTS: The study found that across nine health services, an estimated 8.74 million patient visits were lost in Mexico. This included a decline of over two thirds for breast and cervical cancer screenings (79% and 68%, respectively), over half for sick child visits and female contraceptive services, approximately one-third for childhood vaccinations, diabetes, hypertension and antenatal care consultations, and a decline of 10% for deliveries performed at IMSS. In terms of patient outcomes, the proportion of patients with diabetes and hypertension with controlled conditions declined by 22% and 17%, respectively. Caesarean section rate did not change.
CONCLUSION: Significant disruptions in health services show that the pandemic has strained the resilience of the Mexican health system and calls for urgent efforts to resume essential services and plan for catching up on missed preventive care even as the COVID-19 crisis continues in Mexico.
more
Prevention and Recognition of Obstetric Fistula Training Package, Module 4: Essential Components of Antenatal Care and Emergency Obstetric Care
EngenderHealth; Fistula Care; USAID; IntraHealth
(2008)
Cards for Facilitators (including birth preparedness, complication readiness and recognition of danger signs) are also available
Prevention and Recognition of Obstetric Fistula Training Package
Accessed on 2 September 2020
Рекомендации ВОЗ по оказанию дородовой помощи для формирования положительного опыта беременности
Problem-solving in the clinic, Online course
Newborn Care Videos for health workers
recommended
These short videos are very helpful to train health professionals, midwives and mothers
You can download videos in different languages
Several of our newborn care videos have been narrated in Khmer by University Research Company (URC), which works with the Ministry of Health to improve the quality of health services available in Cambodia. Joan Woods—Hospital Improvement Program L
...
eader—said, “The videos are excellent teaching tools, clear and simple and easy to understand.
more
Newborn Care Videos, Spanish
recommended
The first clinical series is on newborn care and will consist of brief vignettes that “bring to life” internationally accepted newborn care guidelines.
The first clinical series is on newborn care and will consist of brief vignettes that “bring to life” internationally accepted newborn care guidelines
Available in different languages
The first clinical series is on newborn care and will consist of brief vignettes that “bring to life” internationally accepted newborn care guidelines.
The first clinical series is on newborn care and will consist of brief vignettes that “bring to life” internationally accepted newborn care guidelines.
Fistula Care
EngenderHealth; Fistula Care; USAID
(2008)
Fistula Services Facilitative Supervision and Medical Monitoring for Training Sites and Training Follow- up
This checklist facilitates the supervision and monitoring of training activities. Forms include: Facility Information; Training Follow Up for Fistula Surgery and Peri-operative
...
Care; Training Follow Up for Fistula Counselors; Additional Supervision/Monitoring for a Fistula Training Site; and Summary Notes and Recommendations from the Supervision and Monitoring Visit
more
Prevention and Recognition of Obstetric Fistula Training Package, Module 4: Essential Components of Antenatal Care and Emergency Obstetric Care, Facilitator Cards
EngenderHealth; Fistula Care; USAID; IntraHealth
(2008)
Cards for Correct and Incorrect Components of Evidence-based Focused ANC (including birth preparedness, complication readiness and recognition of danger signs)
