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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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Система ценностей Стратегической консультативной группы экспертов ВОЗ по иммунизации (СКГЭ) для распределения вакцин и определения приоритетности вакцинации против COVID-19

World Health Organization WHO WHO (2020) C_WHO

В настоящей Системе ценностей изложены рекомендации глобального масштаба по распределению вакцин против COVID-19 между странами, а также рекомендации национальног... more

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COVID-19: A catastrophe for children in sub-Saharan Africa

UN Children's Fund UNICEF (2020) C_UNICEF

The well-being of children in sub-Saharan Africa is under siege from all directions since the advent of the COVID-19 pandemic. The region is now suffering its first-ever economic recession, pushing about 50 million people into extreme poverty, a majority of whom are children.

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Guidance for implementing non pharmacological public health measures in populations in situations of vulnerability in the context of COVID-19

Pan American Health Organisation PAHO (2020) C_WHO

The purpose of this guide is to offer recommendations for improving the implementation of non‑pharmacological public health measures during the COVID-19 response and compliance with these measures by population groups in situations of vulnerability. This requires determining the main barriers to i... more

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Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study

GBD 2019 Blindness and Vision Impairment Collaborator The Lancet (2020) CC

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Let’s break silos now! Achieving disability-inclusive education in a post-COVID world

Handicap International; Humanity & Inclusion (2020) CC

Humanity & Inclusion has published a report on November 20, on the difficulties children with disabilities face in accessing education in the world’s poorest countries.

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The next generation of refugee resettlement in Europe: Ambitions for the future and how to realise them

Migration Policy Institute (2020) C1

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Still Unprotected: Humanitarian Funding for Child protection

Protection Cluster Save the Children The Alliance for Child Protection; et al. (2020) C1

Children living in humanitarian crises face an increased risk of abuse. While the threats of harm are increasing, the established systems in place to protect them are breaking down. Faced with the COVID-19 pandemic and its impacts, vulnerable families suffer multiple hardships. Schools are closed an... more

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Introducing and scaling up testing for human papillomavirus as part of a comprehensive programme for prevention and control of cervical cancer

World Health Organization WHO (2020) C_WHO

This guidance is intended to be used by programme managers following the decision to introduce human papillomavirus (HPV) virological testing as a screening assay in their national cervical cancer prevention and control programme. The guidance includes a step-by-step process to be followed after the... more

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Populations at risk: Implications of COVID-19 for hunger, migration and displacement, November 2020

International Organization for Migration IOM; World Food Programme WFP (2020) C1

The report – the first of its kind – shows how the pandemic has driven up food insecurity and increased vulnerability among migrants, families reliant on remittances and communities forced from their homes by conflict, violence and disasters. The two UN agencies warn the social and economic ... more

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Infection prevention and control health-care facility response for COVID-19
recommended

World Health Organization WHO (2020) C_WHO

A module from the suite of health service capacity assessments in the context of the COVID-19 pandemic, Interim Guidance 20 October 2020. This self-assessment tool is designed for acute health-care facilities (i.e. tertiary and secondary) but can be modified for the use in long-term care facilities... more

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Ensuring a safe environment for patients and staff in COVID-19 health-care facilities
recommended

World Health Organization WHO (2020) C_WHO

A module from the suite of health service capacity assessments in the context of the COVID-19 pandemic, Interim guidance 20 October 2020. This assessment tool covers the following aspects: area distribution; surface availability versus foreseen occupancy rate; patient and staff flow... more

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Youth-centred digital health digital health interventions

World Health Organization WHO (2020) C_WHO

A framework for planning, developing and implementing solutions with and for young people. The guidance presented in this document is intended for digital health intervention designers, developers, implementers, researchers and funders. Newcomers to digital health can use it as a start-to-finish pr... more

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Guidance on mainstreaming biodiversity for nutrition and health

World Health Organization WHO (2020) C_WHO

This report aims to support countries in the necessary transition toward healthier, more sustainable diets by integrating biodiversity in food-based interventions to support nutrition and health. It is intended to help guide decision-makers in the health, nutrition and other sectors, to: Consider... more

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COVID-19 Socio-economic response and recovery plan

United Nations in Moldova (2020) CC

Updated version – September 2020 The COVID-19 pandemic is affecting everyone. Globally, millions of people have been infected with the virus, while hundreds of thousands have lost their lives. In Moldova, the pandemic is placing an ever-increasing pressure on the health care and social protectio... more

Infection prevention and control health-care facility response for COVID-19 recommended

Ensuring a safe environment for patients and staff in COVID-19 health-care facilities recommended

Infection prevention and control health-care facility response for COVID-19
recommended

Ensuring a safe environment for patients and staff in COVID-19 health-care facilities
recommended