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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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The Case For Frontiline Health Workers in Addressing Non-Communicable Diseases Globally

IntraHealth International (2016) CC

Frontline health workers (FHWs) provide services directly to communities where they are most needed, especially in remote and rural areas. Many are community health workers and midwives, though they can also include local emergency responders/paramedics, pharmacists, nurses, and doctors who serve in... more

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Contingency Plan for El Nino Related Epidemic Diseases

Ministry of Health Rwanda (2015) C2

The goal of this contingency plan for El Nino related epidemics is to contribute to the reduction in mortality and morbidity associated with El Nino epidemic threats by ensuring that appropriate systems to support health emergency preparedness, timely response and post disaster recovery and mitigati... more

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Guidance for mental health and psychosocial support for COVID-19
recommended

Africa CDC Centers for Disease Control and Prevention (2020) CC

This document provides guidance to African Union Member States on key mental health and psychosocial support (MHPSS) considerations in relation to the coronavirus disease 2019 (COVID-19) pandemic. It contains useful guidance on MHPSS for the community, healthcare workers, caregivers of vulnerable po... more

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The impact of climate change on global child health - position statement

Royal College of Paediatrics and Child Health (2021) C2

The Royal College of Paediatrics and Child Health recognises that climate change is an existential threat to the health and wellbeing of children and young people. In October 2020, we joined national health and academic alliances to declare climate change an emergency requiring accelerated col... more

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Guidelines on Management of COVID-19 in Kenya
recommended

Ministry of Health, Kenya (2021) CC

It has been over a year since Kenya identified the first case of COVID-19 in the country. The Government formed the National COVID-19 task force, which supported the country's response through multi-sectoral technical working groups on testing, case management, risk communication and community engag... more

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Clinical management and infection prevention and control for monkeypox
recommended

World Health Organization WHO (2022) C_WHO

Interim rapid response guidance, 10 June 2022. It includes considerations for certain populations such as patients with mild disease with considerations for community care, patients with moderate to severe disease, sexually active persons, pregnant or breastfeeding women, children and young persons... more

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Dementia - A public health priority

World Health Organization; Alzheimer's Disease International (2012) C_WHO

The report “Dementia: a public health priority” has been jointly developed by WHO and Alzheimer's Disease International. The purpose of this report is to raise awareness of dementia as a public health priority, to articulate a public health approach and to advocate for action at international a... more

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Haiti: Earthquake Situation Report No. 2 (26 August 2021)

Office for the Coordination of Humanitarian Affairs OCHA (2021) CC

On 25 August, UN agencies and partners launched a US$187.3 million Flash Appeal to reach 500,000 of the most vulnerable people affected by the 14 August earthquake. Around 650,000 people are in need of emergency humanitarian assistance in the three most affected departments – Grand’Anse, Nipp... more

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Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) Country Report Burkina Faso

Africa Center for Disease Control and Prevention (2023) CC

The Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) project has conducted a multi-year, multi-country study that provides stark insights on the under-reported depth of the antimicrobial resistance (AMR) crisis across Africa and lays out urgent policy recommendations to addr... more

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Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) Country Report Ghana

Africa Center for Disease Control and Prevention (2023) CC

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Mapping Antimicrobial Resistance and Antimicrobial Use Partnership (MAAP) Country Report Nigeria

Africa Center for Disease Control and Prevention (2023) CC

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Counseling for Effective Use of Family Planning - Part I

EngenderHealthThe ACQUIRE Project (2008)

Training Manual Building on earlier EngenderHealth work in counseling, Counseling for Effective Use of Family Planning responds to an identified gap in existing materials and fills the needs expressed by those in the field. The intended audiences for this curriculum are health care providers, their... more

Guidance for mental health and psychosocial support for COVID-19 recommended

Guidelines on Management of COVID-19 in Kenya recommended

Clinical management and infection prevention and control for monkeypox recommended

Guidance for mental health and psychosocial support for COVID-19
recommended

Guidelines on Management of COVID-19 in Kenya
recommended

Clinical management and infection prevention and control for monkeypox
recommended