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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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MHPSS COVID-19 Toolkit Version 1.0 Coronavirus Disease (COVID-19) Pandemic

Mental Health and Psychosocial Support Network MHPSS.net (2020) CC

The COVID-19 pandemic is a rapidly evolving global crisis and there is much that is still emerging in terms of the psychosocial and mental health consequences for the diverse populations affected by this emergency. This toolkit is based on what is currently available and will be updated as addit... more

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Interim Guidelines on Management of COVID-19 in Kenya - COVID-19, Infection Prevention and Control (IPC) and Case Management

Dr. P. Amoth; Dr. S. K. Kibias Ministry of Health; University of Nairobi (2020) C2

Accessed: 02.05.2020 These consolidated guidelines provide recommendations for comprehensive prevention and case management strategies in Kenya Scope of the Guidelines: Infection prevention and control Patient triage Emergency Medical Services Case management Laboratory testing algorithm Target... more

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Syrian Arab Republic - Overview of humanitarian response from within Syria

OCHA (2020) C1

January - December 2019 First published April 2020 • Between January to December 2019, an estimated 8.58 million people were reached at least once with some form of humanitarian assistance, including over 91,000 people through three inter-agency convoys, two to Rukban and one to Menbij. On ... more

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Handbook for Coordinating Gender-based Violence Interventions in Emergencies 2019
recommended

Protection Cluster (2019) C2

This handbook is a quick-reference tool that provides practical, field-level guidance to establish and maintain a GBV sub-cluster in a humanitarian emergency. It provides the foundations for coordination. More in-depth information can be pursued through resources referenced in this handbook. The GBV... more

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Disaster Recovery Guidance Series - Communication during Disaster Recovery

World Bank, GFDRR (2019) C1

This Guide provides practical guidance for governments regarding how to effectively communicate with communities during the recovery phase following an emergency. It explains how to identify communication needs, and presents “best fit” communication methods and strategies to deploy to support Di... more

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SGBV response, risk mitigation and prevention in humanitarian crises: A synthesis of findings from evaluations of UNHCR operations 2019

UN High Commissioner for Refugees UNHCR (2019) C1

The synthesis looked across the evaluations and reviews as mentioned above to draw lessons and conclusions across the different contexts. The synthesis aims to identify: recurrent issues, patterns and trends, and promising initiatives and lessons learned from existing programming including main... more

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The Cost of Doing Nothing: The Humanitarian Price of Climate Change and How it Can be Avoided

International Federation of Red Cross And Red Crescent Societies (2019) C1

A new report by the world’s largest humanitarian network warns that the number of people needing humanitarian assistance every year as a result of climate-related disasters could double by 2050. It estimates that the number of people in need of humanitarian assistance as a result of storms, droug... more

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Facilitator’s Guide for Inter-sector Response Options Analysis & Planning (Final version)

Danish Refugee Council, UN Office for the Coordination of Humanitarian Affairs, Mercy Corps, Save the Children, Cash Learning Partnership (2019) C1

The Facilitator's Guide has been piloted in Borno (Nigeria) and in Fafan zone (Somali region, Ethiopia) and improved iteratively after each test. What does the ROAP have that you won't find in other methodologies? It is based on holistic, people-centred approaches that span across sectors an... more

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Bangladesh Red Crescent Society (BDRCS) Population Movement Operation (OMO) Cox´s Bazar

Bangladesh Red Crescent Society UNHR (2019) C1

JOINT RESPONSE PLAN (JRP) The Strategic Executive Group has developed a Joint Response Plan (JRP) for 2019 regarding the displaced people from Myanmar and who are affected specially by this influx The JRP has included different issues in terms of measuring people who are in need, of support interve... more

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Adolescent Girls in Crisis: Voices from South Sudan

Plan International (2018) C1

In the last 5 years, the conflict in South Sudan has displaced 4 million people and placed 7 million in need of humanitarian assistance.
This report commissioned by Plan International draws on research conducted with girls and members of their families and communities in multiple sites in South... more

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North-east Nigeria: Case study

Edwards, Jon Médecins Sans Frontières (MSF) (2017)

This case study examines the humanitarian response to the conflict-related crisis in the North-East of Nigeria, focusing primarily on the period from 2015 to the end of 2016. The aim is test the central hypotheses of the Emergency Gap project: that the current structure, conceptual underpinning and... more

Handbook for Coordinating Gender-based Violence Interventions in Emergencies 2019 recommended

Handbook for Coordinating Gender-based Violence Interventions in Emergencies 2019
recommended