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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

Global child and adolescent mental health: The orphan of development assistance for health

Lu C., Li Z.; Patel V. PLOS Medecine (2018) CC

More than 40% of the world population is 24 years old or younger, the vast majority of whom live in low- and lower middle–income countries. Globally, a quarter of disability-adjusted life years (DALYs) for mental disorders and substance abuse is borne by this age group and about 75% of mental diso... more

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Public Health in Ukraine

akkon Hochschule für Humanwissenschaften; Institute for research in international assistance (2022) C2

Despite its rich culture, great economic potential, high level of education and last but not least its sheer size – it is the largest state whose borders lie entirely within Europe and is 1.7 times the size of the Federal Republic of Germany – Ukraine seems far away in perception and awareness. ... more

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Mobile health in Sierra Leone: Evidence and implications for health systems

the Government of Sierra Leone, the Medical Research Centre, the University of Sierra Leone, the Royal Tropical Institute (KIT), Text to Change, and MannionDaniels (2014) C1

Technical Brief

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Nepal Health Sector Programme II (NHSP II) Mid-Term Review

HEART (Health & Education Advice and Resource Team (2013) C1

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Prevention and Recognition of Obstetric Fistula Training Package, Module 10: The Roles of Families, Community and the Health Care System

EngenderHealth; Fistula Care; USAID; IntraHealth (2008)

Module 10: The Roles of Families, Community and the Health Care System in Prevention and Care for Women with Obstetric Fistula

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The National Health Strategy for Zimbabwe (2009-2013)

Ministry of Health Zimbabwe (2009) C1

Equity and Quality in Health: a People's Right

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Improving access to maternal health care in Senegal: WAHA International’s mHealth programme

World Health Organisation (WHO) (2014) C_WHO

WAHA International’s mHealth programme addresses several barriers to maternal and neonatal care, including: a lack of information at the community level about locally available services; a large distance from services and a lack of affordable transport for patients; and ineffective communication b... more

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Influencing food environments for healthy diets

Food and Agriculture Organization of the United Nations FAO (2016) C2

Food environments are usually defined as the settings with all the different types of food made available and accessible to people as they go about their daily lives. That is, the range of food in supermarkets, small retail outlets, wet markets, street food stalls, coffee shops, tea houses, s...chool canteens, restaurants, and all the other venues where people buy and eat food. These environments differ enormously depending on the context. They can be extensive and diverse, with a seemingly endless array of options and price ranges, or they can be sparse, with very few options on offer. Because they determine what food consumers can access at a given moment in time, at what price, and with what degree of convenience, food environments both constrain and prompt the consumer’s choice.Food environments are influenced by the food systems which supply them, and vice versa. Food systems encompass the entire range of activities, people and institutions involved in the production, processing, marketing, consumption and disposal of food (FAO, 2013). They include but are not limited to food supply chains. Making food systems nutrition-sensitive can contribute to addressing all forms of malnutrition, as food systems determine whether the food needed for good nutrition are available, affordable, acceptable and of adequate quantity and quality. How closely food systems and food environments are interrelated and interdependent, and the degree to which external factors affect nutrition outcomes, varies from setting to setting.Many of today’s food systems and food environments are challenged in supporting consumer choices that are consistent with healthy diets and good nutrition. Consumers are not making choices based on nutrition and health, and poor diet is now the number one risk factor for death and disability worldwide (GBD, 2015). Food systems that do not enable healthy diets are increasingly recognized as an underlying cause of malnutrition (GLOPAN, 2016), and malnutrition, irrespective of form, has a huge cost. Economic costs associated with undernutrition are estimated at $1-2 trillion per year, about 2-3% of global GDP (FAO, 2013); the global economic cost of obesity and associated diet-related non-communicable diseases is estimated at $2 trillion per year, about 2.8% of global GDP (McKinsey, 2014). Influencing food environments for promoting healthy diets is an emerging strategy to address today’s nutrition challenges. more

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Community Health Volunteers' Decision Support System Project

P. Bakibinga, Kamande E. , Kisia L., et al. African Population and Health Research Centre APHRC (2018) C1

This report presents the key findings of the end-of-project assessment of households and community health volunteers, conducted in 2017 in the Kamukunji and Embakasi sub-counties of Nairobi, Kenya, for a Community Health Volunteers’ Decision Support System (CHV DSS) intervention project. The re... more

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Health of People, Health of Planet and Our Responsibility

Al Delaimy W., Ramanathan V., Sanchez Sorondo M. et al. (2020) CC

This open access book not only describes the challenges of climate disruption, but also presents solutions. The challenges described include air pollution, climate change, extreme weather, and related health impacts that range from heat stress, vector-borne diseases, food and water insecurity and ch... more

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Refugee and migrant health toolkit: one-stop resource for countries to advance the health and migration agenda

World Health Organisation (WHO) (2023) C_WHO

This document provides an overview of WHO's Refugee and migrant health toolkit, a web-based one-stop comprehensive platform of tools and resources to support the global, regional, and country efforts in implementing health and migration-related activities.

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Air pollution and child health: prescribing clean air

World Health Organization (2018) C_WHO

This report summarizes the latest scientific knowledge on the links between exposure to air pollution and adverse health effects in children. It is intended to inform and motivate individual and collective action by health care professionals to prevent damage to children’s health from exposure to ... more

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Health workers’ experiences of coping with the Ebola epidemic in Sierra Leone’s health system: a qualitative study

Joanna Raven, H. Wurie and S. Witter BMC Health Services Research (2018) CC

BMC Health Services Research BMC series – open, inclusive and trusted201818:251; https://doi.org/10.1186/s12913-018-3072-3

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Introduction of Mobile Health Tools to Support Ebola Surveillance and Contact Tracing in Guinea

Jilian A Sacks, Elizabeth Zehe, Cindil Redick et al. (2015) CC

Global Health Science and Practice. First published online November 12, 2015

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Integrating mental health into primary carein Nigeria: report of a demonstration project using the mental health gap actionprogramme intervention guide

Gureje, O.; Jibril , A.; Kola, L.; et al. BioMed Central (2015) CC

Gurejeet al. BMC Health Services Research (2015) 15:242 DOI 10.1186/s12913-015-0911-3

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Headache disorders and public ill-health in India: prevalence estimates in Karnataka State

G. B Kulkarni; G. N. Rao; G. Gururaj; et al. The Journal of Headache and Pain; BMC (2015) CC

Kulkarni et al. The Journal of Headache and Pain (2015) 16:67 DOI 10.1186/s10194-015-0549-x

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Mental Health Service Provision in Low- and Middle-Income Countries

Shanaya Rathod, Narsimha Pinninti, Muhammed Irfan, et al. (2017) CC

Health Services Insights Volume 10: 1–7

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Considerations for implementing and adjusting public health and social measures in the context of COVID-19
recommended

World Health Organization WHO (2021) C_WHO

interim guidance, 14 June 2021 This document is intended for national authorities and decision makers in countries that have introduced large scale public health and social measures. It offers guidance for adjusting public health and social measures, while managing the risk of a resurgence of cases... more

The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment

U.S. Global Change Research Program (2016) C2

The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment Climate change is a significant threat to the health of the American people. This scientific assessment examines how climate change is already affecting human health and the changes that may occur in the fu... more

Considerations for implementing and adjusting public health and social measures in the context of COVID-19 recommended

Considerations for implementing and adjusting public health and social measures in the context of COVID-19
recommended