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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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WHO COVID-19 policy brief: building trust through risk communication and community engagement, 14 September 2022

World Health Organization WHO (2022) C_WHO

The guidance notes describe key actions that policy-makers at national and subnational levels can take in relation to: diagnostic testing for COVID-19, clinical management of COVID-19, meeting targets for vaccination against COVID-19, maintaining infection control measures for COVID-19 in health-car... more

MEPs Mobilising for Diabetes Blueprint for Action on Diabetes in the European Union by 2030

MEPs Mobilising for Diabetes (2021) CC2

Since the discovery of insulin nearly 100 years ago, advances in diabetes treatments and therapies have transformed the lives of people with diabetes (PwD), notably reducing the daily burden of its management. Newer technologies, including those driven by artificial intelligence, have the potentia... more

Multi-Sector Nutrition Education and Communication Strategy (NECS) II 2021-2025

Government of Malawi; Department of Nutrition; HIV and AIDS Ministry of Health (2021) CC2

The Department of Nutrition, HIV and AIDS (DNHA) in Ministry of Health and Population is grateful to all stakeholders who contributed to the development of the Nutrition Education Communication Strategy II. The DNHA acknowledges the financial and technical support from the World Bank and USAID throu... more

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Nepal Health Sector Strategy 2015 - 2020

Governement of Nepal, Ministry of Health and Population (2015) C1

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Barriers and enablers to inclusion in education for children with disabilities in Malawi

International Centre for Evidence in Disability (ICED); London School of Hygiene and Tropical Medicine (LSHTM) ; NAD (2015) C1

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National Strategic Plan 2017-2025 for TB Elimination in India (Draft Version)

Government of India, Central Tuberculosis Division, Ministry of Health and Family Welfare (2017) C1

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Household Nucleation, Dependency and Child Health Outcomes in Ghana.

Annim, Samuel Kobina, Kofi Awusabo-Asare, and Joshua Amo-Adjei (2013) C2

DHS Working Papers No. 98.

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J11. The practice of child mental health nurses

Kathleen R Delaney, Janice L. Cooper & Sylvia Nshemerewire IACAPAP (2015) C1

This publication is intended for professionals training or practicing in mental health and not for the general public. The opinions expressed are those of the authors and do not necessarily represent the views of the Editor or IACAPAP. This publication seeks to describe the best treatments and pra... more

Repository of resources on disability inclusion and Covid-19

Coregroup; International Disability and Development Consortium (IDDC) Coregroup; International Disability and Development Consortium (IDDC) (2020) C2

Last update: 2 April 2020

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Handwashing compendium for Low Resource Settings - A living document

The Sanitation Learning Hub (2020) CC

The compendium provides guidance on low-cost handwashing facilities that can be widely used in low and middle-income countries. We hope that this can be shared extensively as governments and agencies tackle the crisis in low and middle-income countries where handwashing facilities are urgently neede... more

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WASH Guidelines for field practitioners Part 1: Water
recommended

Malteser International (2017) CC

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Sierra Leone Cholera ERU Operation Review

International Federation of Red Cross and Red Crescent Society (IFRC) (2013)

This review of the IFRC support to the Sierra Leone Red Cross Society response to the 2012 cholera outbreak provides ideas and concepts to promote a more coherent and evidence based rationale on how to make more effective use of IFRC global assets to stop, control, mitigate and respond to cholera ep... more

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Community Perspectives about Ebola in Bong, Lofa and Montserrado Counties of Liberia: Results of a Qualitative Study

Najmeh Modarres; Sekou W. Konneh USAID; John Hopkins University; Health Communication Capacity Collaborative, et al. (2015)

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Assessment of the Impact of Ebola Virus Disease (EVD) in five districts in Sierra Leone

Dariusz Dziewanski BRAC (2015)

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Prevention and Control of Cholera Uganda
recommended

Ministry of Health Uganda, Control of Diarrheal Diseases (2017) C1

Operational Guidelines for the national and district health workers & planners. These new approaches include use of selective chemotherapy, Rapid Diagnostic Tests (RDTs), Zinc for treatment of cholera in children and complementary use of OCV