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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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Training and Evaluation of Community Health Workers (CHWs): Towards Improving Maternal and Newborn Survival in an Urban Setting in KwaZulu-Natal, South Africa

Thoko Ndaba1, Myra Taylor, Musawenkosi Mabaso The Open Public Health Journal (2019) C1

CHWs demonstrated social commitment and purpose in the short term observed. The evaluation of the training of CHWs revealed that most demonstrated the necessary skills for referrals to prevent complications, caring for newborns and their mothers at home immediately after discharge from health care c... more

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Fostereing a Stronger Community-to-Facility Link to increase maternal and newborn health and nutrition

Micronutrient Initiative (2016) C1

Case Study

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Essential Surgical Skills with special emphasis on Emergency Maternal & Child Health

Childhealth Advocacy International, Advanced Life Support Group Advanced Life Support Group, Childhealth Advocacy International (2007) C1

The Practical Approach to Emergencies in the Pregnant Mother, Newborn infant and Child. Provder Manual

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Indigenous People’s Plan (IPP) - Uganda Reproductive, Maternal, Neonatal and Child Health Improvement Project

Ministry of Health, Republic of Uganda (2016) C1

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The National Roadmap Strategic Plan to improve Reproductive, Maternal, Newborn, Child & Adolescents Heatlh in Tanzania (2016-2020) One Plan II

Ministry of Health, Community Development, Gender, Elderly and Children, Government of Tanzania (2016) C1

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Resettlement Policy Framework For Uganda Reproductive, Maternal, Neonatal, and Child Health Improvement Project
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Ministry of Health Uganda (2016) C1

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The 2014 Myanmar Population and Housing Census: Thematic Report on Maternal Mortality

The Republic of the Union of Myanmar (2016) C1

Census Report Volume 4-C
The 2014 Myanmar Census provided the opportunity to measure maternal mortality. The questions on deaths in households during the twelve months prior to the Census were included in the questionnaire, as well as questions necessary to estimate maternal mortality indicator... more

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Data availability for assessing disruption of essential services for maternal, newborn, child and adolescent health during COVID-19: lessons learned from Tajikistan

World Health Organization WHO (2022) CC

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Quantification of Health Commodities: RMNCH Supplement - Forecasting Consumption of Select Reproductive, Maternal, Newborn, and Child Health Commodities

JSI Research & Training Institute, Inc., and Management Sciences for Health (2016) C1

Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health. Submitted to the United Nations Children’s Fund by JSI, Arlington, VA: JSI Research & Training Institute, Inc.... more

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Atención nutricional en situaciones de emergencia para niñas y niños menores de 5 años y mujeres gestantes y lactantes

UN Children's Fund UNICEF (2021) C_UNICEF

Rotafolio para el Agente Comunitario y las Familias durante las visitas domiciliarias

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Ahora está disponible una vacuna segura y eficaz contra el COVID-19

Centers for Disease Control and Prevention CDC (2021) C_CDC

Fotonovela to promote COVID-19 vaccination. This comic-book style graphic tells the story of a daycare worker’s decision to get vaccinated against COVID-19.

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Hablando sobre el COVID-19 a los más pequeños Guía para hablar sobre el Coronavirus de manera sencilla, clara y tranquilizadora

UN Children's Fund UNICEF Unicef Paraguay (2020) C_UNICEF

Talking about COVID-19 to young children A guide to talking about Coronavirus in a simple, clear and reassuring way.

Resettlement Policy Framework For Uganda Reproductive, Maternal, Neonatal, and Child Health Improvement Project recommended

Resettlement Policy Framework For Uganda Reproductive, Maternal, Neonatal, and Child Health Improvement Project
recommended