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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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Gender and noncommunicable diseases in Ukraine: analysis of STEPS data

World Health Organization WHO, Regional Office of Europe (2020) C_WHO

This report is part of the gender and noncommunicable diseases (NCDs) initiative launched by the WHO Regional Office for Europe, which aims to strengthen the response to NCDs through a gender approach. It is part of a series of country profiles and a synthesis report. The country profile of Ukraine ... more

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Ukraine summary of lessons learned and essential documents on Infant and Young Child Feeding in Emergencies (IYCF-E), March 2022
recommended

International Rescue Committee (IRC) (2022) C1

Key messages ● Pre-crisis Infant and Young Child Feeding (IYCF) Practices: The Code has not been adequately implemented and enforced in Ukraine. Multiple Indicator Cluster Survey (MCIS) data from 2012: Child ever breastfed (95.4%); early initiation of breastfeeding (EIBF) within 1... more

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The Planetary Health Education Framework

Guzman C., Potter T. (2020) CC

The Planetary Health Education Framework is a project of the Planetary Health Alliance (planetaryhealthalliance.org). The Planetary Health Alliance is a consortium of over 250 partners from around the world committed to understanding and addressing the human health impacts of global environmental ch... more

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Pharmaceutical pollution of the world’s rivers

Wilkinson, J.L.; A.B. A. Boxall, D. W. Kolpin, et al. (2022) CC

PNAS 119 (8) e2113947119 | https://doi.org/10.1073/pnas.2113947119 Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, m... more

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Tackling the Ubiquity of Plastic Waste for Human and Planetary Health

Veidis, E.M.; et al. (2022) CC

The American Journal of Tropical Medicine and Hygiene Volume 106: Issue 1 p.12-14.he piece highlights a body of research that suggests tiny plastic particles could disrupt immune and endocrine systems, damage organs, and cause other health problems. “Without a fundamental reimagining of global... more

Female genital mutilation in the Middle East and North Africa

UN Children's Fund UNICEF (2020) C_UNICEF

Almost 50 million girls and women have undergone FGM in five countries in the Middle East and North Africa, accounting for one quarter of the global total

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Healthy planet, healthy people. Understanding the relationship between human health and natural systems

World Business Council for Sustainable Development (WBCSD) (2022) C2

Human activities are driving fundamental changes to the biosphere and disrupting many of our planet’s natural systems. There is increasing scientific evidence that the unfolding climate crisis, global pollution, unprecedented levels of biodiversity loss, and pervasive changes in land use and cover... more

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The COVID-19 HEalth caRe wOrkErs Study (HEROES): Regional Report from the Americas

Pan American Health Organisation PAHO (2022) C_WHO

The COVID-19 HEalth caRe wOrkErs Study (HEROES): Regional Report from the Americas is a multicenter prospective cohort study to assess the impact of the COVID-19 pandemic on the mental health of health care workers in 26 countries on four continents and how it is affected by several factors at diffe... more

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Updated recommendations on treatment of adolescents and children with chronic HCV infection
recommended

World Health Organization WHO (2022) C_WHO

The new treatment recommendations that extend the 2018 treat all recommendation for adults with chronic HCV infection to include adolescents and children down to 3 years, and to align the existing recommended pangenotypic direct-acting antiviral (DAA) regimens (SOF/DCV, SOF/VEL and G/P) for adults, ... more

Data for impact_ How UNADIS data is guiding the world to end AIDS

UNAIDS (2022) C_WHO

As part of the UN’s data strategy—which seeks to nurture data as a strategic asset for insight, impact and integrity—UNAIDS plays an indispensable role in generating data for effective action against the AIDS pandemic. It leads the world’s most extensive data collection on HIV epidemiology,... more

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Hand Hygiene for All (HH4A) National Roadmap

World Health Organization WHO, Regional Office of Africa; Government of Ethiopia (2022) C_WHO

In collaboration with partners, the government of Ethiopia has successfully developed 10 years Hand Hygiene for All (HH4A) costed national roadmap- a country-wide approach to achieving sustainable and universal hand hygiene. On the occasion of the 2022 Global Hand Washing Day event ( Ethiopia is cel... more

Atlas of African Health Statistics 2022: Health situation analysis of the WHO African Region

World Health Organisation (WHO) (2022) C_WHO

Atlas of African Health Statistics 2022: Health situation analysis of the WHO African Region Since 2019, we have been implementing Phase 2 of the regional Transformation Agenda, which informs and aligns with the global WHO Transformation, to ensure WHO is accountable, driven by re- sults and provid... more

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Antimicrobial Resistance (AMR)

Deininger, K. The MEDBOX Team (2023) CC

Issue Brief 31: Antimicrobial resistance (AMR) can occur when viruses, bacteria, parasites and fungi change over time. There is no longer a response to medicines, and the infection treatment gets really difficult which increases the risk of a disesase spread, which can lead to severe health problems... more

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Whole of Syria Joint Statement: Protecting Maternal, Infant and Young Child Nutrition during the Earthquake response in Syria (12th of February 2023)

Nutrition Cluster; Save the Children; United Nation Children's Fund; World Health Organization (2023) CC

UNICEF, WHO Whole of Syria Nutrition, Cluster, the Global Nutrition Cluster, the IFE Core Group, and partners call for ALL involved in the response to the earthquakes in Syria to protect, promote, and support the feeding and care of infants and young children, their caregivers, especially pregnant, ... more

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Emergeny Appeal Syria, MENA | Syria Earthquake

International Federation of Red Cross and Red Crescent Societies (IFRC) (2023) CC

On 6 February at 4:17 am, a 7.8 degrees magnitude earthquake struck southern Turkey near Syria’s northern border. The US Geological Survey said the earthquake was centered about 33 km (20 miles) from Gaziantep, a major city and provincial capital. Tremors were felt as far away as Lebanon, Greece... more

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Ex-Post Evaluation of Technical Cooperation Project: Chagas Disease Control Project/Chagas Disease Control Project (Phase 2) - Republic of Honduras

Japan international cooperation agency JICA (2014) C2

This project aimed to reduce the risk of vector-borne infection with Chagas disease by controlling triatomine bugs, the vectors transmitting the parasite of Chagas disease, and establishing an epidemiological surveillance system with community participation.

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TACKLING ANTIMICROBIAL RESISTANCE (AMR) TOGETHER Working Paper 5.0: Enhancing the focus on gender and equity

World Health Organization WHO (2018) C_WHO

This document aims to assist countries to take the first step towards better considering gender and equity issues in their efforts to tackle antimicrobial resistance (AMR), to inform the implementation of strategies in national action plans and contribute to improved reach and effectiveness of AMR e... more

Kangaroo mother care - Implementation strategy for scale-up adaptable to different country contexts

World Health Organisation (WHO) (2023) C_WHO

The KMC implementation strategy targets a broad audience. These include policy-makers and programme managers at national, regional and local levels, government and nongovernmental organizations working in the area of maternal and newborn care, global and national professional associations, public an... more

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Sick Development

Anna Marriott Oxfam International (2023) CC

Development finance institutions owned by European governments and the World Bank Group are spending hundreds of millions of dollars on expensive for-profit hospitals in the Global South that block patients from getting care, or bankrupt them, with some even imprisoning patients who cannot afford th... more

Ukraine summary of lessons learned and essential documents on Infant and Young Child Feeding in Emergencies (IYCF-E), March 2022 recommended

Updated recommendations on treatment of adolescents and children with chronic HCV infection recommended

Ukraine summary of lessons learned and essential documents on Infant and Young Child Feeding in Emergencies (IYCF-E), March 2022
recommended

Updated recommendations on treatment of adolescents and children with chronic HCV infection
recommended