Effects of COVID-19 on non-communicable diseases and reproductive health services in a district hospital of Nepal

Ghimire, Rajan; Adhikari, Sugat

doi:10.17352/aprc.000058

Archives of Pulmonology and Respiratory Care

2020

DOI: 10.17352/aprc.000058

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Effects of COVID-19 on non-communicable diseases and reproductive health services in a district hospital of Nepal

Rajan Ghimire¹,

Sugat Adhikari²

Abstract: COVID-19 pandemic has an impact on the socioeconomic , cultural, and health of people. There is increased morbidity if a patient with comorbidities (hypertension, diabetes) is infected with SARS-CoV 2. On the other hand, there are increased complications related to hypertension, diabetes, and unwanted pregnancies during this pandemic. We did a retrospective study in a district hospital in Nepal to see this effect. We found that there was an increased incidence of uncontrolled diabetes, hypertension, and safe a… Show more

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Cited by 3 publications

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“…Additionally, the current COVID-19 pandemic has severe repercussions for people with NCDs ( 3 ). Evidence suggests that NCDs such as hypertension and type 2 diabetes are found to be the more frequent co-morbidities with SARS-CoV-2 that require intensive care ( 4 ).…”

mentioning

confidence: 99%

Editorial: Noncommunicable diseases and mental health experiences before and after the COVID-19 pandemic

Shidhaye

Sweetland²,

Galea

et al. 2023

Front. Public Health

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mentioning

confidence: 99%

Editorial: Noncommunicable diseases and mental health experiences before and after the COVID-19 pandemic

Shidhaye

Sweetland²,

Galea

et al. 2023

Front. Public Health

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Impacts of COVID-19 on contraceptive and abortion services in low- and middle-income countries: a scoping review

Polis

Biddlecom

Singh

et al. 2022

Sexual and Reproductive Health Matters

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The COVID-19 pandemic has disproportionate effects on people living in low- and middle-income countries (LMICs), exacerbating weak health systems. We conducted a scoping review to identify, map, and synthesise studies in LMICs that measured the impact of COVID-19 on demand for, provision of, and access to contraceptive and abortion-related services, and reproductive outcomes of these impacts. Using a pre-established protocol, we searched bibliographic databases (December 2019–February 2021) and key grey literature sources (December 2019–April 2021). Of 71 studies included, the majority (61%) were not peer-reviewed, and 42% were based in Africa, 35% in Asia, 17% were multi-region, and 6% were in Latin America and the Caribbean. Most studies were based on data through June 2020. The magnitude of contraceptive service-related impacts varied widely across 55 studies (24 of which also included information on abortion). Nearly all studies assessing changes over time to contraceptive service provision noted declines of varying magnitude, but severe disruptions were relatively uncommon or of limited duration. Twenty-six studies addressed the impacts of COVID-19 on abortion and postabortion care (PAC). Overall, studies found increases in demand, reductions in provision and increases in barriers to accessing these services. The use of abortion services declined, but the use of PAC was more mixed with some studies finding increases compared to pre-COVID-19 levels. The impacts of COVID-19 varied substantially, including the country context, health service, and population studied. Continued monitoring is needed to assess impacts on these key health services, as the COVID-19 pandemic evolves.

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Changes in Prevalence and Determinants of Self-Reported Hypertension among Bangladeshi Older Adults during the COVID-19 Pandemic

Mistry

Ali

Yadav

et al. 2022

IJERPH

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The present study aimed to assess the changes in the prevalence and determinants of self-reported hypertension among older adults during the COVID-19 pandemic in Bangladesh. This repeated cross-sectional study was conducted on two successive occasions (October 2020 and September 2021), overlapping the first and second waves of the COVID-19 pandemic in Bangladesh. The survey was conducted through telephone interviews among Bangladeshi older adults aged 60 years and above. The prevalence of hypertension was measured by asking a question about whether a doctor or health professional told the participants that they have hypertension or high blood pressure and/or whether they are currently using medication to control it. We also collected information on the socio-economic characteristics of the participants, their cognitive ability, and their COVID-19-related attributes. A total of 2077 older adults with a mean age of 66.7 ± 6.4 years participated in the study. The samples were randomly selected on two successive occasions from a pre-established registry developed by the ARCED Foundation. Thus, the sample in the 2021-survey (round two; n = 1045) was not the same as that in the 2020-survey (round one; n = 1031) but both were drawn from the same population. The findings revealed that the prevalence of hypertension significantly increased across the two periods (43.7% versus 56.3%; p = 0.006). The odds of hypertension were 1.34 times more likely in round two than in the round one cohort (AOR 1.34, 95% CI 1.06–1.70). We also found that having formal schooling, poorer memory or concentration, and having had received COVID-19 information were all associated with an increased risk of hypertension in both rounds (p < 0.05). The findings of the present study suggest providing immediate support to ensure proper screening, control, and treatment of hypertension among older adults in Bangladesh.

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Effects of COVID-19 on non-communicable diseases and reproductive health services in a district hospital of Nepal

Cited by 3 publications

References 8 publications

Editorial: Noncommunicable diseases and mental health experiences before and after the COVID-19 pandemic

Editorial: Noncommunicable diseases and mental health experiences before and after the COVID-19 pandemic

Impacts of COVID-19 on contraceptive and abortion services in low- and middle-income countries: a scoping review

Changes in Prevalence and Determinants of Self-Reported Hypertension among Bangladeshi Older Adults during the COVID-19 Pandemic

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