Impact of COVID-19 on the clinical care of Ethiopian PD patients: A glimpse into the burden

Ayele, Biniyam A.; Zenebe, Yared; Demissie, Hanna; Tafesse, Abenet; Melka, Dereje; Debebe, Yohannes; Tsehayneh, Fikru; Awraris, Meron; Shalash, Ali

doi:10.1016/j.ensci.2020.100273

Cited by 4 publications

(4 citation statements)

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“…This suggested that the degree of lockdown measures and social isolation are not the only factors leading to worsening of Parkinson disease symptoms [66]. PWP in certain countries were more affected by sudden closure of transportation services, poor access to medications because of supply chain disruptions and abrupt cessation of support organizations who may play an integral role in their care [67]. From a caregiver standpoint, some studies have found that caregivers of PWP in countries with cultural norms favouring larger family units may cope better despite lockdowns [68,69].…”

Section: Andandmentioning

confidence: 99%

Movement disorders in COVID-19 times: impact on care in movement disorders and Parkinson disease

Poonja

2022

Current Opinion in Neurology

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Purpose of reviewThe purpose of this review is to outline the impact of the COVID-19 pandemic on movement disorder holistic care, particularly in the care of people with Parkinson disease (PWP). Recent findingsAs the pandemic unfolds, a flurry of literature was published regarding the impact of COVID-19 on people with Parkinson disease including the direct impact of infection, availability of ambulatory care, loss of community-based team care, and acceptability of telemedicine. SummaryCOVID-19 has impacted the care of PWP in numerous ways. Recognizing infection in PWP poses challenges. Specific long-term complications, including emerging reports of long COVID syndrome is a growing concern. Caregivers and PWP have also been impacted by COVID-19 social isolation restrictions, with radical changes to the structure of social networks and support systems globally. In a matter of weeks, the global community saw an incredible uptake in telemedicine, which brought benefits and pitfalls. As PWP adapted to virtual platforms and the changing architecture of care delivery, the pandemic amplified many preexisting inequities amongst populations and countries, exposing a new 'digital divide'.

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Section: Andandmentioning

confidence: 99%

Movement disorders in COVID-19 times: impact on care in movement disorders and Parkinson disease

Poonja

2022

Current Opinion in Neurology

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“…On the supply side, many health facilities needed to reallocate medical resources and personnel to emergency response, potentially reducing the availability and quality of non-COVID services (4)(5)(6). Staff shortages and nosocomial COVID-19 infection likely created burnout in the health workforce (7).…”

Section: Introductionmentioning

confidence: 99%

Impact of the Early Stages of the COVID-19 Pandemic on Coverage of Reproductive, Maternal, and Newborn Health Interventions in Ethiopia: A Natural Experiment

Carter

Zimmerman

Qian

et al. 2022

Front. Public Health

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BackgroundThe COVID-19 pandemic and response have the potential to disrupt access and use of reproductive, maternal, and newborn health (RMNH) services. Numerous initiatives aim to gauge the indirect impact of COVID-19 on RMNH.MethodsWe assessed the impact of COVID-19 on RMNH coverage in the early stages of the pandemic using panel survey data from PMA-Ethiopia. Enrolled pregnant women were surveyed 6-weeks post-birth. We compared the odds of service receipt, coverage of RMNCH service indicators, and health outcomes within the cohort of women who gave birth prior to the pandemic and the COVID-19 affected cohort. We calculated impacts nationally and by urbanicity.ResultsThis dataset shows little disruption of RMNH services in Ethiopia in the initial months of the pandemic. There were no significant reductions in women seeking health services or the content of services they received for either preventative or curative interventions. In rural areas, a greater proportion of women in the COVID-19 affected cohort sought care for peripartum complications, ANC, PNC, and care for sick newborns. Significant reductions in coverage of BCG vaccination and chlorohexidine use in urban areas were observed in the COVID-19 affected cohort. An increased proportion of women in Addis Ababa reported postpartum family planning in the COVID-19 affected cohort. Despite the lack of evidence of reduced health services, the data suggest increased stillbirths in the COVID-19 affected cohort.DiscussionThe government of Ethiopia's response to control the COVID-19 pandemic and ensure continuity of essential health services appears to have successfully averted most negative impacts on maternal and neonatal care. This analysis cannot address the later effects of the pandemic and may not capture more acute or geographically isolated reductions in coverage. Continued efforts are needed to ensure that essential health services are maintained and even strengthened to prevent indirect loss of life.

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“…On the supply side, many health facilities needed to re-allocate medical resources and personnel to emergency responses, potentially leading to a reduction in the availability and quality of non-COVID services (4)(5)(6). Staff shortage and nosocomial COVID-19 infection likely created burnout in the health workforce (7).…”

Section: Introductionmentioning

confidence: 99%

Impact of the early stages of the COVID-19 pandemic on coverage of RMNH interventions in Ethiopia

Carter

Zimmerman

Qian

et al. 2021

Preprint

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Background: The COVID-19 pandemic and response have the potential to disrupt access and use of reproductive, maternal, and newborn health (RMNH) services. Numerous initiatives aim to gauge the indirect impact of COVID-19 on RMNH. Methods: We assessed the impact of COVID-19 on RMNH coverage in the early stages of the pandemic using panel survey data from PMA-Ethiopia. Enrolled pregnant women were surveyed 6-weeks post-birth. We compared the odds of service receipt, coverage of RMNCH service indicators, and health outcomes within the cohort of women who gave birth prior to the pandemic and the COVID-19 affected cohort. We calculated impacts nationally and by urbanicity. Results: This dataset shows little disruption of RMNH services in Ethiopia in the initial months of the pandemic. There were no significant reductions in women seeking health services or the content of services they received for either preventative or curative interventions. In rural areas, a greater proportion of women in the COVID-19 affected cohort sought care for peripartum complications, ANC, PNC, and care for sick newborns. Significant reductions in coverage of BCG vaccination and chlorohexidine use in urban areas were observed in the COVID-19 affected cohort. An increased proportion of women in Addis Ababa reported postpartum family planning in the COVID-19 affected cohort. Despite the lack of evidence of reduced health services, the data suggest increased stillbirths in the COVID-19 affected cohort. Discussion: The government of Ethiopia's response to control the COVID-19 pandemic and ensure continuity of essential health services appears to have successfully averted most negative impacts on maternal and neonatal care. This analysis cannot address the later effects of the pandemic and may not capture more acute or geographically isolated reductions in coverage. Continued efforts are needed to ensure that essential health services are maintained and even strengthened to prevent indirect loss of life.

show abstract

Impact of COVID-19 on the clinical care of Ethiopian PD patients: A glimpse into the burden

Cited by 4 publications

References 1 publication

Movement disorders in COVID-19 times: impact on care in movement disorders and Parkinson disease

Movement disorders in COVID-19 times: impact on care in movement disorders and Parkinson disease

Impact of the Early Stages of the COVID-19 Pandemic on Coverage of Reproductive, Maternal, and Newborn Health Interventions in Ethiopia: A Natural Experiment

Impact of the early stages of the COVID-19 pandemic on coverage of RMNH interventions in Ethiopia

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