Indirect impact of health disasters on maternal and child mortality

El-Shal, Amira; Mohieldin, Mahmoud; Moustafa, Eman

doi:10.1016/j.eap.2022.03.003

Cited by 5 publications

(5 citation statements)

References 52 publications

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“…This finding is in agreement with the wide array of studies in this field that have found evidence of the role of income in predicting individuals' adherence to COVID-19 proactive and mitigation measures [18,52]. For instance, El-Shal and Moustafa [53] show that economic hardship moved people in MENA away from adhering to COVID-19 mitigation measures as they became less concerned about being infected with COVID-19, perceiving that they had little to lose given their already precarious existence. Alkhaldi et al [54] point out that low-income households often encounter significant barriers in relation to the adoption of preventive measures because of their crowded living situation, involvement in the informal labour market, and inability to afford the cost of hygiene products, which collectively makes them less able and willing to comply with these mitigation measures.…”

Section: Plos Onesupporting

confidence: 88%

COVID-19 risk perception and public compliance with preventive measures: Evidence from a multi-wave household survey in the MENA region

2023

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This study investigates the association between individuals’ concern about contracting COVID-19 and their compliance with recommended preventive and mitigation measures, namely wearing face masks, maintaining social distancing and handwashing, in the context of the Middle East and North Africa (MENA) region. The empirical analysis is based on a panel dataset from the Combined COVID-19 MENA Monitor Household Survey, which was carried out in Jordan, Morocco, Sudan, Tunisia and Egypt. Applying a probit estimation technique, a positive and statistically significant association was found between the level of COVID-19 worries and individuals’ compliance with the mitigation measures. Notably, the results revealed that this association followed a “first-up-then-down” trend, showing that compliance with the three mitigation measures rose as individuals’ worries about contracting the virus increased, and then markedly decreased after they had been infected. Socio-demographic characteristics contributing to lower levels of compliance included being male, being over 60, having lower levels of education and having a lower household income. A cross-country analysis revealed remarkable differences between the five countries, with the strongest association between COVID-19 concerns and adherence to mitigation measures observed in Tunisia and Sudan, and the weakest association seen in Jordan and Morocco. Policy implications are outlined for effective risk communication and management during disease outbreaks and public health emergencies to encourage appropriate public health behaviours.

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Section: Plos Onesupporting

confidence: 88%

COVID-19 risk perception and public compliance with preventive measures: Evidence from a multi-wave household survey in the MENA region

2023

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“…This shows that impact disasters can increase the morbidity rate in neonatal which leads to an increase in neonatal mortality. As also stated by El-Shal, Mohieldin, and Moustafa (2022), in low-and middle-income countries, health disasters increase maternal, under-5, and neonatal mortality by 0.3%, 0.3%, and 0.2% respectively and by 35%, 80%, and 26% after one year, respectively.…”

Section: Original Articlementioning

confidence: 68%

fulfillment of pregnancy-related needs of women in refugee camps in Indonesia: A phenomenology study

Setiawati,

Anggraeni,

Purnamasari

et al. 2023

J Kep Padjadjaran

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Background: As Indonesia lies on several tectonic plates, it is often hit by natural disasters such as earthquakes. Women are included in the vulnerable group category during disaster situations, especially pregnant women. Purpose: This study aims to explore the needs of pregnant women in refugee camps after natural disasters. Methods: This is qualitative research with a phenomenological approach. The data were collected in 2019 through in-depth interviews with 9 women who were pregnant when the disaster occurred using purposive and snowball sampling techniques. The participants were refugees who were victims of the earthquake in Kalibening, Banjarnegara, Central Java, in 2018. Interview transcripts were analyzed using thematic analysis. Results: The following three themes were found and discussed: (1) the basic needs of pregnant women during a disaster situation in refugee camps, (2) comprehensive health examinations for pregnant women in disaster situations, and (3) pregnant women’s reluctance to stay in refugee camps. Conclusions: This study shows that pregnant women’s limited mobility restricts them from meeting their basic and perinatal needs in refugee camps. After natural disasters, many pregnant women experience complications during their pregnancy. Moreover, from a cultural aspect, being together with family was found to be important for pregnant women. Thus, there is a need for coordination between local governments and other stakeholders regarding the needs of pregnant women so that they can receive appropriate assistance accordingly.

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“…The observed negative effects strongly suggest that replacing performance-based incentives with case-based reimbursement led to lower quality of child health services, which deterred women from using them. Such effects can be exacerbated by the rising frequency of health disasters worldwide and the significant indirect impact of these disasters on maternal and child mortality in LMICs (El-Shal et al, 2022 ).…”

Section: Resultsmentioning

confidence: 99%

Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health

El-Shal

Cubí‐Mollá

Jofre‐Bonet

2022

Int J Health Econ Manag.

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Performance-based financing (PBF) is advocated as an effective means to improve the quality of care by changing healthcare providers’ behavior. However, there is limited evidence on its effectiveness in low- and middle-income countries and on its implementation in primary care settings. Evidence on the effect of discontinuing PBF is even more limited than that of introducing PBF schemes. We estimate the effects of discontinuing PBF in Egypt on family planning, maternal health, and child health outcomes. We use a difference-in-differences (DiD) model with fixed effects, exploiting a unique dataset of six waves of spatially constructed facility-level health outcomes. We find that discontinuing performance-based incentives to providers had a negative effect on the knowledge of contraceptive methods, iron supplementation during pregnancy, the prevalence of childhood acute respiratory infection, and, more importantly, under-five child mortality, all of which were indirectly targeted by the PBF scheme. No significant effects are reported for directly targeted outcomes. Our findings suggest that PBF can induce permanent changes in providers’ behavior, but this may come at the expense of non-contracted outcomes.

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Indirect impact of health disasters on maternal and child mortality

Cited by 5 publications

References 52 publications

COVID-19 risk perception and public compliance with preventive measures: Evidence from a multi-wave household survey in the MENA region

COVID-19 risk perception and public compliance with preventive measures: Evidence from a multi-wave household survey in the MENA region

fulfillment of pregnancy-related needs of women in refugee camps in Indonesia: A phenomenology study

Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health

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