Maternity and child care amidst COVID-19 Pandemic: A forgotten agenda

Manchanda, Navneet

doi:10.7189/jogh.10.020334

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…18 Inspite of the Anganwadi workers and auxiliary midwifes workers were deployed mainly in contact tracing and testing of COVID-cases due to closure of other outreach programmes that they used to perform. 19 In our study 80% of under 15 children received immunization during lockdown this, finding is discorded to the other studies in India. This may be because of the good public health system in Tamil Nadu and adhering to the government of India guidelines to continue the immunization services during lockdown.…”

Section: Discussioncontrasting

confidence: 91%

Study to estimate impact of sudden lockdown due to COVID-19 pandemic at the household level: findings of cross-sectional study in Tamil Nadu

Srinivas

Murugan²

2023

Int J Community Med Public Health

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Background: In response to contain the spread of coronavirus disease 2019 (COVID-19) in India, the entire country was declared to be under lockdown from the midnight of 24 March 2020. In this study, we determined the economic impact and availability of health services during sudden lockdown. Methods: A cross sectional study was done in rural and urban health and training centres attached to rural medical college of Chengalpattu district of Tamil Nadu. Sample size was 424. Study participants were out patients, seeking health care services. Data was collected by trained medical social workers (MSW), using field tested semi-structured questionnaire. Percentages were calculated and for assessing difference between proportions, Pearson’s chi-square test was used as a test of significance. Results: Out of 424 study participants, 223 (52.6%) were male and mean age of participants was 44 years. Socio economically, majority of them belonged to lower and lower middle-class families. 297 (70%) of households reported to have financial loss and 71.2% reported difference due to lockdown. In univariant analysis, the significant risk factors for difference in income were found to be type of house (0.029), loss of job (0.0001), loss of wages (0.0001), having bank loan (0.019) and issues in managing household expenses (0.0001), per capita income (0.008), farming business (0.018) and household with members having non-communicable diseases (0.013). Conclusions: Lockdown has huge economic cost. Underprivileged households were economically impacted. Most of the essential health services were available and accessible to the household even during the strict lockdown.

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Section: Discussioncontrasting

confidence: 91%

Study to estimate impact of sudden lockdown due to COVID-19 pandemic at the household level: findings of cross-sectional study in Tamil Nadu

Srinivas

Murugan²

2023

Int J Community Med Public Health

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“…Insights from past pandemics have also pointed out that there was a significant drop in immunization and that has added to the disease burden of the country post-pandemic. [ 8 ] In India, prior to the pandemic also there was a gap in terms of immunization coverage which might have broadened with the pandemic and hence special focus should be channelized to overcome this.…”

Section: Resultsmentioning

confidence: 99%

Assessment of the socio-economic and health impact of COVID-19 in the NGO intervention areas of Gujarat

Shah¹,

Ray²,

Shah³

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Background and Aim: By this time, the world has already witnessed catastrophic effects of the pandemic on economic and healthcare services infrastructure, from India the scientific publications documenting this effect are quite sparse. The current report aims to compile the socio-economic, demographic and healthcare services transactions among the population in the non-governmental organization (NGO) supported areas of Gujarat state. Methods: The data were collected by human research of the NGO from Sanand, Mundra and Ahmedabad sites at three different time intervals – pre-lockdown, during lockdown and post-lockdown. Results: The findings of the study reported a clear increase in availing of healthcare services in all three study sites covered under the programmes of the NGO. It was clearly evident that the impact of lockdown on the livelihood of the population in all three sites was devastating with a significant proportion of individuals losing their jobs. However, the majority of the people were able to rejoin the jobs (though with lower average income) in all three sites. During the lockdown, people heavily relied on stored food sources such as grains and pulses and consumption of fresh vegetables and fruits reduced significantly. Lockdown has severely hampered essential maternal and child care services which were remarkably improved in the months of post-lockdown. A considerable number of the family had to mortgage their assets during the lockdown. The mortgage proportion varied widely (3–58%) among all the study sites. Conclusion: It was observed that in the unprecedented time, the national lockdown was a challenging time, where there was a drastic shift in the livelihood profile of the population due to significant loss of jobs. Lockdown has also severely affected the essential healthcare services coverage; however, with efforts from the government and the NGO, it was restored to a near pre-lockdown situation in all three sites.

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“…Training and capacity building of frontline workers should be emphasized to provide safe maternity care during emergencies. Moreover, a separate task force should be formulated to keep frontline workers free to provide maternal health services [ 82 ]. Promoting safe and accessible maternity care is essential even during pandemics by having an efficient and sustainable MCH care model to prevent preterm births, stillbirths, and maternal mortality [ 81 ].…”

Section: Discussionmentioning

confidence: 99%

Effective interventions to ensure MCH (Maternal and Child Health) services during pandemic related health emergencies (Zika, Ebola, and COVID-19): A systematic review

et al. 2022

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Introduction Ensuring accessible and quality health care for women and children is an existing challenge, which is further exacerbated during pandemics. There is a knowledge gap about the effect of pandemics on maternal, newborn, and child well-being. This systematic review was conducted to study maternal and child health (MCH) services utilization during pandemics (Zika, Ebola, and COVID-19) and the effectiveness of various interventions undertaken for ensuring utilization of MCH services. Methodology A systematic and comprehensive search was conducted in MEDLINE/PubMed, Cochrane CENTRAL, Embase, Epistemonikos, ScienceDirect, and Google Scholar. Of 5643 citations, 60 potential studies were finally included for analysis. The included studies were appraised using JBI Critical appraisal tools. Study selection and data extraction were done independently and in duplicate. Findings are presented narratively based on the RMNCHA framework by World Health Organization (WHO). Results Maternal and child health services such as antenatal care (ANC) visits, institutional deliveries, immunization uptake, were greatly affected during a pandemic situation. Innovative approaches in form of health care services through virtual consultation, patient triaging, developing dedicated COVID maternity centers and maternity schools were implemented in different places for ensuring continuity of MCH care during pandemics. None of the studies reported the effectiveness of these interventions during pandemic-related health emergencies. Conclusion The findings suggest that during pandemics, MCH care utilization often gets affected. Many innovative interventions were adopted to ensure MCH services. However, they lack evidence about their effectiveness. It is critically important to implement evidence-based appropriate interventions for better MCH care utilization.

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Maternity and child care amidst COVID-19 Pandemic: A forgotten agenda

Cited by 6 publications

References 2 publications

Study to estimate impact of sudden lockdown due to COVID-19 pandemic at the household level: findings of cross-sectional study in Tamil Nadu

Study to estimate impact of sudden lockdown due to COVID-19 pandemic at the household level: findings of cross-sectional study in Tamil Nadu

Assessment of the socio-economic and health impact of COVID-19 in the NGO intervention areas of Gujarat

Effective interventions to ensure MCH (Maternal and Child Health) services during pandemic related health emergencies (Zika, Ebola, and COVID-19): A systematic review

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