The impact of measures to curb COVID-19 on patient attendance at 10 hospitals in Machakos County, Kenya

Gitau, Tabither; Kamita, Moses; Muli, Elizabeth; Mweni, Sharon; Waithanji, Rebeccah; Mutisya, Faith; Kirira, Peter G.; Nzioka, Ancent; Figueroa, Jonine D.; Makokha, Francis

doi:10.7189/jogh.11.05016

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…Although the Malaysian guidelines recommended biennial screening mammograms for women in this age group, a majority (76.1%) of our participants had a screening mammogram more than two years ago. This may be explained by the pandemic, which had resulted in a lower clinic and hospital visits compared to the pre-Coronavirus Disease (COVID-19) time [32][33][34]. Other studies also discovered that patients were less likely to return for a screening mammogram after health facilities re-open following COVID-19-related closure [35,36].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Screening Mammogram Uptake among Women Attending an Urban University Primary Care Clinic in Malaysia

Abdullah

Baharudin

Mohamad

et al. 2022

IJERPH

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Screening mammograms have resulted in a reduction in breast cancer mortality, yet the uptake in Malaysia was low. This study aimed to determine the prevalence and factors associated with screening mammogram uptake among women attending a Malaysian primary care clinic. A cross-sectional study was conducted among 200 women aged 40 to 74 attending the clinic. The data was collected using questionnaires assessing sociodemographic, clinical characteristics, knowledge and health beliefs. Multiple logistic regression was used to identify factors associated with mammogram uptake. The prevalence of screening mammograms was 46.0%. About 45.5% of women with high breast cancer risk had never undergone a mammogram. Older participants, aged 50 to 74 (OR = 2.57, 95% CI: 1.05, 6.29, p-value = 0.039) and those who received a physician’s recommendation (OR = 7.61, 95% CI: 3.81, 15.20, p-value < 0.001) were more likely to undergo screening mammography. Significant health beliefs associated with mammogram uptake were perceived barriers (OR = 0.81, 95% CI: 0.67, 0.97, p-value = 0.019) and cues to action (OR = 1.30, 95% CI: 1.06, 1.59, p-value = 0.012). Approximately half of the participants and those in the high-risk group had never undergone a mammogram. Older age, physician recommendation, perceived barriers and cues to action were significantly associated with mammogram uptake. Physicians need to play an active role in promoting breast cancer screening and addressing the barriers.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Screening Mammogram Uptake among Women Attending an Urban University Primary Care Clinic in Malaysia

Abdullah

Baharudin

Mohamad

et al. 2022

IJERPH

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“…Access to healthcare was directly affected by the governmental measures taken to contain COVID-19 [24,37,38,44,48,57,69,70,84,94,99,106,108]. The implementation of physical distancing measures (containment, curfews, closure of businesses and places of entertainment or worship) impeded the movement of people and goods, and thus the seeking, provisioning, and delivery of healthcare, increasing tensions between healthcare personnel and patients [44,57,67,69,71,99,108,116].…”

Section: Impact Of Covid-19 On Healthcare Accessmentioning

confidence: 99%

“…The reduction in staffing and the detour of human resources to meet the healthcare needs due to COVID-19 have led to a disorganization of the healthcare offer, in particular a prioritization of basic services with a general reduction in services or even suspension of care considered non-urgent (dentistry, physiotherapy, physical rehabilitation, etc.) [19,57,67,99,109]. In addition, there was a lack of personal protective equipment (disinfectant, masks, gloves, gowns, glasses, etc.)…”

Section: Impact Of Covid-19 On Healthcare Accessmentioning

confidence: 99%

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COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview

Chippaux

2023

J. Venom. Anim. Toxins incl. Trop. Dis

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“…Temporarily closing down [32][33][34] Shortening opening hours [35][36][37] Limiting operations to essential services [38][39][40] Increased cost of care Direct increase in costs due to additional cost of PPE and increased price of medicine [27,32,41] Perceived increase in the costs due to loss of income [42][43][44] Other Avoiding health facilities due to fear of COVID-19 [45][46][47] Repurposing resources to manage COVID-19 [48][49][50] Supply shortages (PPE equipment and medicine) [36,51,52] Some areas of the health systems in the sub-Saharan region exhibited considerable resilience in the face of this healthcare crisis, as demonstrated by the completion of most scheduled ITN and IRS campaigns in 2020 [4] and by reports of increased access to HIV services in 2020 in comparison with previous years across the region [53][54][55]. Nonetheless, while steps were taken to maintain healthcare services for essential ailments, the scope of the pandemic rendered some level of disruption to healthcare provision and utilization unavoidable.…”

Section: Scaling Down Operations By Health Facilitiesmentioning

confidence: 99%

Evaluating COVID-19-Related Disruptions to Effective Malaria Case Management in 2020–2021 and Its Potential Effects on Malaria Burden in Sub-Saharan Africa

et al. 2023

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The COVID-19 pandemic has led to far-reaching disruptions to health systems, including preventative and curative services for malaria. The aim of this study was to estimate the magnitude of disruptions in malaria case management in sub-Saharan Africa and their impact on malaria burden during the COVID-19 pandemic. We used survey data collected by the World Health Organization, in which individual country stakeholders reported on the extent of disruptions to malaria diagnosis and treatment. The relative disruption values were then applied to estimates of antimalarial treatment rates and used as inputs to an established spatiotemporal Bayesian geostatistical framework to generate annual malaria burden estimates with case management disruptions. This enabled an estimation of the additional malaria burden attributable to pandemic-related impacts on treatment rates in 2020 and 2021. Our analysis found that disruptions in access to antimalarial treatment in sub-Saharan Africa likely resulted in approximately 5.9 (4.4–7.2 95% CI) million more malaria cases and 76 (20–132) thousand additional deaths in the 2020–2021 period within the study region, equivalent to approximately 1.2% (0.3–2.1 95% CI) greater clinical incidence of malaria and 8.1% (2.1–14.1 95% CI) greater malaria mortality than expected in the absence of the disruptions to malaria case management. The available evidence suggests that access to antimalarials was disrupted to a significant degree and should be considered an area of focus to avoid further escalations in malaria morbidity and mortality. The results from this analysis were used to estimate cases and deaths in the World Malaria Report 2022 during the pandemic years.

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The impact of measures to curb COVID-19 on patient attendance at 10 hospitals in Machakos County, Kenya

Cited by 6 publications

References 7 publications

Factors Associated with Screening Mammogram Uptake among Women Attending an Urban University Primary Care Clinic in Malaysia

Factors Associated with Screening Mammogram Uptake among Women Attending an Urban University Primary Care Clinic in Malaysia

COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview

Evaluating COVID-19-Related Disruptions to Effective Malaria Case Management in 2020–2021 and Its Potential Effects on Malaria Burden in Sub-Saharan Africa

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