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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

das Neves Martins Pires P.H. , Macaringue C. , Abdirazak A. et al. BMC Health Services (2021) CC

The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people's movements and reduced public services, leading ...to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. METHODS: Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March-May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. RESULTS: Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. CONCLUSION: Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique. more

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Rapport final sur les ripostes communautaires au Sida. Basé sur les recommendations formulées par l'equipe spéciale multipartite

ONUSIDA (2022) C_WHO

Des gouvernements, des ONG et les Nations Unies déclarent qu’il faut soutenir le leadership des communautés pour vaincre les pandémies CHIANG MAI, THAÏLANDE, le 15 décembre 2022—Les ripostes dirigées par les communautés sont un élément essentiel de la riposte à la pandémie de sida et ... more

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Statement from the Steering Committee of the Global Task Force on Cholera Control (GTFCC)

Global Task Force On Cholera Control (GTFCC) (2023) CC

Many of the countries that faced cholera outbreaks in 2022 were badly affected by extreme weather events. As the climate emergency worsens, human displacement will intensify, along with droughts and flooding – all conditions that give rise to cholera outbreaks. Unless we invest in systems that b... more

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UNICEF Cholera Toolkit eLearning

UN Children's Fund UNICEF (2016) C_UNICEF

In this tutorial, you will learn about the structure and features of the Cholera toolkit. You will also get acquainted with the important aspects of the toolkit that make it user friendly. The UNICEF Cholera Toolkit provides UNICEF staff and partners with practical resources to implement an integr... more

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Building health system resilience to public health challenges: guidance for implementation in countries

World Health Organization WHO (2024) C_WHO

Health system resilience is not an inevitable byproduct of any investment in health but must be intentionally programmed and developed with necessary input, investment and contextualization. This technical product aims to guide national, subnational, and global health actors to operationalize the co... more

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The Impacts of Climate Change on Health

The EcoHealth Alliance, London School of Hygiene & Tropical Medicine. Reckitt (2021) CC

The new review paper, The Impacts of Climate Change on Health, identifies the extent to which increasing emissions, extreme weather and temperatures elevate health risks, from infectious disease to malnutrition, and assesses the associated health burden. It concludes that the health burden will exce... more

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Integrating the social determinants of health into health workforce education and training

World Health Organisation (WHO) (2023) C_WHO

Social inequalities are perpetuating unhealthy living and working conditions and behaviours. These causes are commonly called ‘the social determinants of health’. Achieving greater equity in health will demand that the health sector assumes a greater leadership role in addressing social inequali... more

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Operational framework for building climate resilient and low carbon health systems

World Health Organization WHO (2023) C_WHO

This document presents the World Health Organization Operational framework for building climate resilient and low carbon health systems*. ***The framework's goal is to increase the climate resilience of health systems to protect and improve the health of communities in an unstable and changing clima... more

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VOCAL project (Vocationally Oriented Culture And Language)

Leonardo da Vinci Transfer of Innovation (2015) C2

The VOCAL project (Vocationally Oriented Culture And Language) is a Leonardo da Vinci Transfer of Innovation project funded with the support of the EU Lifelong Learning Programme 2007- 2013. VOCAL consists of web-based language materials designed to assist learners before and during their mobility p... more

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Psychological interventions implementation manual: Integrating evidence-based psychological interventions into existing services

World Health Organization WHO (2024) C_WHO

Evidence-based psychological interventions are an important part of health, social, protection and education services and can help increase access to effective mental health treatments and progression towards universal health coverage. This manual provides managers and others responsible for plan... more

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Guidelines on the Conservation of Medicinal Plants

International Union for Conservation of Nature and Natural Resources (IUCN), World Health Organization (WHO) (1993) C_WHO

The aim of these Guidelines is to provide a framework for the conservation and sustainable use of plants in medicine. To do this, the Guidelines describe the various tasks that should be carried out to ensure that where medicinal plants are taken from the wild, they are taken on a basis that is sust... more

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Heating, ventilation and air-conditioning systems in the context of COVID-19: first update

European Centre for Disease Prevention and Control ECDC (2020) C1

The first update of the ECDC ventilation guidance document contains: key new findings that emphasise four bundles of NPIs to reduce the risk of SARS-CoV-2 transmission in closed spaces; updated references on the evidence of transmission in closed spaces; recommendations based on the n... more

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The Boston Medical Center Patient Navigation Toolkit

The Boston Medical Center AVON Foundation for Women The Boston Medical Center AVON Foundation for Women (2020) C1

This toolkit is designed to help you plan and implement a Patient Navigation program with the best chance of reducing health disparities and improving health outcomes for your patients. It contains evidence-based and experience-based examples, case studies, practical tools, and resources to help you... more

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How to Wash Your Hands

Scientific Animations without Borders SWABO (2020) C1

Washing hands is the best way to prevent the spread of germs and diseases. Dirty hands can carry pathogenic germs that can sicken a person or spread diseases to others. Microorganisms such as bacteria, viruses, parasites, fungi and various chemicals can enter our bodies directly when we touch our fa... more

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Modelling the effects of global climate change on Chikungunya transmission in the 21st century

Tjaden, N.B.; J.E. Suk, D. Fischer et al. Nature Scientific Reports (2017) CC

The arrival and rapid spread of the mosquito-borne viral disease Chikungunya across the Americas is one of the most significant public health developments of recent years, preceding and mirroring the subsequent spread of Zika. Globalization in trade and travel can lead to the importation of these vi... more

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How to Use a Metered-Dose Inhaler with a Valved Holding Chamber (Spacer) - english version

American Lung Association American Lung Association (2022) CC2

The document is an instructional guide in english on how to use a metered-dose inhaler (MDI) with a spacer. It provides detailed, step-by-step instructions for using the device effectively to manage respiratory conditions like asthma. The guide emphasizes the importance of correct technique, prepara... more

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John Hopkins COVID-19 map
recommended

Johns Hopkins University (2022) C2

Interactive Map You’ve probably noticed that the map has been evolving along with the virus. Now, it sports new layers of data—including a close-up section on the US, with details on testing, hospitalizations, and country-level demographic data. The map provides “more nuance on what’s h... more

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Impact of climate change on human infectious diseases: Empirical evidence and human adaptation

Xiaoxu Wu, Yongmei Lu, Sen Zhou et al. (2016) CC

Environment International Volume 86, January 2016, Pages 14-23 Climate change refers to long-term shifts in weather conditions and patterns of extreme weather events. It may lead to changes in health threat to human beings, multiplying existing health problems. This review examines the scientific e... more

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WHO guidance: Public health response to biological and chemical weapons

World Health Organization (2004) C_WHO

The message contained in this publication is clear: countries need a public health system that can respond to the deliberate release of chemical and biological agents. Regrettable though this message may be, the use of poison gas in the war between Iraq and the Islamic Republic of Iran in the 19... more

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EM-DAT The International Disaster Database

Centre for Research on the Epidemiology of Disasters - CRED (2009) CC

In 1988, the Centre for Research on the Epidemiology of Disasters (CRED) launched the Emergency Events Database (EM-DAT). EM-DAT was created with the initial support of the World Health Organisation (WHO) and the Belgian Government. The main objective of the database is to serve the purposes of h... more

John Hopkins COVID-19 map recommended

John Hopkins COVID-19 map
recommended