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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 peopl ... e'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

Engaging Men and Boys for Gender Equality and Sexual and Reproductive Health and Rights. A tool for Action.

Promundo, UNFPA (2016)

This tool is a living document that provides guidance on good partnership practices that promote strong relationships between civil society organizations and government representatives on engaging men a ... more

Trends in Maternal Health in Rwanda: Further Analysis of the 2014-15 Demographic and Health Survey

Assaf, Shireen, Sarah Staveteig, and Francine Birungi Rockville, Maryland, USA: ICF (2018) C2

DHS Further Analysis Reports No. 108 - This report examines levels, trends, and inequalities in maternal health in Rwanda from 2010 to 2014-15 among women age 15-49 with a recent birth. The analysis ... more

WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

World Health Organization WHO (2019) C_WHO

Self-care interventions are among the most promising and exciting new approaches to improve health and well-being, both from a ... more

Coordinated public health surveillance between points of entry and national health surveillance systems

World Health Organization WHO (2014) C_WHO

Advising principles. The purpose of this document is to support competent authorities in charge of IHR implementation to improve national capacities for the prevention, detection and control of events, by strengthening communications ... more

Resource needs for the Kenya Health Sector Strategic and Investment plan: Analysis Using the One Health Tool

USAID, Health Policy Project (2015) C1

Liberia: Ministry of Health and Social Welfare 2012 Annual Report

Ministry of Health and Social Welfare, Liberia (2012) C1

2016 Health Facility Assessment for Reproductive Health Commodities and Services

The Republic of the Union of Myanmar, Ministry of Health and Sports, Department of Public Health, Department of Medical Services and UNFPA (2016) C1

A nationwide survey of a representative sample of health facilities across public health services in all states and regions of Myanmar has been und ... more

Maintaining essential health services during COVID-19: Select stories of resilience and innovations from 11 states (‎April-July 2020)‎

World Health Organization WHO India WHO (2021) C_WHO

Strengthening human resources for health through multisectoral approaches and leadership: the case of Cameroon

Kingue S., Rosskam E., Bela AC., Adjidja A., Codjia L. World Health Organization (2013) C_WHO

Manual for the Public Health Management of Chemical Incidents (English, French and Spanish version)

World Health Organization (2009) C_WHO

The purpose of the WHO Manual for the Public Health Management of Chemical Incidents is to provide a comprehensive overview of the principles and roles of public ... more

Training Manual: Climate and Health

International Federation of Medical Students’ Associations (IFMSA) (2016) C1

The project was developed by the International Federation of Medical Students’ Associations (IFMSA), in line with the Federation’s statement “a world in which students are equipped with knowledge, skills and value to take on ... more

Interagency List of Priority Medical Devices for Essential Interventions for Reproductive, Maternal, Newborn and Child Health

World Health Organization WHO (2017) C_WHO

The objective of this project was to list the medical devices required to provide the essential reproductive, maternal, newborn and child health interventions defined by existing WHO guidelines ... more

Frontline health workers in COVID-19 prevention and control: rapid evidence synthesis

The Georg Institute for Global Health India (2020) C1

The Government of India is embarking on a mammoth task to prevent COVID-19 spread among communities. The Rapid Evidence Synthesis team received a request to support the planning and development of resources for ensuring preparedness of FLHWs for COV ... more

Finding the Balance: Public Health and Social Measures in Zimbabwe

Partnership for Evidence-Based Response to COVID-19 (PERC) (2021) CC

This report describes findings from a telephone survey with 1,284 people conducted in February 2021. The survey examined how people respond to public health and social measures (PHSMs) to prevent CO ... more

Spiritual Themes and Challenges in Global Health

Addiss, D. (2018) CC

Culture, Context and the Mental Health and Psychosocial Wellbeing of Syrians

Hassan, G, Kirmayer, LJ, Mekki- Berrada A., et al. UNHCR (2015) C1

The document is primarily meant to inform mental health and psychosocial support (MHPSS) staff, such as: psychologists, psychosocial counsellors, social workers, psychiatrists, psychiatric nurses, ... more

ENGAGE-TB: integrating community-based tuberculosis activities into the work of nogovernmental and other civil society organizations: training of community health workers and community volunteers

Thomas Joseph, Nathalie Likhite, Lana Syed et al. World Health Organization (2015) C_WHO

Facilitator's Guide. This guide is designed to assist facilitators in training community health workers (CHWs) and community volunteers (CVs) in integrating community-based TB services into their wo ... more

Guidelines for Case-Finding, Diagnosis, and Public Health Response in South Africa

Bham, A.; J. Bhiman, F. Bongweni et al. National Department of Health South Africa (2020) CC

In the light of the transmissibility of coronaviruses, and the global experience with MERS-CoV (ongoing) and SARS in 2003 which were also caused by coronaviruses, South African authorities have comp ... more

Success Factors for Women’s and Children’s Health

Cambodia, Ministry of Health, PMNCH, WHO, World Bank, AHPSR et al. (2015) C_WHO