INTRODUCTION: The COVID-19 pandemic has disrupted health systems around the world. The objectives of this study are to estimate the overall effect of the pandemic on essential health service use and outcomes in Mexico, describe observed and predicted trends in services over 24 months, and to estimat...e the number of visits lost through December 2020.
METHODS: We used health information system data for January 2019 to December 2020 from the Mexican Institute of Social Security (IMSS), which provides health services for more than half of Mexico's population-65 million people. Our analysis includes nine indicators of service use and three outcome indicators for reproductive, maternal and child health and non-communicable disease services. We used an interrupted time series design and linear generalised estimating equation models to estimate the change in service use and outcomes from April to December 2020. Estimates were expressed using average marginal effects on the risk ratio scale.
RESULTS: The study found that across nine health services, an estimated 8.74 million patient visits were lost in Mexico. This included a decline of over two thirds for breast and cervical cancer screenings (79% and 68%, respectively), over half for sick child visits and female contraceptive services, approximately one-third for childhood vaccinations, diabetes, hypertension and antenatal care consultations, and a decline of 10% for deliveries performed at IMSS. In terms of patient outcomes, the proportion of patients with diabetes and hypertension with controlled conditions declined by 22% and 17%, respectively. Caesarean section rate did not change.
CONCLUSION: Significant disruptions in health services show that the pandemic has strained the resilience of the Mexican health system and calls for urgent efforts to resume essential services and plan for catching up on missed preventive care even as the COVID-19 crisis continues in Mexico.
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Руководство ВОЗ по политике и практике информирования о рисках при чрезвычайных ситуациях (ИРЧС)
April 19,2021
MEDBOX Issue Brief no.12
Este documento apresenta orientações provisórias para uma comunicação eficaz dos riscos relacionados com atransmissão do vírus Zikae das suas potenciais complicações. Ainda não foi, contudo, estabelecida uma relação causal entre ainfecçãopelo vírus Zika e essas potenciais complicaçõ...es. Nesta incerteza, deverão implementar-se estratégias de comunicação eficazes, para permitir às pessoas tomarem decisões informadas sobre a sua protecção, das suas famílias e das suas comunidades. Estas orientações provisórias destinam-se a ser usadas por: gestores de comunicação dos riscos e da saúde e pelo pessoal e voluntários a nível mundial, regional ou nacional; profissionais da comunicação; antropólogos; sociólogos; prestadores de cuidados de saúde; administradores hospitalares; líderes comunitários; directores de programas; e decisores políticos.
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In the context of health, stigma is the negative association between a person or group of people who share certain characteristics and a specific disease. In an outbreak, this may mean people are labeled, stereotyped, discriminated against, treated separately, and/or experience loss of status becaus...e of a perceived link with a disease.
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Maphunziro Othandiza Kusankha Mwanzeru Polimbana ndi Mliri wa Edzi. Bukhu Lophunzitsira Kudzilet sa ku Edzi M’malawi
Ces affiches et brochures ont été produites en mars 2020 en réponse à la crise du COVID-19.
These posters and brochures were produced in March 2020 as a response to the COVID-19 crisis.
Cette affiche est destinée au grand public et montre comment prévenir le COVID-19. Il fournit également un numéro de téléphone pour plus d'informations