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Article ; Online: Child Health and Delivery of Care During the COVID-19 Pandemic and Beyond.

Mathew, Joseph L

2020 Volume 87, Issue 8, Page(s) 579–582

MeSH term(s)	Betacoronavirus ; COVID-19 ; Child ; Child Health ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-06-09
Publishing country	India
Document type	Editorial ; Comment
ZDB-ID	218231-2
ISSN	0973-7693 ; 0019-5456
ISSN (online)	0973-7693
ISSN	0019-5456
DOI	10.1007/s12098-020-03380-2
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Article: Child Health and Delivery of Care During the COVID-19 Pandemic and Beyond

Mathew, Joseph L

Indian J Pediatr

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #591835
Database	COVID19

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Article ; Online: Child Health and Delivery of Care During the COVID-19 Pandemic and Beyond

Mathew, Joseph L.

The Indian Journal of Pediatrics

2020 Volume 87, Issue 8, Page(s) 579–582

Keywords	Pediatrics, Perinatology, and Child Health ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	218231-2
ISSN	0973-7693 ; 0019-5456
ISSN (online)	0973-7693
ISSN	0019-5456
DOI	10.1007/s12098-020-03380-2
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Universal healthcare coverage and health service delivery before and during the COVID-19 pandemic: A difference-in-difference study of childhood immunization coverage from 195 countries.

Kim, Sooyoung / Headley, Tyler Y / Tozan, Yesim

PLoS medicine

2022 Volume 19, Issue 8, Page(s) e1004060

Abstract: ... we quantified the relationship between UHC and childhood immunization coverage before and during the COVID-19 ... pandemic. The analysis considered 195 World Health Organization (WHO) member states and their ability ... crises such as the Coronavirus Disease 2019 (COVID-19) pandemic. We empirically explored ...

Abstract	Background: Several studies have indicated that universal health coverage (UHC) improves health service utilization and outcomes in countries. These studies, however, have primarily assessed UHC's peacetime impact, limiting our understanding of UHC's potential protective effects during public health crises such as the Coronavirus Disease 2019 (COVID-19) pandemic. We empirically explored whether countries' progress toward UHC is associated with differential COVID-19 impacts on childhood immunization coverage. Methods and findings: Using a quasi-experimental difference-in-difference (DiD) methodology, we quantified the relationship between UHC and childhood immunization coverage before and during the COVID-19 pandemic. The analysis considered 195 World Health Organization (WHO) member states and their ability to provision 12 out of 14 childhood vaccines between 2010 and 2020 as an outcome. We used the 2019 UHC Service Coverage Index (UHC SCI) to divide countries into a "high UHC index" group (UHC SCI ≥80) and the rest. All analyses included potential confounders including the calendar year, countries' income group per the World Bank classification, countries' geographical region as defined by WHO, and countries' preparedness for an epidemic/pandemic as represented by the Global Health Security Index 2019. For robustness, we replicated the analysis using a lower cutoff value of 50 for the UHC index. A total of 20,230 country-year observations were included in the study. The DiD estimators indicated that countries with a high UHC index (UHC SCI ≥80, n = 35) had a 2.70% smaller reduction in childhood immunization coverage during the pandemic year of 2020 as compared to the countries with UHC index less than 80 (DiD coefficient 2.70; 95% CI: 0.75, 4.65; p-value = 0.007). This relationship, however, became statistically nonsignificant at the lower cutoff value of UHC SCI <50 (n = 60). The study's primary limitation was scarce data availability, which restricted our ability to account for confounders and to test our hypothesis for other relevant outcomes. Conclusions: We observed that countries with greater progress toward UHC were associated with significantly smaller declines in childhood immunization coverage during the pandemic. This identified association may potentially provide support for the importance of UHC in building health system resilience. Our findings strongly suggest that policymakers should continue to advocate for achieving UHC in coming years.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; Health Services ; Humans ; Pandemics/prevention & control ; Universal Health Care ; Universal Health Insurance ; Vaccination Coverage
Language	English
Publishing date	2022-08-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	2185925-5
ISSN	1549-1676 ; 1549-1277
ISSN (online)	1549-1676
ISSN	1549-1277
DOI	10.1371/journal.pmed.1004060
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Article ; Online: Universal healthcare coverage and health service delivery before and during the COVID-19 pandemic

Sooyoung Kim / Tyler Y Headley / Yesim Tozan

PLoS Medicine, Vol 19, Iss 8, p e

A difference-in-difference study of childhood immunization coverage from 195 countries.

2022 Volume 1004060

Abstract	Background Several studies have indicated that universal health coverage (UHC) improves health service utilization and outcomes in countries. These studies, however, have primarily assessed UHC's peacetime impact, limiting our understanding of UHC's potential protective effects during public health crises such as the Coronavirus Disease 2019 (COVID-19) pandemic. We empirically explored whether countries' progress toward UHC is associated with differential COVID-19 impacts on childhood immunization coverage. Methods and findings Using a quasi-experimental difference-in-difference (DiD) methodology, we quantified the relationship between UHC and childhood immunization coverage before and during the COVID-19 pandemic. The analysis considered 195 World Health Organization (WHO) member states and their ability to provision 12 out of 14 childhood vaccines between 2010 and 2020 as an outcome. We used the 2019 UHC Service Coverage Index (UHC SCI) to divide countries into a "high UHC index" group (UHC SCI ≥80) and the rest. All analyses included potential confounders including the calendar year, countries' income group per the World Bank classification, countries' geographical region as defined by WHO, and countries' preparedness for an epidemic/pandemic as represented by the Global Health Security Index 2019. For robustness, we replicated the analysis using a lower cutoff value of 50 for the UHC index. A total of 20,230 country-year observations were included in the study. The DiD estimators indicated that countries with a high UHC index (UHC SCI ≥80, n = 35) had a 2.70% smaller reduction in childhood immunization coverage during the pandemic year of 2020 as compared to the countries with UHC index less than 80 (DiD coefficient 2.70; 95% CI: 0.75, 4.65; p-value = 0.007). This relationship, however, became statistically nonsignificant at the lower cutoff value of UHC SCI <50 (n = 60). The study's primary limitation was scarce data availability, which restricted our ability to account for confounders and to test our ...
Keywords	Medicine ; R
Subject code	306
Language	English
Publishing date	2022-08-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: The impact of the COVID-19 pandemic on reproductive, maternal, neonatal, and child health care services in Kiambu County, Kenya.

Kamondo, Davis / Mwancha-Kwasa, Magoma / Kamita, Moses / Mwangi, Caroline / Murage, Maxwell / Juttla, Prabhjot K / Gicheru, Daniel / Gitaka, Jesse

African journal of reproductive health

2024 Volume 28, Issue 3, Page(s) 20–29

Abstract: ... the impact of COVID-19 on reproductive, maternal, neonatal, and child health (RMNCH) services in Kiambu ... postnatal care (PNC), and family planning (FP) before and after COVID-19 was retrieved and compared. New ANC ... The global response to COVID-19 undermined established public health goals. This study investigated ...

Abstract	The global response to COVID-19 undermined established public health goals. This study investigated the impact of COVID-19 on reproductive, maternal, neonatal, and child health (RMNCH) services in Kiambu County, Kenya. It was a retrospective cross-sectional study, where data on antenatal care (ANC), delivery, postnatal care (PNC), and family planning (FP) before and after COVID-19 was retrieved and compared. New ANC clients and 4th ANC visits decreased by 2.9% and 17% respectively. New clients attending PNC increased by 13.3% (p = 0.007). Skilled deliveries reduced by 0.3%, maternal, neonatal deaths, and fresh stillbirths reduced by 0.7%, 23.9%, and 15.8% respectively. Caesarean sections rose by 12.7% (p=0.001). New clients and revisits for family planning reduced by 15.4% and 6.6% respectively. The pandemic adversely affected most of the RMNCH services. There is a need for health departments to institute robust strategies to recover the gains lost during COVID-19.
MeSH term(s)	Infant, Newborn ; Child ; Pregnancy ; Female ; Humans ; Pandemics ; Child Health ; Kenya/epidemiology ; Cross-Sectional Studies ; Retrospective Studies ; COVID-19/epidemiology ; Prenatal Care ; Maternal Health Services
Language	English
Publishing date	2024-04-07
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	2111906-5
ISSN	1118-4841
ISSN	1118-4841
DOI	10.29063/ajrh2024/v28i3.3
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Article: Assessing the Impact of the COVID-19 Pandemic on Maternal and Child Health Services: A Comprehensive Analysis of Government Initiatives in Northern India.

Jain, Garima / Prajapati, Ram Komal Prasad / Bisen, Vikram

Cureus

2024 Volume 16, Issue 3, Page(s) e56313

Abstract: ... services globally, with particular challenges observed in maternal and child health (MCH) care. This study ... Background: The coronavirus disease (COVID-19) pandemic has significantly impacted healthcare ... observed in institutional deliveries, antenatal care visits, and immunization coverage. For instance ...

Abstract	Background: The coronavirus disease (COVID-19) pandemic has significantly impacted healthcare services globally, with particular challenges observed in maternal and child health (MCH) care. This study aimed to assess the impact of the pandemic on MCH services in northern India, focusing on key government programs. Methods: Data were collected from four major MCH programs in India: Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), and the Universal Immunization Program (UIP). The study compared MCH service utilization and outcomes during the pandemic period (March-September 2020) with the same period in 2019. Results: Preliminary findings indicated a significant reduction in the utilization of MCH services during the pandemic, with a decrease observed in institutional deliveries, antenatal care visits, and immunization coverage. For instance, institutional deliveries declined by 30% compared with the previous year, with a similar decrease observed in antenatal care visits. Immunization coverage also decreased by approximately 25%, indicating a substantial decline in preventive care services. Challenges in accessing essential treatments for sick infants have also been reported, with a 40% decrease in the utilization of free treatment services under the JSSK program. Conclusion: The COVID-19 pandemic has substantially impacted MCH services in northern India, highlighting the vulnerability of these essential health programs during public health emergencies. Addressing the challenges identified in this study is crucial to ensuring the continuity and resilience of MCH services in similar settings.
Language	English
Publishing date	2024-03-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.56313
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Children's activities, parental concerns, and child care service utilization in the early stages of the COVID-19 pandemic.

Zhang, Jasmine / Smith, Jackson / Browne, Dillon

Frontiers in public health

2023 Volume 11, Page(s) 1047234

Abstract: ... child care services during and beyond COVID-19 are discussed. ... Introduction: In the early stages of the COVID-19 pandemic, most Canadian provinces and ... considered in the context of pandemic-related child care closures. Implications for children, families, and ...

Abstract	Introduction: In the early stages of the COVID-19 pandemic, most Canadian provinces and territories enacted public health measures to reduce virus spread, leading most child care centers across the country to limit or halt in-person service delivery. While it is broadly known that the range of activities available to children and youth reduced drastically as a result, research has yet to explore Method: Children's activities during the early months of the pandemic were assessed based on parent-report data ( Results: Latent profile analysis yielded three distinct activity patterns: Discussion: The present findings call attention to heterogeneity in children's activities during COVID-19, which should be considered in the context of pandemic-related child care closures. Implications for children, families, and child care services during and beyond COVID-19 are discussed.
MeSH term(s)	Adolescent ; Child ; Humans ; COVID-19/epidemiology ; Pandemics ; Child Care ; Canada/epidemiology ; Parents
Language	English
Publishing date	2023-06-29
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1047234
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The impact of the COVID-19 pandemic on nosocomial infections: a retrospective analysis in a tertiary maternal and child healthcare hospital.

Huang, Huifang / Wu, Kunhai / Chen, Haiming / Wang, Jing / Chen, Lufei / Lai, Zhirun / Lin, Shuling

Frontiers in public health

2023 Volume 11, Page(s) 1132323

Abstract: ... indicators of nosocomial infections and their changing trends in the hospital before and during the COVID-19 ... maternity hospital during the COVID-19 pandemic.: Methods: This retrospective study compared the observation ... of nosocomial infections was lower than that before the COVID-19 pandemic. The prevention and control measures ...

Abstract	Objective: The constant changes in the control strategies of the Corona Virus Disease 2019 (COVID-19) pandemic have greatly affected the prevention and control of nosocomial infections (NIs). This study assessed the impact of these control strategies on the surveillance of NIs in a regional maternity hospital during the COVID-19 pandemic. Methods: This retrospective study compared the observation indicators of nosocomial infections and their changing trends in the hospital before and during the COVID-19 pandemic. Results: In total, 2,56,092 patients were admitted to the hospital during the study. During the COVID-19 pandemic, the main drug-resistant bacteria in hospitals were Conclusion: The incidence of nosocomial infections was lower than that before the COVID-19 pandemic. The prevention and control measures for the COVID-19 pandemic have reduced the number of nosocomial infections, especially respiratory, gastrointestinal, and catheter-related infections.
MeSH term(s)	Pregnancy ; Humans ; Child ; Female ; Cross Infection/epidemiology ; Cross Infection/microbiology ; Retrospective Studies ; Pandemics ; COVID-19/epidemiology ; Hospitals ; Delivery of Health Care
Language	English
Publishing date	2023-04-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1132323
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Article ; Online: Perceptions of health care workers on maternal and child health services in Pakistan during COVID-19: A cross-sectional study.

Ahmed, Jamil / Kumar, Ramesh / Mehraj, Vikram / Almarabheh, Amer / Khowaja, Sadiq Ali / Khan, Shahzad Ali / Naeem, Nawal / Pongpanich, Sathirakorn

Dialogues in health

2023 Volume 3, Page(s) 100145

Abstract: ... COVID-19 in their health facilities, the maternal and child health service delivery-related indicators ... We aimed to evaluate the impact of the COVID-19 pandemic on maternal and child healthcare services ... Background: Maternal and child healthcare service delivery in vulnerable and fragile health ...

Abstract	Background: Maternal and child healthcare service delivery in vulnerable and fragile health systems has suffered a tremendous impact owing to the shift in focus to curtail the COVID-19 pandemic. We aimed to evaluate the impact of the COVID-19 pandemic on maternal and child healthcare services to inform policy advice for a more resilient maternal and child healthcare service delivery in Pakistan. Methods: A descriptive cross-sectional study was conducted. A structured and validated questionnaire was transformed into an online version and a link was first sent to about 300 healthcare professionals to achieve a sample size of 203, including medical doctors, nurses, and other paramedical staff working in public sector health facilities of the four provinces of Pakistan. The questionnaire was responded to by 195 participants. The Chi-Square test was used to determine the statistical differences between the categorical variables. Results: Although about two-thirds of the participants reported a moderate adherence to protocols and procedures to prevent COVID-19 in their health facilities, the maternal and child health service delivery-related indicators declined during the pandemic. For instance, 66.8% and 62.4% of the participants, respectively, did not agree that a Neonatal Intensive Care Unit and an Intensive Care Unit to admit sick newborns and women with obstetric complications during the COVID-19 pandemic were available during the COVID-19 pandemic. In addition, 23% and 20% of the participants, respectively, reported that staff availability and the provision of cesarean section were moderate to extremely affected. The association between job designation and the impact of COVID-19 was statistically significant (χ2 Conclusions: The study suggests that maternal and child healthcare services including C-Section, perinatal care, and inpatient care of newborns in Pakistan may have been moderately affected by the COVID-19 pandemic.
Language	English
Publishing date	2023-06-26
Publishing country	United States
Document type	Journal Article
ISSN	2772-6533
ISSN (online)	2772-6533
DOI	10.1016/j.dialog.2023.100145
Database	MEDical Literature Analysis and Retrieval System OnLINE

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