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The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs

Global response to COVID-19 pandemic has inadvertently undermined the achievement of existing public health priorities and laregely overlooked local context. Recent evidence suggests that this will cause additional maternal and childhood mortality and morbidity especially in low- and middle-income c...

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Autores principales: Ahmed, Tanvir, Rahman, Ahmed Ehsanur, Amole, Taiwo Gboluwaga, Galadanci, Hadiza, Matjila, Mushi, Soma-Pillay, Priya, Gillespie, Bronwen M., El Arifeen, Shams, Anumba, Dilly O. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957460/
https://www.ncbi.nlm.nih.gov/pubmed/33722225
http://dx.doi.org/10.1186/s12939-021-01414-5
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author Ahmed, Tanvir
Rahman, Ahmed Ehsanur
Amole, Taiwo Gboluwaga
Galadanci, Hadiza
Matjila, Mushi
Soma-Pillay, Priya
Gillespie, Bronwen M.
El Arifeen, Shams
Anumba, Dilly O. C.
author_facet Ahmed, Tanvir
Rahman, Ahmed Ehsanur
Amole, Taiwo Gboluwaga
Galadanci, Hadiza
Matjila, Mushi
Soma-Pillay, Priya
Gillespie, Bronwen M.
El Arifeen, Shams
Anumba, Dilly O. C.
author_sort Ahmed, Tanvir
collection PubMed
description Global response to COVID-19 pandemic has inadvertently undermined the achievement of existing public health priorities and laregely overlooked local context. Recent evidence suggests that this will cause additional maternal and childhood mortality and morbidity especially in low- and middle-income countries (LMICs). Here we have explored the contextual factors influencing maternal, neonatal and children health (MNCH) care in Bangladesh, Nigeria and South Africa amidst the pandemic. Our findings suggest that between March and May 2020, there was a reduction in utilisation of basic essential MNCH services such as antenatal care, family planning and immunization due to: a) the implementation of lockdown which triggered fear of contracting the COVID-19 and deterred people from accessing basic MNCH care, and b) a shift of focus towards pandemic, causing the detriment to other health services, and c) resource constraints. Taken together these issues have resulted in compromised provision of basic general healthcare. Given the likelihood of recurrent waves of the pandemic globally, COVID-19 mitigation plans therefore should be integrated with standard care provision to enhance system resilience to cope with all health needs. This commentary suggests a four-point contextualised mitigation plan to safeguard MNCH care during the pandemic using the observed countries as exemplars for LMIC health system adaptations to maintain the trajectory of progress regarding sustainable development goals (SDGs).
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spelling pubmed-79574602021-03-15 The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs Ahmed, Tanvir Rahman, Ahmed Ehsanur Amole, Taiwo Gboluwaga Galadanci, Hadiza Matjila, Mushi Soma-Pillay, Priya Gillespie, Bronwen M. El Arifeen, Shams Anumba, Dilly O. C. Int J Equity Health Commentary Global response to COVID-19 pandemic has inadvertently undermined the achievement of existing public health priorities and laregely overlooked local context. Recent evidence suggests that this will cause additional maternal and childhood mortality and morbidity especially in low- and middle-income countries (LMICs). Here we have explored the contextual factors influencing maternal, neonatal and children health (MNCH) care in Bangladesh, Nigeria and South Africa amidst the pandemic. Our findings suggest that between March and May 2020, there was a reduction in utilisation of basic essential MNCH services such as antenatal care, family planning and immunization due to: a) the implementation of lockdown which triggered fear of contracting the COVID-19 and deterred people from accessing basic MNCH care, and b) a shift of focus towards pandemic, causing the detriment to other health services, and c) resource constraints. Taken together these issues have resulted in compromised provision of basic general healthcare. Given the likelihood of recurrent waves of the pandemic globally, COVID-19 mitigation plans therefore should be integrated with standard care provision to enhance system resilience to cope with all health needs. This commentary suggests a four-point contextualised mitigation plan to safeguard MNCH care during the pandemic using the observed countries as exemplars for LMIC health system adaptations to maintain the trajectory of progress regarding sustainable development goals (SDGs). BioMed Central 2021-03-15 /pmc/articles/PMC7957460/ /pubmed/33722225 http://dx.doi.org/10.1186/s12939-021-01414-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Commentary
Ahmed, Tanvir
Rahman, Ahmed Ehsanur
Amole, Taiwo Gboluwaga
Galadanci, Hadiza
Matjila, Mushi
Soma-Pillay, Priya
Gillespie, Bronwen M.
El Arifeen, Shams
Anumba, Dilly O. C.
The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title_full The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title_fullStr The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title_full_unstemmed The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title_short The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs
title_sort effect of covid-19 on maternal newborn and child health (mnch) services in bangladesh, nigeria and south africa: call for a contextualised pandemic response in lmics
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957460/
https://www.ncbi.nlm.nih.gov/pubmed/33722225
http://dx.doi.org/10.1186/s12939-021-01414-5
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