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Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia

Countries like Ethiopia have had to make difficult decisions to balance between the demands of the COVID-19 pandemic and maintaining the essential health service delivery. We assessed the effect of preventive COVID-19 measures on essential healthcare services in selected health facilities of Ethiopi...

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Autores principales: Enbiale, Wendemagegn, Abdela, Seid Getahun, Seyum, Meaza, Bedanie Hundie, Dereje, Bogale, Kassawmar Angaw, Tamirat, Koku Sisay, Feleke, Mulat Birhanu, Azage, Muluken, Nigatu, Dabere, de Vries, Henry J. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592201/
https://www.ncbi.nlm.nih.gov/pubmed/34544048
http://dx.doi.org/10.4269/ajtmh.21-0354
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author Enbiale, Wendemagegn
Abdela, Seid Getahun
Seyum, Meaza
Bedanie Hundie, Dereje
Bogale, Kassawmar Angaw
Tamirat, Koku Sisay
Feleke, Mulat Birhanu
Azage, Muluken
Nigatu, Dabere
de Vries, Henry J. C.
author_facet Enbiale, Wendemagegn
Abdela, Seid Getahun
Seyum, Meaza
Bedanie Hundie, Dereje
Bogale, Kassawmar Angaw
Tamirat, Koku Sisay
Feleke, Mulat Birhanu
Azage, Muluken
Nigatu, Dabere
de Vries, Henry J. C.
author_sort Enbiale, Wendemagegn
collection PubMed
description Countries like Ethiopia have had to make difficult decisions to balance between the demands of the COVID-19 pandemic and maintaining the essential health service delivery. We assessed the effect of preventive COVID-19 measures on essential healthcare services in selected health facilities of Ethiopia. In a comparative cross-sectional study, we analyzed and compared data from seven health facilities over two periods: the pre-COVID-19 period before the first reported COVID-19 case in the country and during the COVID-19 period. Data were summarized using descriptive statistics and the independent t test. During the COVID-19 period the average number of monthly patient visits in the emergency department, pediatrics outpatient, and adult outpatient dropped by 27%, 30%, and 27%, respectively compared with the pre-COVID-19 period. Family planning; institutional delivery; childhood immunization; antenatal care-, hypertension- and diabetic patient follow-up, did not vary significantly between pre-COVID-19 and during COVID-19. Moreover, the monthly average number of tuberculosis (TB) and HIV patients who visited health facilities for drug refill and clinical evaluation did not vary significantly during the two periods. In conclusion, the study highlights that the effect of public restrictions to mitigate the COVID-19 pandemic on essential care systems should be considered.
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spelling pubmed-85922012021-11-24 Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia Enbiale, Wendemagegn Abdela, Seid Getahun Seyum, Meaza Bedanie Hundie, Dereje Bogale, Kassawmar Angaw Tamirat, Koku Sisay Feleke, Mulat Birhanu Azage, Muluken Nigatu, Dabere de Vries, Henry J. C. Am J Trop Med Hyg Article Countries like Ethiopia have had to make difficult decisions to balance between the demands of the COVID-19 pandemic and maintaining the essential health service delivery. We assessed the effect of preventive COVID-19 measures on essential healthcare services in selected health facilities of Ethiopia. In a comparative cross-sectional study, we analyzed and compared data from seven health facilities over two periods: the pre-COVID-19 period before the first reported COVID-19 case in the country and during the COVID-19 period. Data were summarized using descriptive statistics and the independent t test. During the COVID-19 period the average number of monthly patient visits in the emergency department, pediatrics outpatient, and adult outpatient dropped by 27%, 30%, and 27%, respectively compared with the pre-COVID-19 period. Family planning; institutional delivery; childhood immunization; antenatal care-, hypertension- and diabetic patient follow-up, did not vary significantly between pre-COVID-19 and during COVID-19. Moreover, the monthly average number of tuberculosis (TB) and HIV patients who visited health facilities for drug refill and clinical evaluation did not vary significantly during the two periods. In conclusion, the study highlights that the effect of public restrictions to mitigate the COVID-19 pandemic on essential care systems should be considered. The American Society of Tropical Medicine and Hygiene 2021-11 2021-09-20 /pmc/articles/PMC8592201/ /pubmed/34544048 http://dx.doi.org/10.4269/ajtmh.21-0354 Text en © The American Society of Tropical Medicine and Hygiene https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Enbiale, Wendemagegn
Abdela, Seid Getahun
Seyum, Meaza
Bedanie Hundie, Dereje
Bogale, Kassawmar Angaw
Tamirat, Koku Sisay
Feleke, Mulat Birhanu
Azage, Muluken
Nigatu, Dabere
de Vries, Henry J. C.
Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title_full Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title_fullStr Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title_full_unstemmed Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title_short Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia
title_sort effect of the covid-19 pandemic preparation and response on essential health services in primary and tertiary healthcare settings of amhara region, ethiopia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592201/
https://www.ncbi.nlm.nih.gov/pubmed/34544048
http://dx.doi.org/10.4269/ajtmh.21-0354
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