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Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021

Introduction: The COVID-19 pandemic overwhelmed health systems globally and affected the delivery of health services. We conducted a study in Uganda to describe the interventions adopted to maintain the delivery of other health services. Methods: We reviewed documents and interviewed 21 key informan...

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Autores principales: Kabwama, Steven Ndugwa, Wanyenze, Rhoda K., Kiwanuka, Suzanne N., Namale, Alice, Ndejjo, Rawlance, Monje, Fred, Wang, William, Lazenby, Siobhan, Kizito, Susan, Troeger, Christopher, Liu, Anne, Lindgren, Helena, Razaz, Neda, Ssenkusu, John, Sambisa, William, Bartlein, Rebecca, Alfvén, Tobias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566395/
https://www.ncbi.nlm.nih.gov/pubmed/36231823
http://dx.doi.org/10.3390/ijerph191912522
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author Kabwama, Steven Ndugwa
Wanyenze, Rhoda K.
Kiwanuka, Suzanne N.
Namale, Alice
Ndejjo, Rawlance
Monje, Fred
Wang, William
Lazenby, Siobhan
Kizito, Susan
Troeger, Christopher
Liu, Anne
Lindgren, Helena
Razaz, Neda
Ssenkusu, John
Sambisa, William
Bartlein, Rebecca
Alfvén, Tobias
author_facet Kabwama, Steven Ndugwa
Wanyenze, Rhoda K.
Kiwanuka, Suzanne N.
Namale, Alice
Ndejjo, Rawlance
Monje, Fred
Wang, William
Lazenby, Siobhan
Kizito, Susan
Troeger, Christopher
Liu, Anne
Lindgren, Helena
Razaz, Neda
Ssenkusu, John
Sambisa, William
Bartlein, Rebecca
Alfvén, Tobias
author_sort Kabwama, Steven Ndugwa
collection PubMed
description Introduction: The COVID-19 pandemic overwhelmed health systems globally and affected the delivery of health services. We conducted a study in Uganda to describe the interventions adopted to maintain the delivery of other health services. Methods: We reviewed documents and interviewed 21 key informants. Thematic analysis was conducted to identify themes using the World Health Organization health system building blocks as a guiding framework. Results: Governance strategies included the establishment of coordination committees and the development and dissemination of guidelines. Infrastructure and commodity strategies included the review of drug supply plans and allowing emergency orders. Workforce strategies included the provision of infection prevention and control equipment, recruitment and provision of incentives. Service delivery modifications included the designation of facilities for COVID-19 management, patient self-management, dispensing drugs for longer periods and the leveraging community patient networks to distribute medicines. However, multi-month drug dispensing led to drug stock-outs while community drug distribution was associated with stigma. Conclusions: Health service maintenance during emergencies requires coordination to harness existing health system investments. The essential services continuity committee coordinated efforts to maintain services and should remain a critical element of emergency response. Self-management and leveraging patient networks should address stigma to support service continuity in similar settings and strengthen service delivery beyond the pandemic.
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spelling pubmed-95663952022-10-15 Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021 Kabwama, Steven Ndugwa Wanyenze, Rhoda K. Kiwanuka, Suzanne N. Namale, Alice Ndejjo, Rawlance Monje, Fred Wang, William Lazenby, Siobhan Kizito, Susan Troeger, Christopher Liu, Anne Lindgren, Helena Razaz, Neda Ssenkusu, John Sambisa, William Bartlein, Rebecca Alfvén, Tobias Int J Environ Res Public Health Article Introduction: The COVID-19 pandemic overwhelmed health systems globally and affected the delivery of health services. We conducted a study in Uganda to describe the interventions adopted to maintain the delivery of other health services. Methods: We reviewed documents and interviewed 21 key informants. Thematic analysis was conducted to identify themes using the World Health Organization health system building blocks as a guiding framework. Results: Governance strategies included the establishment of coordination committees and the development and dissemination of guidelines. Infrastructure and commodity strategies included the review of drug supply plans and allowing emergency orders. Workforce strategies included the provision of infection prevention and control equipment, recruitment and provision of incentives. Service delivery modifications included the designation of facilities for COVID-19 management, patient self-management, dispensing drugs for longer periods and the leveraging community patient networks to distribute medicines. However, multi-month drug dispensing led to drug stock-outs while community drug distribution was associated with stigma. Conclusions: Health service maintenance during emergencies requires coordination to harness existing health system investments. The essential services continuity committee coordinated efforts to maintain services and should remain a critical element of emergency response. Self-management and leveraging patient networks should address stigma to support service continuity in similar settings and strengthen service delivery beyond the pandemic. MDPI 2022-09-30 /pmc/articles/PMC9566395/ /pubmed/36231823 http://dx.doi.org/10.3390/ijerph191912522 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kabwama, Steven Ndugwa
Wanyenze, Rhoda K.
Kiwanuka, Suzanne N.
Namale, Alice
Ndejjo, Rawlance
Monje, Fred
Wang, William
Lazenby, Siobhan
Kizito, Susan
Troeger, Christopher
Liu, Anne
Lindgren, Helena
Razaz, Neda
Ssenkusu, John
Sambisa, William
Bartlein, Rebecca
Alfvén, Tobias
Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title_full Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title_fullStr Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title_full_unstemmed Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title_short Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021
title_sort interventions for maintenance of essential health service delivery during the covid-19 response in uganda, between march 2020 and april 2021
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566395/
https://www.ncbi.nlm.nih.gov/pubmed/36231823
http://dx.doi.org/10.3390/ijerph191912522
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