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Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India
Background/Objectives: Globally, the COVID-19 pandemic and its prevention and control policies have impacted maternal and child health (MCH) services. This study documents the challenges faced by patients in accessing MCH services, and the experiences of health care providers in delivering those ser...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865999/ https://www.ncbi.nlm.nih.gov/pubmed/36674296 http://dx.doi.org/10.3390/ijerph20021538 |
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author | Sharma, Saurabh Aggarwal, Sumit Kulkarni, Ragini Kumar, Dinesh Mishra, Bijaya Kumar Dwivedi, Gaurav Raj Devi, K. Rekha Mamidi, Raja Sriswan Singh, Khangembam Jitenkumar Singh, Lucky Sahu, Damodar Adhikari, Tulsi Nair, Saritha Kumar, Anil Juneja, Atul Sharma, Anshita Begum, Shahina Surve, Suchitra Prusty, Ranjan Kumar Kumar, Surendra Geddam, J. J. Babu Meur, Gargi Mummadi, Mahesh Kumar Kailash, Uma Palo, Subrata Kumar Kanungo, Srikanta Kshatri, Jaya Singh Behera, Ajit Kumar Swain, Swagatika Singh, Rajeev Zaman, Kamran Deval, Hirawati Pandey, Ashok Kumar Sarkar, Abu Kant, Rajni Narain, Kanwar D’Aquino, Luigi Gaym, Asheber Singh, Vivek Virendra Rao, M. Vishnu Vardhana |
author_facet | Sharma, Saurabh Aggarwal, Sumit Kulkarni, Ragini Kumar, Dinesh Mishra, Bijaya Kumar Dwivedi, Gaurav Raj Devi, K. Rekha Mamidi, Raja Sriswan Singh, Khangembam Jitenkumar Singh, Lucky Sahu, Damodar Adhikari, Tulsi Nair, Saritha Kumar, Anil Juneja, Atul Sharma, Anshita Begum, Shahina Surve, Suchitra Prusty, Ranjan Kumar Kumar, Surendra Geddam, J. J. Babu Meur, Gargi Mummadi, Mahesh Kumar Kailash, Uma Palo, Subrata Kumar Kanungo, Srikanta Kshatri, Jaya Singh Behera, Ajit Kumar Swain, Swagatika Singh, Rajeev Zaman, Kamran Deval, Hirawati Pandey, Ashok Kumar Sarkar, Abu Kant, Rajni Narain, Kanwar D’Aquino, Luigi Gaym, Asheber Singh, Vivek Virendra Rao, M. Vishnu Vardhana |
author_sort | Sharma, Saurabh |
collection | PubMed |
description | Background/Objectives: Globally, the COVID-19 pandemic and its prevention and control policies have impacted maternal and child health (MCH) services. This study documents the challenges faced by patients in accessing MCH services, and the experiences of health care providers in delivering those services during the COVID-19 outbreak, explicitly focusing on the lockdown period in India. Methods: A cross-sectional study (rapid survey) was conducted in 18 districts from 6 states of India during March to June, 2020. The sample size included 540 MCH patients, 18 gynaecologists, 18 paediatricians, 18 district immunisation officers and 108 frontline health workers. Bivariate analysis and multivariable analysis were used to assess the association between sociodemographic characteristics, and challenges faced by the patients. Results: More than one-third of patients (n = 212; 39%) reported that accessing MCH services was a challenge during the lockdown period, with major challenges being transportation-related difficulties (n = 99; 46%) unavailability of hospital-based services (n = 54; 23%) and interrupted outreach health services (n = 39; 18.4%). The supply-side challenges mainly included lack of infrastructural preparedness for outbreak situations, and a shortage of human resources. Conclusions/Recommendations: A holistic approach is required that focuses on both preparedness and response to the outbreak, as well reassignment and reinforcement of health care professionals to continue catering to and maintaining essential MCH services during the pandemic. |
format | Online Article Text |
id | pubmed-9865999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98659992023-01-22 Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India Sharma, Saurabh Aggarwal, Sumit Kulkarni, Ragini Kumar, Dinesh Mishra, Bijaya Kumar Dwivedi, Gaurav Raj Devi, K. Rekha Mamidi, Raja Sriswan Singh, Khangembam Jitenkumar Singh, Lucky Sahu, Damodar Adhikari, Tulsi Nair, Saritha Kumar, Anil Juneja, Atul Sharma, Anshita Begum, Shahina Surve, Suchitra Prusty, Ranjan Kumar Kumar, Surendra Geddam, J. J. Babu Meur, Gargi Mummadi, Mahesh Kumar Kailash, Uma Palo, Subrata Kumar Kanungo, Srikanta Kshatri, Jaya Singh Behera, Ajit Kumar Swain, Swagatika Singh, Rajeev Zaman, Kamran Deval, Hirawati Pandey, Ashok Kumar Sarkar, Abu Kant, Rajni Narain, Kanwar D’Aquino, Luigi Gaym, Asheber Singh, Vivek Virendra Rao, M. Vishnu Vardhana Int J Environ Res Public Health Article Background/Objectives: Globally, the COVID-19 pandemic and its prevention and control policies have impacted maternal and child health (MCH) services. This study documents the challenges faced by patients in accessing MCH services, and the experiences of health care providers in delivering those services during the COVID-19 outbreak, explicitly focusing on the lockdown period in India. Methods: A cross-sectional study (rapid survey) was conducted in 18 districts from 6 states of India during March to June, 2020. The sample size included 540 MCH patients, 18 gynaecologists, 18 paediatricians, 18 district immunisation officers and 108 frontline health workers. Bivariate analysis and multivariable analysis were used to assess the association between sociodemographic characteristics, and challenges faced by the patients. Results: More than one-third of patients (n = 212; 39%) reported that accessing MCH services was a challenge during the lockdown period, with major challenges being transportation-related difficulties (n = 99; 46%) unavailability of hospital-based services (n = 54; 23%) and interrupted outreach health services (n = 39; 18.4%). The supply-side challenges mainly included lack of infrastructural preparedness for outbreak situations, and a shortage of human resources. Conclusions/Recommendations: A holistic approach is required that focuses on both preparedness and response to the outbreak, as well reassignment and reinforcement of health care professionals to continue catering to and maintaining essential MCH services during the pandemic. MDPI 2023-01-14 /pmc/articles/PMC9865999/ /pubmed/36674296 http://dx.doi.org/10.3390/ijerph20021538 Text en © 2023 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 Sharma, Saurabh Aggarwal, Sumit Kulkarni, Ragini Kumar, Dinesh Mishra, Bijaya Kumar Dwivedi, Gaurav Raj Devi, K. Rekha Mamidi, Raja Sriswan Singh, Khangembam Jitenkumar Singh, Lucky Sahu, Damodar Adhikari, Tulsi Nair, Saritha Kumar, Anil Juneja, Atul Sharma, Anshita Begum, Shahina Surve, Suchitra Prusty, Ranjan Kumar Kumar, Surendra Geddam, J. J. Babu Meur, Gargi Mummadi, Mahesh Kumar Kailash, Uma Palo, Subrata Kumar Kanungo, Srikanta Kshatri, Jaya Singh Behera, Ajit Kumar Swain, Swagatika Singh, Rajeev Zaman, Kamran Deval, Hirawati Pandey, Ashok Kumar Sarkar, Abu Kant, Rajni Narain, Kanwar D’Aquino, Luigi Gaym, Asheber Singh, Vivek Virendra Rao, M. Vishnu Vardhana Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title | Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title_full | Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title_fullStr | Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title_full_unstemmed | Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title_short | Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India |
title_sort | challenges in accessing and delivering maternal and child health services during the covid-19 pandemic: a cross-sectional rapid survey from six states of india |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865999/ https://www.ncbi.nlm.nih.gov/pubmed/36674296 http://dx.doi.org/10.3390/ijerph20021538 |
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