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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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