Accès ouvert déclaré 2022 article

Disruptions, restorations and adaptations to health and nutrition service delivery in multiple states across India over the course of the COVID-19 pandemic in 2020: An observational study

Rasmi Avula, Phuong Hong Nguyen, Sattvika Ashok, Sumati Bajaj, Shivani Kachwaha, Anjali Pant, Monika Walia, Anshu Pratap Singh, Anshuman Paul, Ayushi Singh, Bharati K. Kulkarni, Deepak Singhania, Jessica Escobar‐Alegria, Little Flower Augustine, Madhulika Khanna, Maitreiyee Krishna, Nandhini Sundaravathanam, Prakash Kumar Nayak, Praveen Kumar Sharma, Prerna Makkar, Puspen Ghosh, Sadhana Subramaniam, Sai Mala, Rakesh Giri, Sameeksha Jain, Santosh Kumar Banjara, Sapna G. Nair, Sebanti Ghosh, Suman R. Das, Sumeet R. Patil, Tanmay Mahapatra, Thomas Forissier, Priya Nanda, Suneeta Krishnan, Purnima Menon

26Citations signalées, ce qui n’est pas une note de qualité

13Institutions déclarées

4Pays d’affiliation déclarés

Rattachement africain : us, gb, in, ph. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

BACKGROUND: Modeling studies estimated severe impacts of potential service delivery disruptions due to COVID-19 pandemic on maternal and child nutrition outcomes. Although anecdotal evidence exists on disruptions, little is known about the actual state of service delivery at scale. We studied disruptions and restorations, challenges and adaptations in health and nutrition service delivery by frontline workers (FLWs) in India during COVID-19 in 2020. METHODS: We conducted phone surveys with 5500 FLWs (among them 3118 Anganwadi Workers) in seven states between August-October 2020, asking about service delivery during April 2020 (T1) and in August-October (T2), and analyzed changes between T1 and T2. We also analyzed health systems administrative data from 704 districts on disruptions and restoration of services between pre-pandemic (December 2019, T0), T1 and T2. RESULTS: In April 2020 (T1), village centers, fixed day events, child growth monitoring, and immunization were provided by <50% of FLWs in several states. Food supplementation was least disrupted. In T2, center-based services were restored by over a third in most states. Administrative data highlights geographic variability in both disruptions and restorations. Most districts had restored service delivery for pregnant women and children by T2 but had not yet reached T0 levels. Adaptations included home delivery (60 to 96%), coordinating with other FLWs (7 to 49%), and use of phones for counseling (~2 to 65%). Personal fears, long distances, limited personal protective equipment, and antagonistic behavior of beneficiaries were reported challenges. CONCLUSIONS: Services to mothers and children were disrupted during stringent lockdown but restored thereafter, albeit not to pre-pandemic levels. Rapid policy guidance and adaptations by FLWs enabled restoration but little remains known about uptake by client populations. As COVID-19 continues to surge in India, focused attention to ensuring essential services is critical to mitigate these major indirect impacts of the pandemic.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Disruptions, restorations and adaptations to health and nutrition service delivery in multiple states across India over the course of the COVID-19 pandemic in 2020: An observational study
Date Crossref: 27/07/2022
Éditeur: Public Library of Science (PLoS)
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

International Food Policy Research Institute pays non établi dans la notice
Organisation à but non lucratif
Johns Hopkins University pays non établi dans la notice
Université ou école supérieure
University of Exeter pays non établi dans la notice
Université ou école supérieure
Pratham pays non établi dans la notice
Organisation à but non lucratif
Indian Council of Medical Research pays non établi dans la notice
Organisme public
Indian Institute of Technology Gandhinagar pays non établi dans la notice
Université ou école supérieure
National Institute of Nutrition pays non établi dans la notice
Structure de recherche
Amazon (United States) pays non établi dans la notice
Entreprise
Ashoka University pays non établi dans la notice
Université ou école supérieure
Care India pays non établi dans la notice
Organisation à but non lucratif
Asian Development Bank pays non établi dans la notice
Institution
Krea University pays non établi dans la notice
Université ou école supérieure

International Food Policy Research Institute, Johns Hopkins University et University of Exeter, avec 9 autres affiliations.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

COVID-19 Impact on ReproductionFood Security and Health in Diverse PopulationsGlobal Maternal and Child Health

Lire en accès ouvert Consulter la publication primaire Ouvrir le DOI