India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns
Objectives: Modeling studies have estimated impacts of potential service delivery disruptions due to COVID-19 pandemic on maternal and child nutrition outcomes, but little is known about actual delivery status. We studied disruptions and restorations of health and nutrition services by frontline wor...
| Autores principales: | , , , , , , , , , |
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| Formato: | Resumen |
| Lenguaje: | Inglés |
| Publicado: |
American Society for Nutrition
2021
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| Acceso en línea: | https://hdl.handle.net/10568/142428 |
| _version_ | 1855535745628897280 |
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| author | Avula, Rasmi Nguyen, Phuong Hong Ashok, Sattvika Bajaj, Sumati Kachwaha, Shivani Pant, Anjali Walia, Monika Kulkarni, Bharati Augustine, Little Flower Menon, Purnima |
| author_browse | Ashok, Sattvika Augustine, Little Flower Avula, Rasmi Bajaj, Sumati Kachwaha, Shivani Kulkarni, Bharati Menon, Purnima Nguyen, Phuong Hong Pant, Anjali Walia, Monika |
| author_facet | Avula, Rasmi Nguyen, Phuong Hong Ashok, Sattvika Bajaj, Sumati Kachwaha, Shivani Pant, Anjali Walia, Monika Kulkarni, Bharati Augustine, Little Flower Menon, Purnima |
| author_sort | Avula, Rasmi |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Objectives: Modeling studies have estimated impacts of potential service delivery disruptions due to COVID-19 pandemic on maternal and child nutrition outcomes, but little is known about actual delivery status. We studied disruptions and restorations of health and nutrition services by frontline workers (FLWs) in India during COVID-19. Methods: We conducted phone surveys with 5500 FLWs in seven states between August–October 2020, asking about service delivery during April 2020 (T1) and in the August-October period (T2) and analyzed changes between T1 and T2. We also analyzed publicly available administrative data (AD) from 704 districts including the pre-pandemic period (T0) to examine disruptions and restoration of services. Results: Phone surveys suggest, in T1, opening of village centers, fixed day events, growth monitoring, and immunization services was <50% in several states. In T2, restorations of center-based services were seen, with increases of >33% in >= 3 states. Food supplementation was least disrupted both in T1 and T2. AD highlights geographic variability both in disruptions in T1 compared to T0 and restorations in T2. FLWs’ adaptations to ensure service provision included home delivery (60 to 96%), ensuring physical distancing (33 to 86%), coordinating with other FLWs (7 to 49%), and using phone (∼2 to 65%). Challenges included personal fears, walking long distances, and beneficiaries’ non-cooperation. Conclusions: Services to mothers and children were disrupted during lockdown and restored thereafter. Rapid guidance and local adaptations by a strong cadre of FLWs likely enabled service resumption. However, gaps remain, and more research is needed on use of services by clients. |
| format | Abstract |
| id | CGSpace142428 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | American Society for Nutrition |
| publisherStr | American Society for Nutrition |
| record_format | dspace |
| spelling | CGSpace1424282025-10-28T10:12:08Z India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns Avula, Rasmi Nguyen, Phuong Hong Ashok, Sattvika Bajaj, Sumati Kachwaha, Shivani Pant, Anjali Walia, Monika Kulkarni, Bharati Augustine, Little Flower Menon, Purnima surveys covid-19 health nutrition quarantine workers Objectives: Modeling studies have estimated impacts of potential service delivery disruptions due to COVID-19 pandemic on maternal and child nutrition outcomes, but little is known about actual delivery status. We studied disruptions and restorations of health and nutrition services by frontline workers (FLWs) in India during COVID-19. Methods: We conducted phone surveys with 5500 FLWs in seven states between August–October 2020, asking about service delivery during April 2020 (T1) and in the August-October period (T2) and analyzed changes between T1 and T2. We also analyzed publicly available administrative data (AD) from 704 districts including the pre-pandemic period (T0) to examine disruptions and restoration of services. Results: Phone surveys suggest, in T1, opening of village centers, fixed day events, growth monitoring, and immunization services was <50% in several states. In T2, restorations of center-based services were seen, with increases of >33% in >= 3 states. Food supplementation was least disrupted both in T1 and T2. AD highlights geographic variability both in disruptions in T1 compared to T0 and restorations in T2. FLWs’ adaptations to ensure service provision included home delivery (60 to 96%), ensuring physical distancing (33 to 86%), coordinating with other FLWs (7 to 49%), and using phone (∼2 to 65%). Challenges included personal fears, walking long distances, and beneficiaries’ non-cooperation. Conclusions: Services to mothers and children were disrupted during lockdown and restored thereafter. Rapid guidance and local adaptations by a strong cadre of FLWs likely enabled service resumption. However, gaps remain, and more research is needed on use of services by clients. 2021-06-21 2024-05-22T12:10:29Z 2024-05-22T12:10:29Z Abstract https://hdl.handle.net/10568/142428 en Open Access American Society for Nutrition Avula, Rasmi; Nguyen, Phuong Hong; Ashok, Sattvika; Bajaj, Sumati; Kachwaha, Shivani; Pant, Anjali; Walia, Monika; Kulkarni, Bharati; Augustine, Little Flower; Menon, Purnima; et al. 2021. India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns. Current Developments in Nutrition 5(Supplement 2): 206. https://doi.org/10.1093/cdn/nzab029_007 |
| spellingShingle | surveys covid-19 health nutrition quarantine workers Avula, Rasmi Nguyen, Phuong Hong Ashok, Sattvika Bajaj, Sumati Kachwaha, Shivani Pant, Anjali Walia, Monika Kulkarni, Bharati Augustine, Little Flower Menon, Purnima India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title | India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title_full | India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title_fullStr | India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title_full_unstemmed | India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title_short | India's 2.42 million frontline health workers enable restoration of health and nutrition service delivery after early COVID-19 lockdowns |
| title_sort | india s 2 42 million frontline health workers enable restoration of health and nutrition service delivery after early covid 19 lockdowns |
| topic | surveys covid-19 health nutrition quarantine workers |
| url | https://hdl.handle.net/10568/142428 |
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