Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh
The COVID-19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists on service provision, utilisation, or adaptations. This study aimed to (1) examine the changes to health and nutrition service delivery and utilisation in urban Bangladesh during and after en...
| Main Authors: | , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | Inglés |
| Published: |
John Wiley & Sons
2021
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/142801 |
| _version_ | 1855539813146427392 |
|---|---|
| author | Nguyen, Phuong Hong Sununtnasuk, Celeste Pant, Anjali Tran, Lan Mai Kachwaha, Shivani Menon, Purnima |
| author_browse | Kachwaha, Shivani Menon, Purnima Nguyen, Phuong Hong Pant, Anjali Sununtnasuk, Celeste Tran, Lan Mai |
| author_facet | Nguyen, Phuong Hong Sununtnasuk, Celeste Pant, Anjali Tran, Lan Mai Kachwaha, Shivani Menon, Purnima |
| author_sort | Nguyen, Phuong Hong |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | The COVID-19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists on service provision, utilisation, or adaptations. This study aimed to (1) examine the changes to health and nutrition service delivery and utilisation in urban Bangladesh during and after enforcement of COVID-19 restrictions and (2) identify adaptations and potential solutions to strengthen delivery and uptake. We conducted longitudinal surveys with health care providers (n = 45), pregnant women (n = 40), and mothers of children <2 years (n = 387) in February 2020 (in-person) and September 2020 (by phone). We used Wilcoxon matched-pairs signed-rank tests to compare the changes before and during the pandemic. Services delivery for women and children which require proximity were severely affected; weight and height measurements fell by 20–29 percentage points (pp) for pregnant women and 37–57 pp for children, and child immunisations fell by 38 pp. Declines in service utilisation were large, including drops in facility visitations (35 pp among pregnant women and 67 pp among mothers), health and nutrition counselling (up to 73 pp), child weight measurements (50 pp), and immunisations (61 pp). The primary method of adaptation was provision of services over phone (37% for antenatal care services, 44%–49% for counselling). Despite adaptations to service provision, continued availability of routine maternal and child health services did not translate into service utilisation. Further investments are needed to provide timely and accurate information on COVID-19 to the general public, improve COVID-19 training and provide incentives for health care providers and ensure availability of personal protective equipment for providers and beneficiaries. |
| format | Journal Article |
| id | CGSpace142801 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | John Wiley & Sons |
| publisherStr | John Wiley & Sons |
| record_format | dspace |
| spelling | CGSpace1428012025-04-03T21:29:22Z Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh Nguyen, Phuong Hong Sununtnasuk, Celeste Pant, Anjali Tran, Lan Mai Kachwaha, Shivani Menon, Purnima covid-19 health urban areas nutrition health services pandemics The COVID-19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists on service provision, utilisation, or adaptations. This study aimed to (1) examine the changes to health and nutrition service delivery and utilisation in urban Bangladesh during and after enforcement of COVID-19 restrictions and (2) identify adaptations and potential solutions to strengthen delivery and uptake. We conducted longitudinal surveys with health care providers (n = 45), pregnant women (n = 40), and mothers of children <2 years (n = 387) in February 2020 (in-person) and September 2020 (by phone). We used Wilcoxon matched-pairs signed-rank tests to compare the changes before and during the pandemic. Services delivery for women and children which require proximity were severely affected; weight and height measurements fell by 20–29 percentage points (pp) for pregnant women and 37–57 pp for children, and child immunisations fell by 38 pp. Declines in service utilisation were large, including drops in facility visitations (35 pp among pregnant women and 67 pp among mothers), health and nutrition counselling (up to 73 pp), child weight measurements (50 pp), and immunisations (61 pp). The primary method of adaptation was provision of services over phone (37% for antenatal care services, 44%–49% for counselling). Despite adaptations to service provision, continued availability of routine maternal and child health services did not translate into service utilisation. Further investments are needed to provide timely and accurate information on COVID-19 to the general public, improve COVID-19 training and provide incentives for health care providers and ensure availability of personal protective equipment for providers and beneficiaries. 2021-09-30 2024-05-22T12:11:05Z 2024-05-22T12:11:05Z Journal Article https://hdl.handle.net/10568/142801 en https://doi.org/10.1093/cdn/nzab045_072 Open Access John Wiley & Sons Nguyen, Phuong Hong; Sununtnasuk, Celeste; Pant, Anjali; Tran, Lan Mai; Kachwaha, Shivani; Menon, Purnima; et al. 2021. Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh. Maternal and Child Nutrition 17(4): e13218. https://doi.org/10.1111/mcn.13218 |
| spellingShingle | covid-19 health urban areas nutrition health services pandemics Nguyen, Phuong Hong Sununtnasuk, Celeste Pant, Anjali Tran, Lan Mai Kachwaha, Shivani Menon, Purnima Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title | Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title_full | Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title_fullStr | Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title_full_unstemmed | Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title_short | Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh |
| title_sort | provision and utilisation of health and nutrition services during covid 19 pandemic in urban bangladesh |
| topic | covid-19 health urban areas nutrition health services pandemics |
| url | https://hdl.handle.net/10568/142801 |
| work_keys_str_mv | AT nguyenphuonghong provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh AT sununtnasukceleste provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh AT pantanjali provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh AT tranlanmai provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh AT kachwahashivani provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh AT menonpurnima provisionandutilisationofhealthandnutritionservicesduringcovid19pandemicinurbanbangladesh |