COVID-19 and resilience of healthcare systems in ten countries
Catherine Arsenault,Anna D. Gage,Min Kyung Kim,Neena R Kapoor,Patricia Akweongo,Fred Amponsah,Amit Aryal,Daisuke Asai,John Koku Awoonor-Williams,Wondimu Ayele,Paula Bedregal,Svetlana V. Doubova,Mahesh Dulal,Dominic Dormenyo Gadeka,Georgiana Gordon-Strachan,Damen Haile Mariam,Dilipkumar Hensman,Jean Paul Joseph,Phanuwich Kaewkamjornchai,Munir K. Eshetu,Solomon Gelaw,Shogo Kubota,Borwornsom Leerapan,Paula Margozzini,Anagaw Mebratie,Suresh Mehata,Mosa Moshabela,Londiwe Yvonne Mthethwa,Adiam Nega,Juhwan Oh,S. Park,A. Passi-Solar,Ricardo Pérez-Cuevas,Alongkhone Phengsavanh,Tarylee Reddy,Thanitsara Rittiphairoj,Jaime Sapag,Roody Thermidor,Boikhutso Tlou,Francisco Valenzuela Guiñez,Sebastian Bauhoff,Margaret E Kruk +41 more
TLDR
In this paper , the authors used an interrupted time series design to assess the immediate effect of the Coronavirus Disease 2019 (COVID-19) pandemic on 31 health services in two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People's Democratic Republic, Mexico, Nepal, South Africa and Thailand) and high-income countries.Abstract:
Abstract Declines in health service use during the Coronavirus Disease 2019 (COVID-19) pandemic could have important effects on population health. In this study, we used an interrupted time series design to assess the immediate effect of the pandemic on 31 health services in two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People’s Democratic Republic, Mexico, Nepal, South Africa and Thailand) and high-income (Chile and South Korea) countries. Despite efforts to maintain health services, disruptions of varying magnitude and duration were found in every country, with no clear patterns by country income group or pandemic intensity. Disruptions in health services often preceded COVID-19 waves. Cancer screenings, TB screening and detection and HIV testing were most affected (26–96% declines). Total outpatient visits declined by 9–40% at national levels and remained lower than predicted by the end of 2020. Maternal health services were disrupted in approximately half of the countries, with declines ranging from 5% to 33%. Child vaccinations were disrupted for shorter periods, but we estimate that catch-up campaigns might not have reached all children missed. By contrast, provision of antiretrovirals for HIV was not affected. By the end of 2020, substantial disruptions remained in half of the countries. Preliminary data for 2021 indicate that disruptions likely persisted. Although a portion of the declines observed might result from decreased needs during lockdowns (from fewer infectious illnesses or injuries), a larger share likely reflects a shortfall of health system resilience. Countries must plan to compensate for missed healthcare during the current pandemic and invest in strategies for better health system resilience for future emergencies. read more
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Healthcare utilization and maternal and child mortality during the COVID-19 pandemic in 18 low- and middle-income countries: An interrupted time-series analysis with mathematical modeling of administrative data
Tashrik Ahmed,Timothy Roberton,P. Vergeer,Peter Mikael Hansen,Michael A. Peters,Anthony Ofosu,Charles Mwansambo,Charles Nzelu,Chea Sanford Wesseh,Francis Smart,Jean Patrick Alfred,Mamoutou Diabate,Martina Lukong Baye,M. L. Yansane,Naod Wendrad,Nurfaiza Mohamud,Paul Mbaka,Sylvain Yuma,Youssoupha Ndiaye,Husnia Sadat,Helal Uddin,Helen W. Kiarie,Raharison Tsihory,George Mwinnyaa,Jean de Dieu Rusatira,Pablo Amor Fernandez,Pierre Muhoza,Prativa Baral,S. Drouard,Tawab Hashemi,Jed Friedman,Gil Shapira +31 more
TL;DR: Declines in healthcare utilization during the COVID-19 pandemic amplified the pandemic’s harmful impacts on health outcomes and threaten to reverse gains in reducing maternal and child mortality.
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The COVID-19 pandemic and disruptions to essential health services in Kenya: a retrospective time-series analysis
TL;DR: In this paper , the effect of the COVID-19 pandemic on essential health-care services in Kenya was assessed using county-level data routinely collected from the health information system from health facilities across the country.
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Comorbidities and complications of COVID-19 associated with disease severity, progression, and mortality in China with centralized isolation and hospitalization: A systematic review and meta-analysis
Zhe Chen,Yingying Peng,Xiaolei Wu,Bo Pang,Fengwen Yang,Wenke Zheng,Chunxiang Liu,Junhua Zhang +7 more
TL;DR: Comorbidities and complications in inpatients with COVID-19 were negatively associated with increased risk in severe and critical cases, ICU admission, exacerbation, and death during centralized isolation and hospitalization, and strongly associated in severe/critical than in mild/moderate cases.
Journal ArticleDOI
Impact of the COVID-19 Pandemic on Inpatient Antibiotic Consumption in Switzerland
Olivier Friedli,Michael Gasser,Alexia Cusini,Rosamaria Fulchini,Danielle Vuichard-Gysin,Roswitha Halder Tobler,Nasstasja Wassilew,Catherine Plüss-Suard,Andreas Kronenberg +8 more
TL;DR: In conclusion, inpatient antibiotic use during the different periods of the COVID-19 pandemic varied greatly and was predominantly notable for broad-spectrum antibiotics.
Journal ArticleDOI
Indirect effects of COVID-19 on child and adolescent mental health: an overview of systematic reviews
TL;DR: In this paper , the authors synthesize the indirect mental health impacts on children and adolescents globally due to COVID-19 mitigation strategies, which may have unintended harmful effects on child and adolescent mental health.
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TL;DR: In this paper, the authors conducted a systematic review of data reporting the prevalence of major depressive disorder and anxiety disorders during the COVID-19 pandemic and published between Jan 1, 2020, and Jan 29, 2021.