Singh Anil K, Jain Pankaj K, Singh Naresh P, Kumar Sandip, Bajpai Prashant K, Singh Soni, Jha Mohan
Department of Community Medicine, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.
Department of Medical and Health, Government of Uttar Pradesh, India.
J Family Med Prim Care. 2021 Jan;10(1):509-513. doi: 10.4103/jfmpc.jfmpc_1550_20. Epub 2021 Oct 30.
In the wake of the Covid-19 Pandemic, parts of the public health system at increased risk of reduced efficiency include healthcare services for women and children. This in turn could reverse all the progress achieved over the years in reducing maternal and child mortality. In this study, an attempt has been made to assess the indirect effect of the pandemic on maternal and child health services in public health facilities.
Data pertaining to maternal and child health services being provided under specific Government programmes, were collected from public health facilities of District Sant Kabir Nagar in Uttar Pradesh, India. Comparative analysis of the data from the pandemic phase with data from the year 2019 was done to determine the impact on services.
Reduced coverage across all maternal and child health interventions was observed in the study. There was an overall decrease of 2.26 % in number of institutional deliveries. Antenatal care services were the worst affected with 22.91% decline. Immunization services were also dramatically decreased by more than 20%.
The response of the public healthcare delivery system to the Covid-19 Pandemic is negatively affecting both the provision and utilization of maternal and child healthcare services. It is deterrent to the progress achieved in maternal and child health parameters over the years. Better response strategies should be put in place to minimize lag in service deliwvery.
在新冠疫情之后，公共卫生系统中效率降低风险增加的部分包括妇女和儿童的医疗服务。这反过来可能会扭转多年来在降低孕产妇和儿童死亡率方面取得的所有进展。在本研究中，试图评估疫情对公共卫生设施中孕产妇和儿童健康服务的间接影响。
从印度北方邦桑特卡比尔纳加尔区的公共卫生设施收集与特定政府项目下提供的孕产妇和儿童健康服务相关的数据。将疫情阶段的数据与2019年的数据进行比较分析，以确定对服务的影响。
研究中观察到所有孕产妇和儿童健康干预措施的覆盖范围均有所减少。机构分娩数量总体下降了2.26%。产前护理服务受影响最严重，下降了22.91%。免疫服务也大幅下降了20%以上。
公共医疗服务系统对新冠疫情的应对正在对孕产妇和儿童医疗服务的提供和利用产生负面影响。这阻碍了多年来在孕产妇和儿童健康参数方面取得的进展。应制定更好的应对策略，以尽量减少服务提供方面的滞后。
