Ali Inayat, Sadique Salma, Ali Shahbaz
Department of Social and Cultural Anthropology, University of Vienna, Vienna, Austria.
Department of Community Health Sciences, Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan.
Front Glob Womens Health. 2020 Oct 23;1:591809. doi: 10.3389/fgwh.2020.591809. eCollection 2020.
The coronavirus disease 2019 (COVID-19) is still unfolding. Its several implications are visible, yet more of them we have to observe and witness in future. Dealing with these impacts, this rapid-response article aims to situate the COVID-19 pandemic within Pakistan's overall sociocultural and politico-economic context; next to investigate the impacts of COVID-19 particularly the psychological ones on pregnant women in Pakistan via five case. One case history of Haleema (pseudonym) revealed how the pandemic exerted a substantial amount of mental pressure due to "arranging someone to accompany her to the hospital, finding a blood donor for her, and insecurity of convenience to hospital." In this article, we show that Pakistan's geographical division into urban with an appropriate healthcare system, infrastructure and economic status, and more impoverished rural areas may show different impacts on people in general and the pregnant women in particular. This difference of facilities may contribute to disease transmission in the more deprived areas, that also due to cultural norms and mores such as shaking hands, cheek-kissing, and hugging that spread the virus are being overturned and that pregnant women are particularly vulnerable to psychological effects of the pandemic.
2019年冠状病毒病（COVID-19）仍在发展之中。其多方面的影响已显现出来，但更多影响还有待我们在未来观察和见证。为应对这些影响，这篇快速反应文章旨在将COVID-19大流行置于巴基斯坦整体社会文化和政治经济背景之中；接下来通过五个案例研究COVID-19对巴基斯坦孕妇的影响，尤其是心理影响。哈勒玛（化名）的一个病例史揭示了大流行如何因“安排人陪她去医院、为她找献血者以及就医便利性的不确定性”而施加了大量精神压力。在本文中，我们表明，巴基斯坦在地理上分为拥有适当医疗体系、基础设施和经济状况的城市地区，以及更为贫困的农村地区，这可能对一般人群尤其是孕妇产生不同影响。设施上的这种差异可能导致病毒在更贫困地区传播，这也是因为诸如握手、亲吻脸颊和拥抱等传播病毒的文化规范和习俗正在被摒弃，而且孕妇尤其容易受到大流行心理影响。
