Shah Neeta, Ray Tarnishtha, Shah Hetvi, Kapasi Malav, Patel Pallavi, Shah Komal
Centre for Health, Education, Training and Nutrition Awareness, Ahmedabad, Gujarat, India.
Department of Public Health, Indian Institute of Public Health, Gandhinagar, Gandhinagar, Gujarat, India.
J Family Med Prim Care. 2022 Nov;11(11):6731-6736. doi: 10.4103/jfmpc.jfmpc_1675_21. Epub 2022 Dec 16.
By this time, the world has already witnessed catastrophic effects of the pandemic on economic and healthcare services infrastructure, from India the scientific publications documenting this effect are quite sparse. The current report aims to compile the socio-economic, demographic and healthcare services transactions among the population in the non-governmental organization (NGO) supported areas of Gujarat state.
The data were collected by human research of the NGO from Sanand, Mundra and Ahmedabad sites at three different time intervals - pre-lockdown, during lockdown and post-lockdown.
The findings of the study reported a clear increase in availing of healthcare services in all three study sites covered under the programmes of the NGO. It was clearly evident that the impact of lockdown on the livelihood of the population in all three sites was devastating with a significant proportion of individuals losing their jobs. However, the majority of the people were able to rejoin the jobs (though with lower average income) in all three sites. During the lockdown, people heavily relied on stored food sources such as grains and pulses and consumption of fresh vegetables and fruits reduced significantly. Lockdown has severely hampered essential maternal and child care services which were remarkably improved in the months of post-lockdown. A considerable number of the family had to mortgage their assets during the lockdown. The mortgage proportion varied widely (3-58%) among all the study sites.
It was observed that in the unprecedented time, the national lockdown was a challenging time, where there was a drastic shift in the livelihood profile of the population due to significant loss of jobs. Lockdown has also severely affected the essential healthcare services coverage; however, with efforts from the government and the NGO, it was restored to a near pre-lockdown situation in all three sites.
此时，全世界都已目睹了这场疫情对经济和医疗服务基础设施造成的灾难性影响，而来自印度的记录这种影响的科学出版物却相当稀少。本报告旨在汇编古吉拉特邦非政府组织（NGO）支持地区人群的社会经济、人口统计和医疗服务交易情况。
数据由该NGO通过对萨南德、蒙德拉和艾哈迈达巴德三个地点在三个不同时间间隔（封锁前、封锁期间和封锁后）进行人员调研收集。
研究结果显示，在该NGO项目覆盖的所有三个研究地点，医疗服务的使用明显增加。显然，封锁对所有三个地点人群的生计产生了毁灭性影响，相当一部分人失去了工作。然而，在所有三个地点，大多数人能够重新就业（尽管平均收入较低）。在封锁期间，人们严重依赖谷物和豆类等储存食物来源，新鲜蔬菜和水果的消费量大幅减少。封锁严重阻碍了基本的母婴护理服务，这些服务在封锁后的几个月里有了显著改善。相当数量的家庭在封锁期间不得不抵押他们的资产。所有研究地点的抵押比例差异很大（3 - 58%）。
据观察，在这个史无前例的时期，全国封锁是一个充满挑战的时期，由于大量失业，人们的生计状况发生了急剧变化。封锁也严重影响了基本医疗服务的覆盖范围；然而，在政府和NGO的努力下，所有三个地点的情况都恢复到了接近封锁前的状态。
