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Impact of Ebola and COVID-19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply-side barriers and solutions.

作者信息

Shafiq Yasir, Rubini Elena, Fazal Zoha Zahid, Bukhari Muhammad Murtaza, Zakaria Maheen, Zeeshan Noor Ul Huda, Muhammad Ameer, Ragazzoni Luca, Barone-Adesi Francesco, Valente Martina

机构信息

CRIMEDIM - Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale, Novara, Italy.

Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.

出版信息

Confl Health. 2024 Jan 30;18(1):12. doi: 10.1186/s13031-024-00572-x.


DOI:10.1186/s13031-024-00572-x
PMID:38291492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10829480/
Abstract

INTRODUCTION: Armed conflicts have a severe impact on the health of women and children. Global health emergencies such as pandemics and disease outbreaks further exacerbate the challenges faced by vulnerable populations in accessing maternal, neonatal, and child healthcare (MNCH). There is a lack of evidence that summarizes the challenges faced by conflict-affected pregnant women, mothers, and children in accessing MNCH services during global health emergencies, mainly the Ebola and COVID-19 pandemics. This scoping review aimed to analyze studies evaluating and addressing barriers to accessing comprehensive MNCH services during Ebola and COVID-19 emergencies in populations affected by conflict. METHODS: The search was conducted on PubMed, Scopus, and Web of Science databases using terms related to Ebola and COVID-19, conflicts, and MNCH. Original studies published between 1990 and 2022 were retrieved. Articles addressing the challenges in accessing MNCH-related services during pandemics in conflict-affected settings were included. Thematic analysis was performed to categorize the findings and identify barriers and solutions. RESULTS: Twenty-nine studies met the inclusion criteria. Challenges were identified in various MNCH domains, including antenatal care, intrapartum care, postnatal care, vaccination, family planning, and the management of childhood illnesses. Ebola-related supply-side challenges mainly concerned accessibility issues, health workforce constraints, and the adoption of stringent protocols. COVID-19 has resulted in barriers related to access to care, challenges pertaining to the health workforce, and new service adoption. On the demand-side, Ebola- and COVID-19-related risks and apprehensions were the leading barriers in accessing MNCH care. Community constraints on utilizing services during Ebola were caused by a lack of trust and awareness. Demand-side challenges of COVID-19 included fear of disease, language barriers, and communication difficulties. Strategies such as partnerships, strengthening of health systems, service innovation, and community-based initiatives have been employed to overcome these barriers. CONCLUSION: Global health emergencies amplify the barriers to accessing MNCH services faced by conflict-affected populations. Cultural, linguistic, and supply-side factors are key challenges affecting various MNCH domains. Community-sensitive initiatives enhancing primary health care (PHC), mobile clinics, or outreach programs, and the integration of MNCH into PHC delivery should be implemented. Efforts should prioritize the well-being and empowerment of vulnerable populations. Addressing these barriers is crucial for achieving universal health coverage and the Sustainable Development Goals.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/d02d4c91e558/13031_2024_572_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/61dc38878de5/13031_2024_572_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/5fec3461704d/13031_2024_572_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/d02d4c91e558/13031_2024_572_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/61dc38878de5/13031_2024_572_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/5fec3461704d/13031_2024_572_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dda/10829480/d02d4c91e558/13031_2024_572_Fig3_HTML.jpg

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Impact of Ebola and COVID-19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply-side barriers and solutions.

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引用本文的文献

[1]
Navigating challenges in access to antenatal and intrapartum care: Afghan refugee women's experiences amidst the COVID-19 pandemic in Pakistan.

Womens Health (Lond). 2025

[2]
Socio-economic and geographical inequalities in neonatal mortality rates in Sierra Leone, 2008-2019.

BMC Pediatr. 2024-11-23

[3]
Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis.

Health Res Policy Syst. 2024-4-30

[4]
Correction: Impact of Ebola and COVID‑19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply‑side barriers and solutions.

Confl Health. 2024-3-1

本文引用的文献

[1]
"Africans, we know how to adapt indeed": Adaptations to family planning and reproductive health services in humanitarian settings in Nigeria during the COVID-19 pandemic.

PLOS Glob Public Health. 2023-7-11

[2]
Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women.

BMJ Open. 2023-6-26

[3]
Exploring healthcare-seeking behavior of most vulnerable groups amid the COVID-19 pandemic in the humanitarian context in Cox's Bazar, Bangladesh: Findings from an exploratory qualitative study.

PLOS Glob Public Health. 2023-3-20

[4]
A multi-country survey on access to healthcare and treatment services among individuals with critical medical care needs during the first wave of the pandemic.

BMC Public Health. 2023-1-12

[5]
Rethinking Disease Preparedness: Incertitude and the Politics of Knowledge.

Crit Public Health. 2022

[6]
An early analysis of the World Bank's Pandemic Fund: a new fund for pandemic prevention, preparedness and response.

BMJ Glob Health. 2023-1

[7]
Why scientists must learn to listen: five minutes with . . . Roula Inglesi-Lotz.

BMJ. 2022-12-20

[8]
Impact of COVID-19 on Women Who Are Refugees and Mothering: A Critical Ethnographic Study.

Glob Qual Nurs Res. 2022-9-9

[9]
Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning.

Stud Fam Plann. 2022-12

[10]
COVID-19 epidemiology and changes in health service utilization in Azraq and Zaatari refugee camps in Jordan: A retrospective cohort study.

PLoS Med. 2022-5

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