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新冠疫情期间孕妇对儿童综合发展服务的认知与利用情况

Knowledge and utilization of Integrated Child Development Services among antenatal women during COVID-19 pandemic.

作者信息

Ferdina Taniyaa Cruz, Vellingiri Deepanchakravarthi, Raja N Sabari, Paulin Dharmalingam Gracy

机构信息

Government Thoothukudi Medical College, Tamil Nadu, India.

Government Thiruvallur Medical College, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2024 Aug;13(8):3026-3030. doi: 10.4103/jfmpc.jfmpc_1803_23. Epub 2024 Jul 26.

DOI:10.4103/jfmpc.jfmpc_1803_23
PMID:39228577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11368374/
Abstract

INTRODUCTION

The coronavirus disease 2019 (COVID-19) pandemic has affected the healthcare delivery system in both developed and developing countries. Many antenatal women skipped their regular antenatal check-ups due to fear of viral contamination and lack of transport facilities. Integrated Child Development Services (ICDS), which plays a major role in antenatal care, also suffered a great deal during the pandemic.

OBJECTIVES

  1. To assess knowledge and utilization of ICDS services by antenatal women during the COVID-19 pandemic. 2. To determine factors influencing the knowledge and utilization of ICDS services by antenatal women. 3. To determine the barriers to utilization of ICDS services during the pandemic.

METHODOLOGY

This study was conducted as a descriptive study in a tertiary care center. Antenatal women whose pregnancy period coincided with the second wave of the COVID-19 pandemic were interviewed using a structured questionnaire. The sample size was calculated as 198. Data were entered in Microsoft Excel and analyzed using Statistical Package for Social Sciences (SPSS).

RESULTS

Around 61% of the study population had adequate knowledge about ICDS services. The proportion of antenatal women utilizing ICDS services reduced from 87.8% to 69.6% during the pandemic. Only a few of the mothers were followed up by the Anganwadi workers during the pandemic. The main barriers to not utilizing ICDS services were fear of the spread of the pathogen and lack of awareness about the availability of services during the pandemic.

CONCLUSION

There has been a reduction in the utilization of ICDS services by antenatal women during the COVID-19 pandemic. Measures should be taken by the government to ensure undisrupted care for antenatal women during such hard times.

摘要

引言

2019年冠状病毒病(COVID-19)大流行对发达国家和发展中国家的医疗服务体系都产生了影响。许多孕妇因担心病毒感染和缺乏交通设施而跳过了定期产前检查。在产前护理中发挥重要作用的综合儿童发展服务(ICDS)在疫情期间也受到了很大影响。

目的

  1. 评估COVID-19大流行期间孕妇对ICDS服务的知识和利用情况。2. 确定影响孕妇对ICDS服务知识和利用的因素。3. 确定疫情期间ICDS服务利用的障碍。

方法

本研究在一家三级护理中心进行,采用描述性研究方法。对孕期与COVID-19大流行第二波重合的孕妇使用结构化问卷进行访谈。样本量计算为198。数据录入Microsoft Excel并使用社会科学统计软件包(SPSS)进行分析。

结果

约61%的研究人群对ICDS服务有足够的了解。在疫情期间,使用ICDS服务的孕妇比例从87.8%降至69.6%。在疫情期间,只有少数母亲得到了anganwadi工作人员的随访。不使用ICDS服务的主要障碍是担心病原体传播以及对疫情期间服务可用性缺乏认识。

结论

在COVID-19大流行期间,孕妇对ICDS服务的利用率有所下降。政府应采取措施,确保在这种困难时期为孕妇提供不间断的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c5/11368374/5f78dca78dd3/JFMPC-13-3026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c5/11368374/cae09ef94ca6/JFMPC-13-3026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c5/11368374/5f78dca78dd3/JFMPC-13-3026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c5/11368374/cae09ef94ca6/JFMPC-13-3026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c5/11368374/5f78dca78dd3/JFMPC-13-3026-g003.jpg

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本文引用的文献

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Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India.新冠疫情期间印度奥里萨邦妇幼保健服务的可及性:一项探索性定性研究
Indian J Community Med. 2023 May-Jun;48(3):459-464. doi: 10.4103/ijcm.ijcm_285_22. Epub 2023 May 30.
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Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis.
2019年冠状病毒病对印度母婴健康服务利用情况的影响:卫生管理信息系统数据分析
Clin Epidemiol Glob Health. 2023 May-Jun;21:101285. doi: 10.1016/j.cegh.2023.101285. Epub 2023 Mar 31.
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Impact on Public Health Nutrition Services Due to COVID-19 Pandemic in India: A Scoping Review of Primary Studies on Health and Social Security Determinants Affecting the First 1000 Days of Life.**标题**:COVID-19 大流行对印度公共卫生营养服务的影响:影响生命最初 1000 天的健康和社会保障决定因素的初级研究的范围综述。 **摘要**:目的:评估印度 COVID-19 大流行对公共卫生营养服务的影响。方法:使用电子数据库,对截至 2022 年 11 月 30 日的相关研究进行了范围综述。结果:确定了 41 项符合纳入标准的研究,这些研究主要评估了 COVID-19 对母乳喂养、补充喂养、家庭食物供应和儿童营养服务的影响。COVID-19 大流行导致了母乳喂养率的下降、补充喂养的中断、家庭食物供应的减少和儿童营养服务的中断。结论:COVID-19 大流行对印度公共卫生营养服务产生了负面影响,可能导致儿童营养不良的增加。需要采取紧急措施来保护和支持这些服务,以确保儿童的健康和福祉。
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