Details

Autor(en) / Beteiligte

• Arsenault, Catherine
• Gage, Anna
• Kim, Min Kyung
• Kapoor, Neena R.
• Akweongo, Patricia
• Amponsah, Freddie
• Aryal, Amit
• Asai, Daisuke
• Awoonor-Williams, John Koku
• Ayele, Wondimu
• Bedregal, Paula
• Doubova, Svetlana V.
• Dulal, Mahesh
• Gadeka, Dominic Dormenyo
• Gordon-Strachan, Georgiana
• Mariam, Damen Haile
• Hensman, Dilipkumar
• Joseph, Jean Paul
• Kaewkamjornchai, Phanuwich
• Eshetu, Munir Kassa
• Gelaw, Solomon Kassahun
• Kubota, Shogo
• Leerapan, Borwornsom
• Margozzini, Paula
• Mebratie, Anagaw Derseh
• Mehata, Suresh
• Moshabela, Mosa
• Mthethwa, Londiwe
• Nega, Adiam
• Oh, Juhwan
• Park, Sookyung
• Passi-Solar, Álvaro
• Pérez-Cuevas, Ricardo
• Phengsavanh, Alongkhone
• Reddy, Tarylee
• Rittiphairoj, Thanitsara
• Sapag, Jaime C.
• Thermidor, Roody
• Tlou, Boikhutso
• Valenzuela Guiñez, Francisco
• Bauhoff, Sebastian
• Kruk, Margaret E.

Titel

COVID-19 and resilience of healthcare systems in ten countries

Ist Teil von

• Nature medicine, 2022-06, Vol.28 (6), p.1314-1324

Ort / Verlag

New York: Nature Publishing Group US

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• Declines in health service use during the Coronavirus Disease 2019 (COVID-19) pandemic could have important effects on population health. In this study, we used an interrupted time series design to assess the immediate effect of the pandemic on 31 health services in two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People’s Democratic Republic, Mexico, Nepal, South Africa and Thailand) and high-income (Chile and South Korea) countries. Despite efforts to maintain health services, disruptions of varying magnitude and duration were found in every country, with no clear patterns by country income group or pandemic intensity. Disruptions in health services often preceded COVID-19 waves. Cancer screenings, TB screening and detection and HIV testing were most affected (26–96% declines). Total outpatient visits declined by 9–40% at national levels and remained lower than predicted by the end of 2020. Maternal health services were disrupted in approximately half of the countries, with declines ranging from 5% to 33%. Child vaccinations were disrupted for shorter periods, but we estimate that catch-up campaigns might not have reached all children missed. By contrast, provision of antiretrovirals for HIV was not affected. By the end of 2020, substantial disruptions remained in half of the countries. Preliminary data for 2021 indicate that disruptions likely persisted. Although a portion of the declines observed might result from decreased needs during lockdowns (from fewer infectious illnesses or injuries), a larger share likely reflects a shortfall of health system resilience. Countries must plan to compensate for missed healthcare during the current pandemic and invest in strategies for better health system resilience for future emergencies. An interrupted time series analysis of 31 healthcare services in ten low-income, middle-income and high-income countries demonstrates that the COVID-19 pandemic caused immediate, heterogeneous and prolonged disruptions in service delivery, highlighting the need for health system resilience in pandemic preparedness.