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  11. National Covid-19 Preparedness And Response Plans: A Global Review From The Perspective Of Services For Maternal, Newborn, Child And Adolescent Health And Older People

National COVID-19 preparedness and response plans: a global review from the perspective of services for maternal, newborn, child and adolescent health and older people

Alexandra Czerniewska1, Alyssa Sharkey2, Anayda Portela3

  • 1Health Equity and Human Rights LLC, Princeton, New Jersey, USA.

BMJ Global Health
|March 5, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

National COVID-19 response plans often neglect maternal, newborn, child, and adolescent health services. Integrating these essential services is crucial for future pandemic preparedness and preventing excess deaths.

Area of Science:

  • Public Health
  • Global Health Security
  • Health Systems Strengthening

Background:

  • Infectious disease outbreaks, including COVID-19, have historically disrupted essential health services, leading to increased mortality among vulnerable populations.
  • National COVID-19 response plans were reviewed to assess the integration of maternal, newborn, child, adolescent, and ageing health (MNCAAH) services.
  • This review focuses on monitoring, recovery, and strengthening of MNCAAH services amidst global health challenges.

Approach:

  • A systematic search of publicly available national COVID-19 response and preparedness plans (January 2020-December 2022) was conducted using Google.
  • Plans from 110 countries were analyzed for considerations of MNCAAH service maintenance, including activities, costing, and monitoring.
  • The integration of MNCAAH services into national COVID-19 incident management systems was also assessed.
Keywords:
COVID-19Child healthMaternal healthReview

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Key Points:

  • Only 22% of national plans acknowledged the impact of COVID-19 on MNCAAH services.
  • Less than 13% of plans included specific activities for monitoring or mitigating these impacts.
  • Fewer than 5% of plans incorporated relevant indicators, costing, or integration into incident management systems.

Conclusions:

  • Failure to explicitly integrate MNCAAH services into response plans risks their deterioration during future disruptive events.
  • The COVID-19 pandemic highlighted the need for interdisciplinary approaches to address unforeseen health impacts.
  • Current national response plans often maintain a narrow focus and generic approach, potentially limiting their effectiveness for essential population health needs.