在COVID-19大流行期间,马拉维卫生服务利用的变化
Bingling She1, Tara D Mangal1, Anna Y Adjabeng1
1Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
PloS one
|January 17, 2024
概括
COVID-19大流行严重扰乱了马拉维的医疗服务,从2020年4月到2021年12月,医疗服务大幅减少. 这些干扰,特别是在免疫和艾滋病毒服务方面,可能会产生长期的健康后果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 马拉维的COVID-19大流行和相关的政府限制可能影响了日常医疗保健利用.
- 评估这些干扰对于了解它们对医疗服务提供的影响至关重要.
研究的目的:
- 在COVID-19大流行期间调查和量化马拉维日常卫生服务利用中出现的干扰.
- 分析不同类型的医疗保健和不同级别的医疗保健服务提供方面的变化.
主要方法:
- 利用来自马拉维电子健康信息管理系统 (2015-2021) 的全国常规卫生服务数据.
- 通过系统地填写缺少的月度数据条目,准备了调整后的数据集.
- 采用统计描述方法,将大流行期间的服务量与大流行前的平均值 (2015-2019) 进行比较,将实质性减少定义为低于平均值的两个标准偏差.
主要成果:
- 从2020年4月到2021年12月,观察到服务的显著减少,包括住院护理 (-20.03%),免疫 (-17.61%),营养不良治疗 (-34.5%),艾滋病毒检测 (-27.34%),以及成人 (-33.52%) 和儿科 (-41.32%) 的抗逆转录病毒疗法 (ART) 启动.
- 服务量减少在最初的流行浪潮 (2020年4月至8月) 中最为明显.
- 虽然一些服务,如门诊诊所的访问显示恢复,许多,如五岁以下的营养不良治疗,在2021年保持低水平. 总减少的服务量为8,066,956 (-10.23%).
结论:
- 实质性证据表明,在COVID-19大流行期间,马拉维的提供卫生服务大幅减少.
- 这些干扰会带来潜在的健康后果,需要对未来进行规划.
- 调查结果应该为提高卫生保健系统在类似公共卫生事件中的性制定策略.
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