COVID-19对津巴布韦医疗保健计划的影响:一种混合方法研究
Nicholas Midzi1, C Haruzivishe2, E Gonese3
1National Institute of Health Research (Ministry of Health and Childcare), Harare, Zimbabwe. nmidzi@mohcc.org.zw.
BMC public health
|May 13, 2025
概括
COVID-19大流行对津巴布韦的医疗保健产生了负面影响,扰乱了母亲和儿童健康等基本服务. 缓解策略和未来的疫情准备对于有弹性的卫生系统至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- "COVID-19"大流行严重扰乱了全球医疗保健服务.
- 了解与流行病有关的影响对于规划基本卫生服务至关重要.
- 这项研究评估了COVID-19对津巴布韦医疗保健计划的影响.
研究的目的:
- 确定新冠病毒病 (COVID-19) 对津巴布韦医疗保健计划的影响.
- 分析疫情期间医疗保健服务提供中断的情况.
- 确定有效的应对和准备战略.
主要方法:
- 采用混合方法方法,结合了定性关键告密者访谈 (KII) 和定量二次数据分析.
- 从津巴布韦地区卫生信息系统2 (DHIS2) 收集了18个医疗保健服务指标的数据.
- 采用了中断时间序列分析和感应主题分析.
主要成果:
- COVID-19对医疗服务提供产生了负面影响,扰乱了关键,母婴,生殖和专业服务.
- 母婴死亡率和剖腹产的增加与服务提供量的下降有关.
- 缓解策略包括基于社区和外展服务,能力建设和公共服务缓解拥堵.
结论:
- 疫情扰乱了医疗保健的提供,并减少了由于封锁的服务利用率.
- 应对策略涉及社区服务,能力建设和利益相关者参与.
- 未来的准备需要疫情计划,资源提升,多部门合作,劳动力培训和公共教育.
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