RESUMO
Frontline health workers remain the most effective resource for managing sick children, screening them for preventable problems, and providing critical counselling and family support. This guide outlines an approach for assessing and improving the quality of primary health care for both sick and well children. It builds on the need for bottom-up planning and action by engaging local staff in identifying and solving problems themselves. By collecting and monitoring facility data, progress can be tracked and continuously improved.
Assuntos
Serviços de Planejamento Familiar , Atenção Primária à Saúde , Gravidez não PlanejadaRESUMO
Frontline health workers are critical to the provision of effective counselling about family planning and support to women on the correct use of contraceptives. This guide outlines an approach for assessing and improving the quality of primary health care to reduce unplanned pregnancies. It builds on the need for bottom-up planning and action by engaging local staff to identify and solve problems. By collecting and monitoring facility data, progress can be tracked and continuously improved.
Assuntos
Serviços de Planejamento Familiar , Atenção Primária à Saúde , Gravidez não PlanejadaAssuntos
Saúde Sexual , Saúde Reprodutiva , Anticoncepção , HIV , Serviços de Planejamento Familiar , Ameaça de Aborto , Saúde Materna , Recém-Nascido , Saúde da Mulher , ViolênciaRESUMO
Background: COVID-19 is having many impacts on health, economy and social life; some due to the indirect effects of closure of health facilities to curb the spread. Closures were implemented in Pakistan from March 2020, affecting provision of reproductive, maternal, newborn and child health (RMNCH) services. Aim: To appraise the effects of containment and lockdown policies on RMNCH service utilization in order to develop an early response to avoid the catastrophic impact of COVID-19 on RMNCH in Pakistan. Methods: Routine monitoring data were analysed for indicators utilization of RMNCH care. The analysis was based on Period 1 (January–May 2020, first wave of COVID-19); Period 2 (June–September 2020, declining number of cases of COVID-19); and Period 3 (October–December 2020, second wave of COVID-19). We also compared data from May and December 2020 with corresponding months in 2019, to ascertain whether changes were due to COVID-19. Results: Reduced utilization was noted for all RMNCH indicators during Periods 1 and 3. There was a greater decline in service utilization during the first wave, and the highest reduction (~82%) was among children aged < 5 years, who were treated for pneumonia. The number of caesarean sections dropped by 57%, followed by institutional deliveries and first postnatal visit (37% each). Service utilization increased from June to September, but the second wave of COVID-19 led to another decrease. Conclusion: To reinstate routine services, priority actions and key areas include continued provision of family planning services along with uninterrupted immunization campaigns and routine maternal and child services.
