Impact of COVID-19 on healthcare system in India: A systematic review

Kapoor, Megha; Kaur, Karuna Nidhi; Saeed, Shazina; Shannawaz, Mohd; Chandra, Amrish

doi:10.1177/22799036231186349

Cited by 8 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Limited human resources emerge as another significant challenge, consistent with research indicating that healthcare workforce shortages can hinder vaccine delivery and administration [ 56 , 57 ]. This challenge is compounded by the need to balance COVID-19 vaccination efforts with existing routine healthcare activities, reflecting the strain on healthcare systems during pandemics [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptance and expectations of healthcare workers and community during the COVID-19 vaccine rollout in Bhavnagar city, western India: a qualitative exploration

Makwana,

Shekhda,

Rupani

2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background COVID-19 vaccine was launched in India on January 16, 2021. There is a paucity of robust evidence from qualitative studies on the acceptability and expectations of potential recipients from the COVID-19 vaccine around the time of its rollout in India. We conducted this study to explore the acceptance and expectations of the COVID-19 vaccine among the healthcare workers and community in Bhavnagar, India. Methods During January 2021, in-depth interviews were conducted with potential vaccine recipients in Bhavnagar city—health care workers, people over the age of 50, and people of any age with comorbidities. A total of 28 in-depth interviews were performed, including 16 healthcare workers and 12 community beneficiaries. An in-depth interview guide was developed based on the constructs of the health belief model. Following written informed consent from all participants, all interviews were audio-recorded, transcribed in English and codes were generated using thematic analysis. Qualitative qualifiers were used due describe our study findings. Results Most of healthcare workers and a majority of people from the community have shown willingness to be vaccinated with COVID-19 vaccine as they had trust on the results of the clinical trials and on the government. Some participants showed hesitancy, which was attributed to concerns regarding safety and efficacy, negative news reports in the media and lack of awareness regarding benefits of vaccine. Some healthcare workers were hesitant due to a lack of transparency in sharing the results of clinical trials. Very few showed refusal in getting vaccinated due to their belief that they won’t be infected with SARS-CoV-2 virus as they might have developed immunity against it. Most of the participants expected good efficacy, minimal/no side effects, rapid and wide coverage of vaccine and a perception of getting back to pre-COVID life sooner. Conclusions Most of the potential recipients were willing to take the COVID-19 vaccine around the time of its initial roll out. Future vaccine rollout campaigns could reduce refusals by timely demand generation activities on vaccine safety/efficacy, involving leaders/influencers, addressing grievances, and minimizing misinformation.

show abstract

Section: Discussionmentioning

confidence: 99%

Acceptance and expectations of healthcare workers and community during the COVID-19 vaccine rollout in Bhavnagar city, western India: a qualitative exploration

Makwana,

Shekhda,

Rupani

2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Additionally, travel restrictions during lockdowns hindered access to health services in metro cities, causing delays in early screening, accurate diagnoses, and timely treatments. Consequently, this delay potentially led to undetected cases and an increased burden of advanced-stage cancers [12,16,28]. The missed screenings not only affect future cancer mortality rates but also result in fewer detections of early-stage cancer and pre-cancerous conditions due to the absence of follow-up assessments.…”

Section: Health Systemsmentioning

confidence: 99%

“…Despite the efforts of the National Programme for Prevention and Control of Cardiovascular Disease, Diabetes, Cancer, and Stroke (NPCDCS) since 2016, cervical cancer screening in India remains primarily opportunistic. The program faced significant challenges during the COVID-19 waves, leading to the suspension of non-COVID-19 medical services, including cancer screening, from May 2020 onwards [15][16][17][18]. While this opinion piece is rooted in the Indian context, focusing on the challenges encountered during the PCCIS project, the identified challenges and opportunities discussed herein hold broader relevance for other low-and middle-income countries (LMICs) that lack organized screening programs.…”

Section: Introductionmentioning

confidence: 99%

Surviving the Storm: The Impact of COVID-19 on Cervical Cancer Screening in Low- and Middle-Income Countries

Vahabi,

Shahil-Feroz,

Lofters

et al. 2023

Healthcare

View full text Add to dashboard Cite

According to the Center for Disease Control and Prevention’s National Breast and Cervical Cancer Early Detection Program, the cervical cancer screening rate dropped by 84% soon after the declaration of the COVID-19 pandemic. The challenges facing cervical cancer screening were largely attributed to the required in-person nature of the screening process and the measures implemented to control the spread of the virus. While the impact of the COVID-19 pandemic on cancer screening is well-documented in high-income countries, less is known about the low- and middle-income countries that bear 90% of the global burden of cervical cancer deaths. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cervical cancer screening in LMICs. Using our study, “Prevention of Cervical Cancer in India through Self-Sampling” (PCCIS), as a case example, we present the challenges COVID-19 has exerted on patients, healthcare practitioners, and health systems, as well as potential opportunities to mitigate these challenges.

show abstract

“…But to avail the healthcare service is very challenging in the developing nations 16 . In the recent covid-19 pandemic, we witnessed how the healthcare system crumpled in India 17 . Health expenditure during the covid-19 crisis increases multifold 18 .…”

Section: Introductionmentioning

confidence: 99%

Incidence and intensity of catastrophic health expenditure and impoverishment among the elderly: an empirical evidence from India

Ahmad,

Mohanty

2024

Sci Rep

View full text Add to dashboard Cite

World health statistics (2022) report that about 1.4 billion people have incurred catastrophic health expenditure (CHE), and half of its population have pushed into extreme poverty due to healthcare payments. The elderly population faces a higher risk of ill health, and seeking treatment reflects in high out-of-pocket health spending (OOPHS) that results in CHE and further impoverishment. This study aims to investigate the incidence and intensity of OOPHS, CHE, and impoverishment among the older adults in India. Data utilizes from the 75th round of the national sample survey (NSS) based on household social consumption: health (schedule 25.0), 2018. The incidence and intensity of CHE and impoverishment among older adults in India estimated by using standard measures. The older adults spend about 17.4% of household consumption expenditure on healthcare services. The poorest older adults are spending the highest share of consumption expenditure (24.8%) on healthcare among economic quantiles. Similarly, the elderly from rural (20.3%), male (18.4%), scheduled castes (21.5%), and Hinduism (17.9%) show a larger share of consumption expenditure on healthcare services. The incidence and intensity of CHE among older adults are 46.5% and 16.1% at 10% threshold level of household consumption expenditure, respectively. However, as the threshold level rises the incidence and intensity of CHE decline. The estimates of normalized poverty gap using the poverty line of Tendulkar committee as well as Rangarajan committee show that the intensity of impoverishment among older adults are 56.4% and 57.9% respectively, which is quite high. Financial protection along with vision might mitigate the risk of CHE and impoverishment among older adults in India.

show abstract

Impact of COVID-19 on healthcare system in India: A systematic review

Cited by 8 publications

References 13 publications

Acceptance and expectations of healthcare workers and community during the COVID-19 vaccine rollout in Bhavnagar city, western India: a qualitative exploration

Acceptance and expectations of healthcare workers and community during the COVID-19 vaccine rollout in Bhavnagar city, western India: a qualitative exploration

Surviving the Storm: The Impact of COVID-19 on Cervical Cancer Screening in Low- and Middle-Income Countries

Incidence and intensity of catastrophic health expenditure and impoverishment among the elderly: an empirical evidence from India

Contact Info

Product

Resources

About