Routine immunization services in the light of COVID-19 pandemic

Varughese, Chinnu Sara; Shah, Anuradha Kunal

doi:10.18203/2394-6040.ijcmph20203029

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…The frontline managers have faced immense pressure to handle the situation, and it was challenging to meet the demand with existing resources. [ 11 12 ] With all demographic and health care delivery-related constraints, everyone consciously made an effort to make sure that the health services were restored.…”

Section: Discussionmentioning

confidence: 99%

Challenges and solutions adopted by frontline health managers in the management of routine health services during the COVID-19 pandemic at the grassroots level in India: A qualitative quest

Rashmi

Kundapur

Aggarwal

et al. 2022

J Family Med Prim Care

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A BSTRACT Background: The public health emergency due to COVID-19 has placed an immense burden on the health care system. The strain for provision of health care services has also extended to routine services. The future impact of this decline in facility provision can be seen in morbidity and mortality indicators of the country. In a time when the country is working toward meeting the sustainable development goals (SDGs), COVID-19 has become a setback. Objective: This study tries to find the very challenges faced by frontline workers and the measures adopted to overcome the same. Materials and Methods: This was a mixed methods study conducted at various selected states across the country based on their vulnerability index. Data was collected via in-depth interviews among 120 frontline managers. Transcribed responses were coded. Framework analysis with preformed codes were done. Quantitative data are represented as frequencies and percentages. Results: Analysis showed increased work pressure, innovative approach adopted locally, and allaying fear by reinstating services helped as coping mechanisms to take care of routine health care services at the grassroots level. Conclusions: The conscious effort of all involved with the use of local solutions and innovations, along with intersectoral coordination and efficient use of resources paved the way for a good deliverance of health care to the society. The frontline managers minimized the damage by using available resources consciously and wisely.

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Section: Discussionmentioning

confidence: 99%

Challenges and solutions adopted by frontline health managers in the management of routine health services during the COVID-19 pandemic at the grassroots level in India: A qualitative quest

Rashmi

Kundapur

Aggarwal

et al. 2022

J Family Med Prim Care

View full text Add to dashboard Cite

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“…Immunization is one of the most cost-effective public health interventions that help in preventing two to three million deaths of children every year worldwide (Varughese and Shah 2020). Since 1978, GOI has been providing free of cost vaccination against VPDs such as polio, measles, tetanus and diphtheria, among other diseases.…”

Section: Immunizationmentioning

confidence: 99%

COVID-19 and the burden of ill-health: a double crisis of disruptions and inequalities

2020

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In this paper, we attempt to show how the novel coronavirus disease (COVID-19) has disrupted routine health services in India and has created further inequalities in the society. By taking a few examples of non-COVID diseases and conditions like immunization, maternal health services, tuberculosis and non-communicable diseases, this paper shows how these services have been disrupted by the pandemic. The paper argues that these disruptions have not emerged only as a result of the current crisis, but because of the paradigm shifts in the healthcare delivery in the country towards privatization which have disproportionately marginalized particular sections of the society. The paper concludes by stating that if adequate measures are not taken now to transform the health system and strengthen the public healthcare system, it might lead to catastrophic consequences in the future, especially for the marginalized sections. Keywords COVID-19 • Non-COVID conditions • Health inequalities • Routine health services • India * Ramila Bisht

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“…Also, many people in the community were reluctant to use any such services and even tetanus toxoid immunization was put on hold for pregnant women. 15 …”

Section: Introductionmentioning

confidence: 99%

Enablers and barriers towards ensuring routine immunization services during the COVID-19 pandemic: findings from a qualitative study across five different states in India

Patel

Nayak

Rana

et al. 2022

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background The coronavirus disease 2019 (COVID-19) pandemic has led to disruption in delivering routine healthcare services including routine immunization (RI) worldwide. Understanding the enablers and barriers for RI services during a pandemic is critically important to develop context-appropriate strategies to ensure uninterrupted routine services. Methods A community-based, cross-sectional descriptive study was conducted in five different states of India, nested within an ongoing multicentric study on RI. Telephone in-depth interviews among 56 health workers were carried out and the data were analyzed using a content analysis method. Results During the COVID-19 pandemic, healthcare providers encountered many challenges at the health system, community and individual level when rendering RI services. Challenges like the limited availability of personal protective equipment and vaccines, deployment for COVID-19 duty at system level, the difficulty in mobilizing people in the community, fear among people at community level, mobility restrictions and limited family support, as well as the stress and stigma at individual level, were barriers to providing RI services. By contrast, the issuing of identification cards to health staff, engaging community volunteers, the support given to health workers by their families and training on COVID-19, were factors that enabled health workers to maintain RI services during the pandemic. Conclusions When addressing the COVID-19–related public health emergency, we should not lose sight of the importance of services like RI.

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Routine immunization services in the light of COVID-19 pandemic

Cited by 3 publications

References 3 publications

Challenges and solutions adopted by frontline health managers in the management of routine health services during the COVID-19 pandemic at the grassroots level in India: A qualitative quest

Challenges and solutions adopted by frontline health managers in the management of routine health services during the COVID-19 pandemic at the grassroots level in India: A qualitative quest

COVID-19 and the burden of ill-health: a double crisis of disruptions and inequalities

Enablers and barriers towards ensuring routine immunization services during the COVID-19 pandemic: findings from a qualitative study across five different states in India

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