COVID-19 and resilience of healthcare systems in ten countries

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dc.contributor.authorArsenault, Catherine
dc.contributor.authorGage, Anna
dc.contributor.authorKim, Min Kyung
dc.contributor.authorKapoor, Neena R.
dc.contributor.authorAkweongo, Patricia
dc.contributor.authorAmponsah, Freddie
dc.contributor.authorAryal, Amit
dc.contributor.authorAsai, Daisuke
dc.contributor.authorAwoonor-Williams, John Koku
dc.contributor.authorAyele, Wondimu
dc.contributor.authorBedregal, Paula
dc.contributor.authorDoubova, Svetlana, V
dc.contributor.authorDulal, Mahesh
dc.contributor.authorGadeka, Dominic Dormenyo
dc.contributor.authorGordon-Strachan, Georgiana
dc.contributor.authorMariam, Damen Haile
dc.contributor.authorHensman, Dilipkumar
dc.contributor.authorJoseph, Jean Paul
dc.contributor.authorKaewkamjornchai, Phanuwich
dc.contributor.authorEshetu, Munir Kassa
dc.contributor.authorGelaw, Solomon Kassahun
dc.contributor.authorKubota, Shogo
dc.contributor.authorLeerapan, Borwornsom
dc.contributor.authorMargozzini, Paula
dc.contributor.authorMebratie, Anagaw Derseh
dc.contributor.authorMehata, Suresh
dc.contributor.authorMoshabela, Mosa
dc.contributor.authorMthethwa, Londiwe
dc.contributor.authorNega, Adiam
dc.contributor.authorOh, Juhwan
dc.contributor.authorPark, Sookyung
dc.contributor.authorPassi-Solar, Alvaro
dc.contributor.authorPerez-Cuevas, Ricardo
dc.contributor.authorPhengsavanh, Alongkhone
dc.contributor.authorReddy, Tarylee
dc.contributor.authorRittiphairoj, Thanitsara
dc.contributor.authorSapag, Jaime C.
dc.contributor.authorThermidor, Roody
dc.contributor.authorTlou, Boikhutso
dc.contributor.authorGuinez, Francisco Valenzuela
dc.contributor.authorBauhoff, Sebastian
dc.contributor.authorKruk, Margaret E.
dc.date.accessioned2025-01-20T21:12:23Z
dc.date.available2025-01-20T21:12:23Z
dc.date.issued2022
dc.description.abstractDeclines in health service use during the Coronavirus Disease 2019 (COVID-19) pandemic could have important effects on population health. In this study, we used an interrupted time series design to assess the immediate effect of the pandemic on 31 health services in two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People's Democratic Republic, Mexico, Nepal, South Africa and Thailand) and high-income (Chile and South Korea) countries. Despite efforts to maintain health services, disruptions of varying magnitude and duration were found in every country, with no clear patterns by country income group or pandemic intensity. Disruptions in health services often preceded COVID-19 waves. Cancer screenings, TB screening and detection and HIV testing were most affected (26-96% declines). Total outpatient visits declined by 9-40% at national levels and remained lower than predicted by the end of 2020. Maternal health services were disrupted in approximately half of the countries, with declines ranging from 5% to 33%. Child vaccinations were disrupted for shorter periods, but we estimate that catch-up campaigns might not have reached all children missed. By contrast, provision of antiretrovirals for HIV was not affected. By the end of 2020, substantial disruptions remained in half of the countries. Preliminary data for 2021 indicate that disruptions likely persisted. Although a portion of the declines observed might result from decreased needs during lockdowns (from fewer infectious illnesses or injuries), a larger share likely reflects a shortfall of health system resilience. Countries must plan to compensate for missed healthcare during the current pandemic and invest in strategies for better health system resilience for future emergencies.
dc.fuente.origenWOS
dc.identifier.doi10.1038/s41591-022-01750-1
dc.identifier.eissn1546-170X
dc.identifier.issn1078-8956
dc.identifier.urihttps://doi.org/10.1038/s41591-022-01750-1
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93657
dc.identifier.wosidWOS:000770060900009
dc.issue.numero6
dc.language.isoen
dc.pagina.final+
dc.pagina.inicio1314
dc.revistaNature medicine
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleCOVID-19 and resilience of healthcare systems in ten countries
dc.typeartículo
dc.volumen28
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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