ArticleThe Journal of nutrition2021
COVID-19 Disrupted Provision and Utilization of Health and Nutrition Services in Uttar Pradesh, India: Insights from Service Providers, Household Phone Surveys, and Administrative Data.
Article in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review.Psychiatry research · 2022Pooled it
- Impact of facility based versus home based growth monitoring and promotion programs on child nutritional status in rural Bangladesh.Scientific reports · 2025Article
- Pandemic preparedness in Vietnam: a review of health system resilience and areas for improvement.Journal of global health · 2025Review
- Disruptions and adaptations of an urban nutrition intervention delivering essential services for women and children during a major health system crisis in Dhaka, Bangladesh.Maternal & child nutrition · 2025Article
- COVID-19 related disruption and resilience in immunisation activities in LMICs: a rapid review.BMJ open · 2024Review
- The Impact of COVID-19 on Healthcare Services in Bangladesh: A Qualitative Study on Healthcare Providers' Perspectives.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Impact of a pandemic shock on unmet medical needs of middle-aged and older adults in 10 countries.BMJ health & care informatics · 2024Article
- A global scoping review of adaptations in nurturing care interventions during the COVID-19 pandemic.Frontiers in public health · 2024Article
- Self-reported delays in care-seeking in West Africa during the first wave of the COVID-19 pandemic.BMC health services research · 2023Article
- Integrating an algorithmic and health systems thinking approach to improve the uptake of government antenatal nutrition services in Vidisha, Madhya Pradesh (India), 2018 to 2021.Health policy and planning · 2023Article
- Assessing the hidden burden and costs of COVID-19 pandemic in South Asia: Implications for health and well-being of women, children and adolescents.PLOS global public health · 2023Article
- Factors affecting delayed and non-receipt of healthcare during the COVID-19 pandemic for women in rural Maharashtra, India: Evidence from a cross-sectional study.EClinicalMedicine · 2022Article
- Impact on Public Health Nutrition Services Due to COVID-19 Pandemic in India: A Scoping Review of Primary Studies on Health and Social Security Determinants Affecting the First 1000 Days of Life.International journal of environmental research and public health · 2022Article
- Accessing Antenatal Care (ANC) services during the COVID-19 first wave: insights into decision-making in rural India.Reproductive health · 2022Article
- Comparison of eyecare utilization at two service delivery levels during the COVID-19 pandemic as a measure of their impact: A multicentric retrospective analysis across four North Indian high-volume eyecare organizations.Indian journal of ophthalmology · 2022Article
- Adaptive Implementation of a Community Nutrition and Asset Transfer Program during the COVID-19 Pandemic in Rural Bangladesh.Current developments in nutrition · 2022Article
- The impact of the Covid-19 pandemic on primary health care utilization: an experience from Iran.BMC health services research · 2022Article
- Financial impact of COVID-19 on TB patients in India.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022Article
- Observational
- Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh.Maternal & child nutrition · 2021Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe coronavirus (COVID-19) pandemic may substantially affect health systems, but little primary evidence is available on disruption of health and nutrition services.
objectivesThis study aimed to 1) determine the extent of disruption in provision and utilization of health and nutrition services induced by the pandemic in Uttar Pradesh, India; and 2) identify how adaptations were made to restore service provision in response to the pandemic.
methodsWe conducted longitudinal surveys with frontline workers (FLWs, n = 313) and mothers of children <2 y old (n = 659) in December 2019 (in-person) and July 2020 (by phone). We also interviewed block-level managers and obtained administrative data. We examined changes in service provision and utilization using Wilcoxon matched-pairs signed-rank tests.
resultsCompared with prepandemic, service provision reduced substantially during lockdown (83-98 percentage points, pp), except for home visits and take-home rations (∼30%). Most FLWs (68%-90%) restored service provision in July 2020, except for immunization and hot cooked meals (<10%). Administrative data showed similar patterns of disruption and restoration. FLW fears, increased workload, inadequate personal protective equipment (PPE), and manpower shortages challenged service provision. Key adaptations made to provide services were delivering services to beneficiary homes (∼40%-90%), social distancing (80%), and using PPE (40%-50%) and telephones for communication (∼20%). On the demand side, service utilization reduced substantially (40-80 pp) during the lockdown, but about half of mothers received home visits and food supplementation. Utilization for most services did not improve after the lockdown, bearing the challenges of limited travel (30%), nonavailability of services (26%), and fear of catching the virus when leaving the house (22%) or meeting service providers (14%).
conclusionsCOVID-19 disrupted the provision and use of health and nutrition services in Uttar Pradesh, India, despite adaptations to restore services. Strengthening logistical support, capacity enhancement, performance management, and demand creation are needed to improve service provision and utilization during and post-COVID-19.
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