ArticleMaternal & child nutrition2021
Provision and utilisation of health and nutrition services during COVID-19 pandemic in urban Bangladesh.
Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Impact of facility based versus home based growth monitoring and promotion programs on child nutritional status in rural Bangladesh.Scientific reports · 2025Article
- Nutrition and non-nutrition determinants of maternal mental disorders, stress and depression in pregnancy amidst a global pandemic: findings from Action against Stunting Hub Indonesia.The British journal of nutrition · 2025Article
- 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
- Urban Nutrition in the Global South: A Narrative Review of Current Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Review
- Impact of COVID-19 on the utilisation of maternal health services in Bangladesh: A division-level analysis.Journal of global health · 2024Article
- Pandemic lessons on essential healthcare services for the urban poor: a qualitative perspective of users and providers in Bangladesh.BMJ open · 2024Article
- Factors associated with knowledge and practices of COVID-19 prevention among mothers of under-2 children in Bangladesh.PLOS global public health · 2024Article
- Opportunities and challenges in delivering maternal and child nutrition services through public primary health care facilities in urban Bangladesh: a qualitative inquiry.BMC health services research · 2023Article
- Adapting to change: Exploring reverse migration as a coping strategy among internal migrants in Bangladesh.Heliyon · 2023Article
- Utilisation of ANC services before and after the COVID-19 pandemic in selected resource-poor blocks of India: role of community health workers in Swabhimaan programme area.BMC health services research · 2023Article
- Impact of COVID-19 on routine childhood immunisations in low- and middle-income countries: A scoping review.PLOS global public health · 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
- Reasons for reductions in routine childhood immunisation uptake during the COVID-19 pandemic in low- and middle-income countries: A systematic review.PLOS global public health · 2023Article
- A Qualitative Assessment of the Essential Health and Nutrition Service Delivery in the Context of COVID-19 in Bangladesh: The Perspective of Divisional Directors.Healthcare (Basel, Switzerland) · 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
- Health and nutritional status of children hospitalized during the COVID-19 pandemic, Bangladesh.Bulletin of the World Health Organization · 2022Article
- WASH, nutrition and health-seeking behavior during COVID-19 lockdowns: Evidence from rural Bangladesh.PloS one · 2022Article
- Essential health services delivery in South Africa during COVID-19: Community and healthcare worker perspectives.Frontiers in public health · 2022Article
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Authors and funding
11 authors.
Funding
Abstract
The COVID-19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists on service provision, utilisation, or adaptations. This study aimed to (1) examine the changes to health and nutrition service delivery and utilisation in urban Bangladesh during and after enforcement of COVID-19 restrictions and (2) identify adaptations and potential solutions to strengthen delivery and uptake. We conducted longitudinal surveys with health care providers (n = 45), pregnant women (n = 40), and mothers of children <2 years (n = 387) in February 2020 (in-person) and September 2020 (by phone). We used Wilcoxon matched-pairs signed-rank tests to compare the changes before and during the pandemic. Services delivery for women and children which require proximity were severely affected; weight and height measurements fell by 20-29 percentage points (pp) for pregnant women and 37-57 pp for children, and child immunisations fell by 38 pp. Declines in service utilisation were large, including drops in facility visitations (35 pp among pregnant women and 67 pp among mothers), health and nutrition counselling (up to 73 pp), child weight measurements (50 pp), and immunisations (61 pp). The primary method of adaptation was provision of services over phone (37% for antenatal care services, 44%-49% for counselling). Despite adaptations to service provision, continued availability of routine maternal and child health services did not translate into service utilisation. Further investments are needed to provide timely and accurate information on COVID-19 to the general public, improve COVID-19 training and provide incentives for health care providers and ensure availability of personal protective equipment for providers and beneficiaries.
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