Strategies for health services in women, newborns, children, and adolescents during the COVID-19 pandemic in countries of Americas

The article analyzes the perceived challenges and strategies implemented in five Latin American and Caribbean countries to ensure continuity of care and access to health services for women, newborns, children, and adolescents during the COVID-19 pandemic. The study corresponds to a quick assessment...

Full description

Saved in:
Bibliographic Details
Published in:Cadernos de saúde pública 2023, Vol.38 (12), p.e00120222-e00120222
Main Authors: Jones, Daniel Eduardo, Ariza, Lucía, Alonso, Juan Pedro, Durán, Pablo, Serpa, Luis Andrés de Francisco, Serruya, Suzanne Jacob
Format: Article
Language:Spanish
Subjects:
Adolescent
Americas
Brazil
Caribbean Region
Child
Contraception
COVID-19 - epidemiology
Developing Countries
Family Planning Services
Female
Health Services
Humans
Infant, Newborn
Pandemics
Pregnancy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The article analyzes the perceived challenges and strategies implemented in five Latin American and Caribbean countries to ensure continuity of care and access to health services for women, newborns, children, and adolescents during the COVID-19 pandemic. The study corresponds to a quick assessment based on semi-structured interviews with key informants in countries selected by convenience: Colombia, Ecuador, Guatemala, Grenada, and the Dominican Republic. Interviews were conducted with 23 key informants: (a) decision makers at the national and/or subnational level, (b) healthcare professionals, and (c) representatives of civil society organizations; from December 2020 to January 2021. Among the findings, at the beginning of the pandemic, priority was given to the COVID-19 care, with measures to limit the flow of people to health facilities in the countries involved, closing or limiting outpatient visits and restricting care schedule. For women, this affected family planning services and access to contraceptive methods, implying a reduction in prenatal check-ups. As a result of this deinstitutionalization of care, among newborns, a decrease in pediatric check-ups, a decrease in timely immunization and late detection of pathologies or growth problems were reported. Among adolescents, a strong restriction of family planning services, the limitation of other friendly counseling spaces and difficulties in accessing contraceptives were observed.
ISSN:1678-4464
DOI:10.1590/0102-311XES120222