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National Covid-19 preparedness and response plans

A global review from the perspective of services for maternal, newborn, child and adolescent health and older people

Bibliographic Data

ID21881228
AuthorsAlexandra Czerniewska (0000-0001-8370-879X, Center for Health and Gender Equity), Alyssa Sharkey (0000-0001-8491-2880, Princeton University), Andrey Portela (0000-0001-6368-1585, World Health Organization, corresponding author), Sarah Drapkin (0009-0006-6374-7023, Princeton University), Saqif Mustafa (0000-0002-2034-9387, World Health Organization)
Year2024
Volume9
Issue3
Pagese013711
Publication date2024-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-013711
PMID38442984
OpenAlexW4392466658
LanguageEN
References cited23

INTRODUCTION: Infectious disease outbreaks have historically led to widespread disruptions in routine essential health services. Disruptions due to COVID-19 responses led to excess deaths, including among women and children. This review builds on earlier reviews of essential health services in national COVID-19 response and preparedness plans, focusing specifically on maternal, newborn, child, adolescent and ageing health (MNCAAH) in the context of renewed global emphasis on monitoring, recovering and strengthening these services. METHODS: Using Google searches, we identified publicly available COVID-19 response and preparedness plans authored by a national government body or Public Health Institute from any country, territory and/or area, published between January 2020 and December 2022. We assessed whether each plan considered maintenance of MNCAAH services with related activities, costing or monitoring plans, and whether these considerations were integrated into the national incident management system for COVID-19. RESULTS: We identified plans from 110 countries, representing 56% of our sample, in 10 languages. Most plans came from low-income and middle-income countries. Three quarters of dated documents were published between February and April 2020. 22% of plans referenced the impact of COVID-19 on MNCAAH, but only 13% included a planned activity for monitoring or mitigating this impact and less than 5% included relevant indicators, costing or integration of services in the incident management system. CONCLUSION: We propose that unless content specifically related to the services and needs of these populations is integrated, these services will suffer in a future disruptive event. The COVID-19 response demonstrated the need for an interdisciplinary response to address the unforeseen impacts that arose, yet plans continue to have a narrow focus and a generic approach which may be limiting

Activity-based costing · Business · Environmental health · Geography · Political science · Preparedness · Public health · COVID-19 Impact on Reproduction · Global Maternal and Child Health · Medicine · Nursing · Viral Infections and Outbreaks Research · Marketing

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Citation velocityhistorical
Highly citedNo
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