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MNC & AH service utilization in the community during COVID-19 in…
MNC & AH service utilization in the community during COVID-19 in Bangladesh
Introduction
Global
According to a UNICEF analysis, some 77 per cent of children under the age of 18 worldwide are living in one of 132 countries with movement restrictions and lockdown.
South Asia
Institutional childbirth reduced by more than half during lockdown, with increases in institutional stillbirth rate and neonatal mortality, and decreases in quality of care.(KC et al., 2020)
Bangladesh
Methodology
Sampling Size
Study Design
Sampling Unit
Sampling Site
Data Analyse Plan
Ethical
Service Utilization : disruptions to care seeking and preventative interventions
Maternal Health : availability of drug, bed, midwives
ANC
PNC
Delivery Care
Family Planning
Child Health
Immunization
On March 2020 the National measles and rubella (MR) mass vaccination campaigns had been postponed Bangladesh
Disruption of child vaccination in South Asia poses an urgent threat to children’s health - UNICEF. Available from
https://www.unicef.org/bangladesh/
en/press-releases/disruption-child-vaccinationsouth-asia-poses-urgent-threat-childrens-healthunicef. Accessed on 28.06.2020.
The EPI routine immunization coverage is also decreasing, putting the countries including Bangladesh at risk of outbreaks of extremely contagious diseases like measles.
medical supply including vaccination chain disruptions
Adolescent Health
NCD Care
Health Service Delivery
Health Care Utilization
is the quantification or description of the use of services by persons for the purpose of preventing and curing health problems, promoting maintenance of health and well-being, or obtaining information about one’s health status and prognosis. (Gellman & Turner, 2013, p. 57)
The percentage of persons who use a certain service over individuals eligible for that service in a period of time (in the USA in 2008, 75% of all women aged 18 years (Gellman & Turner, 2013, p. 57)
The number of services used over a period of time divided by a population denominator (e.g., in 2008, there were 320.1 ambulatory Care Visits to Physicians’ Offices per 100 persons living in the USA).(Gellman & Turner, 2013, p. 57)
Utilization is often defined as the quantity of health care services used (WHO)
Utilization (of health services): “experience of people as to their receipt of health care services of different
types.” WHO,2017
Underlying factor low of service utilization
Lack of PPE
Cost of service increase while HH income reduce
Fear of COVID-19
Lockdown and physical distancing
Low education less likely to find skilled maternal health
source of health care service
Pharmacy
Maternal Clinic
Community service ( SS)
General Practicioner
Government Facilities