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Disruptions, restorations and adaptations to health and nutrition service delivery in multiple states across India over the course of the COVID-19 pandemic in 2020: An observational study

Plos One Avula, R., Nguyen, P. H., Ashok, S., Bajaj, S., Kachwaha, S., Pant, A., Walia, M., Singh, A., Pau,l A., Kulkarni, B., Singhania, D., Escobar-Alegria, J., Augustine, L..F, Khanna, M., Krishna, M., Sundaravathanam, N., Nayak, P. K., Sharma, P. K., Makkar, P., Ghosh, P. , Subramaniam, S., Mala, S., Giri, R., Jain, S, Banjara, S. K., Nair, S., Ghosh, S., Das, S., Patil, S., Mahapatra, T., Forissier ,T., Nanda, P., Krishnan, S., Menon, P. 2022-07-27
Article on the disruptions and restorations, challenges and adaptations in health and nutrition service delivery by frontline workers (FLWs) in India during COVID-19 in 2020. Phone surveys were conducted phone surveys with 5500 FLWs (among them 3118 Anganwadi Workers) in seven states between Aug–Oct 2020, asking about service delivery during Apr 2020 (T1) and in Aug-Oct (T2), and analyzed changes between T1 and T2. Health systems administrative data from 704 districts on disruptions and restoration of services between pre-pandemic (Dec 2019, T0), T1 and T2 were also analyzed. Services to mothers and children were disrupted during stringent lockdown but restored thereafter, albeit not to pre-pandemic levels. Rapid policy guidance and adaptations by FLWs enabled restoration but little remains known about uptake by client populations. As COVID-19 continues to surge in India, focused attention to ensuring essential services is critical to mitigate these major indirect impacts of the pandemic.
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  • COVID-19 Pandemic
  • Health
  • Nutrition
  • Women and/or Girls
  • Asia
  • India
  • South Asia
  • Low- and Middle-Income Countries (LMICs)
  • Adolescent girls
  • Adolescents (boys and/or girls 10-19 years old)
  • Children (boys and/or girls 1-10 years old)
  • Children <5 years old
  • Girls (adolescents and/or children)
  • Lactating women and/or girls
  • Mothers
  • Pregnant Women and/or Girls
  • Women (adults and/or adolescents)
  • Research
  • Article
  • Journal article

Highlighted Sources

Asia and the Pacific regional overview of food security and nutrition 2022: Urban food systems and nutrition – Launch recording, Key messages & Full report

  • Policy
  • Research
  • Article
  • Press release
  • Report
  • Video
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Ukraine War
  • Women and/or Girls
2023-01-24
Press release on the launch and key messages of the fifth annual Asia-Pacific regional SOFI report. The report’s highlights capture the challenges and system-level determinants of unhealthy diets in urban areas, both regarding undernutrition and overweight. It presents, among others, data on food security and affordability and the state of progress on achieving the global nutrition targets. The findings profile various urban environments, interventions, experiences, and opportunities to innovate at multiple levels to transform urban areas into sustainable cities. A link to the report's virtual launch event is available including the recording, key messages, and full report. View Source

Impacts of the COVID-19 pandemic on diets, nutrition services & nutrition practices in UNICEF’s Eastern and Southern Africa Region (ESAR): Evidence from remote surveys

  • Research
  • Report
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Women and/or Girls
2023-01-01
Report on the impact of the COVID pandemic on diets, services, and practices in the Eastern and Southern Africa region. The report presents findings from remote surveys in six ESAR countries with data on breastfeeding, diet diversity, food consumption and insecurity, drivers of dietary changes, and disruptions to nutrition services. The survey provides important learning for the future use of remote methods for collecting nutrition data. Technical brief, pull report, and six country briefs are available. View Source

Economic shocks predict increases in child wasting prevalence

  • Research
  • Article
  • Journal article
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Other Crises
  • Social Support and Protection
2022-04-20
Article on the impact of severe negative economic shock on child acute malnutrition (wasting), a major risk factor for under-5 mortality. In low- and middle-income countries (LMICs) macroeconomic volatility is common, and severe negative economic shocks can substantially increase poverty and food insecurity. Less well understood are the implications of these contractions for child wasting. This study explores the nutritional impacts of economic growth shocks over 1990–2018 by linking wasting outcomes collected for 1.256 million children from 52 countries to lagged annual changes in economic growth. Estimates suggest that a 10% annual decline in national income increases moderate/severe wasting prevalence by 14.4–17.8%. An exploration of possible mechanisms suggests negative economic shocks may increase risks of inadequate dietary diversity among children. Applying these results to the latest economic growth estimates for 2020 suggests that COVID-19 could put an additional 9.4 million preschoolers at risk of wasting, net of the effects of preventative policy actions. View Source