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.
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.
- COVID-19 Pandemic
- Women and/or Girls
- 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
- Pregnant Women and/or Girls
- Women (adults and/or adolescents)
- Journal article