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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.
  • COVID-19 Pandemic
  • Health
  • Nutrition
  • Women and/or Girls
  • Asia
  • South Asia
  • a. Low- and Middle-Income Countries (LMICs)
  • India
  • Adolescent girls
  • Adolescents (boys and/or girls 10-19 years old)
  • Girls (adolescents and/or children)
  • Infants (boys and/or girls up to 12 months old)
  • Lactating Women and/or Girls
  • Mothers
  • Newborns/Babies (boys and /or girls 1-28 days old)
  • Pregnant Women and/or Girls
  • Women (adults and/or adolescents)
  • Research
  • Article
  • Scientific Publication/Journal article

Highlighted Sources

Act now before Ukraine war plunges millions into malnutrition

  • Advocacy
  • Policy
  • Research
  • Policy Guidance Document
  • Scientific Publication/Journal article
  • COVID-19 Pandemic
  • Economic
  • Education
  • Food Insecurity
  • Gender and/or Agency
  • Health
  • Nutrition
  • Other Crises
  • Social Support and Protection
  • Ukraine War
  • Women and/or Girls
2022-4-21
Article on the impact of the Ukraine war on global malnutrition, laying out the elements contributing to this worldwide nutrition crisis including the disproportionate effects on women and children. It puts forward five urgent actions to be taken by governments, donors, and others to protect current and future generations from the devastating effects of malnutrition as well as to prevent acute food insecurity. View Source

Economic shocks predict increases in child wasting prevalence

  • Research
  • Article
  • Scientific Publication/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

Assessing and mitigating the impact of shocks on food security and nutrition in the Asia Pacific region: Lessons from the COVID-19 response for informing the Global Food Crisis response

  • Policy
  • Research
  • Brief
  • Policy Guidance Document
  • Report
  • COVID-19 Pandemic
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Other Crises
  • Social Support and Protection
  • Ukraine War
  • Women and/or Girls
2022-7
Report on assessing and mitigating the impact of shocks on food security and nutrition in the Asia Pacific region to obtain lessons from the COVID-19 response for informing the Global Food Crises response. It lays out a series of studies undertaken by WFP and partners to better understand the realities of the food security and nutrition landscape since the start of the COVID-19 pandemic in the region. These are based on experiences throughout the COVID-19 pandemic, where WFP has continually assessed household vulnerability to food and nutrition insecurity through monitoring surveys, while simultaneously providing technical assistance and operations support for programs in response to the pandemic in the Asia Pacific region. In addition to WFP’s food security monitoring reports and data made available from WFP’s Fill the Nutrient Gap analyses, this brief utilizes secondary data relevant to the crisis, as well as four documents recently published by WFP and its partners. While the focus of this brief is on the COVID-19 crisis, its lessons can be applied now and into the future. Other types of covariate shocks will create compounding problems for countries. View Source