EHS-COVID (84) Q2. What has been the impact of health service disruptions on the health and wellbeing of people in your health facility or country?

22 November, 2020

Thank you all for your valuable contributions to the discussion so far. If you missed any of the previous contributions to this discussion, you can review them here: https://www.hifa.org/rss-feeds/17

The outputs from this discussion will assist WHO and others to better support essential health services. Over the next few days I invite you to consider Question 2:

Q2. WHAT HAS BEEN THE IMPACT OF HEALTH SERVICE DISRUPTIONS ON THE HEALTH AND WELLBEING OF PEOPLE IN YOUR HEALTH FACILITY OR COUNTRY?

Such impacts might include increased mortality or increased morbidity (perhaps due to late diagnosis or inability to access medicines). Some of the impacts (particularly those related to preventive services, immunisation, screening) are yet to reveal themselves fully. Other impacts are happening now.

COVID-19 causes death and suffering directly (through the disease itself) or indirectly (through its impact on health services, economy, mental health, child health, women's health...).

To date, there have been 1.37 million deaths directly attributable to COVID-19. By contrast, I have not been able to find estimates of indirect deaths attributable to health service disruption. I shall ask our HIFA literature search expert John Eyers if he can help us. Meanwhile, please do share any reports or papers of which you are aware, either for the world or specifically for your country/facility.

We also look forward to hear your personal observations relating to health service disruption.

Best wishes, Neil

Coordinator, WHO-HIFA Collaboration: HIFA project on Essential Health Services and COVID-19

https://www.hifa.org/projects/essential-health-services-and-covid-19

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 20,000 members in 180 countries, interacting on six global forums in four languages in collaboration with WHO. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org