About: Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements

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About: Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements
Creator	Rahman, Omar Chen, Yen-Fu Diggle, Peter Uthman, Olalekan Ahmed, Shifat Ajisola, Motunrayo Aujla, Navneet Azam, Syed Azeem, Kehkashan Bakibinga, Pauline Choudhury, Nazratun Fayehun, Olufunke Gill, Paramjit Griffiths, Frances Harris, Bronwyn Iqbal, Romaina Kabaria, Caroline Kibe, Peter Kisia, Lyagamula Kyobutungi, Catherine Lilford, Richard Madan, Jason Mberu, Blessing Mohamed, Shukri Nazish, Ahsana Odubanjo, Oladoyin Omigbodun, Akinyinka Osuh, Mary Owoaje, Eme Oyebode, Oyinlola Porto De Albuquerque, Joao Rizvi, Narjis Sartori, Jo Smith, Simon Tabani, Komal Taiwo, Olalekan Tregonning, Grant Watson, Samuel Wilson, Ria Yeboah, Godwin Yusuf, Rita
source	Medline; PMC
abstract	INTRODUCTION: With COVID-19, there is urgency for policymakers to understand and respond to the health needs of slum communities. Lockdowns for pandemic control have health, social and economic consequences. We consider access to healthcare before and during COVID-19 with those working and living in slum communities. METHODS: In seven slums in Bangladesh, Kenya, Nigeria and Pakistan, we explored stakeholder perspectives and experiences of healthcare access for non-COVID-19 conditions in two periods: pre-COVID-19 and during COVID-19 lockdowns. RESULTS: Between March 2018 and May 2020, we engaged with 860 community leaders, residents, health workers and local authority representatives. Perceived common illnesses in all sites included respiratory, gastric, waterborne and mosquitoborne illnesses and hypertension. Pre-COVID, stakeholders described various preventive, diagnostic and treatment services, including well-used antenatal and immunisation programmes and some screening for hypertension, tuberculosis, HIV and vectorborne disease. In all sites, pharmacists and patent medicine vendors were key providers of treatment and advice for minor illnesses. Mental health services and those addressing gender-based violence were perceived to be limited or unavailable. With COVID-19, a reduction in access to healthcare services was reported in all sites, including preventive services. Cost of healthcare increased while household income reduced. Residents had difficulty reaching healthcare facilities. Fear of being diagnosed with COVID-19 discouraged healthcare seeking. Alleviators included provision of healthcare by phone, pharmacists/drug vendors extending credit and residents receiving philanthropic or government support; these were inconsistent and inadequate. CONCLUSION: Slum residents’ ability to seek healthcare for non-COVID-19 conditions has been reduced during lockdowns. To encourage healthcare seeking, clear communication is needed about what is available and whether infection control is in place. Policymakers need to ensure that costs do not escalate and unfairly disadvantage slum communities. Remote consulting to reduce face-to-face contact and provision of mental health and gender-based violence services should be considered.
has issue date	2020-08-20(xsd:dateTime)
bibo:doi	10.1136/bmjgh-2020-003042
bibo:pmid	32819917
has license	cc-by-nc
sha1sum (hex)	82d8433f924f527231b1ebc1e28b0872526db750
schema:url	https://doi.org/10.1136/bmjgh-2020-003042
resource representing a document's title	Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements
has PubMed Central identifier	PMC7443197
has PubMed identifier	32819917
schema:publication	BMJ Glob Health
resource representing a document's body	covid:82d8433f924f527231b1ebc1e28b0872526db750#body_text
is schema:about of	named entity 'healthcare' named entity 'Kenya' named entity 'response' named entity 'Nigeria' named entity 'Slums' named entity 'COVID-19' named entity 'Bangladesh' named entity 'COVID-19' named entity 'social distancing' named entity 'health workers' named entity 'Slum' named entity 'virus transmission' named entity 'Pakistan' named entity 'hand washing' named entity 'pandemics' named entity 'slum' named entity 'Bangladesh' named entity 'Health facility' named entity 'telemedicine' named entity 'verbal cues' named entity 'long-term' named entity 'immunisations' named entity 'outpatient clinic' named entity 'Hepatitis' named entity 'diarrhoea' named entity 'COVID' named entity 'tuberculosis' named entity 'Pakistan' named entity 'Kenya' named entity 'cough' named entity 'WHO' named entity 'slum' named entity 'crowded places' named entity 'colds' named entity 'hepatitis' named entity 'COVID-19 lockdowns' named entity 'low-income' named entity 'Bangladesh' named entity 'healthcare facilities' named entity 'mental health' named entity 'Health workers'

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