Essential health services delivery in Zimbabwe during the COVID-19 pandemic: perspectives and recommendations.
Essential health services delivery in Zimbabwe during the COVID-19 pandemic: perspectives and recommendations.
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DOI：
10.11604/pamj.supp.2020.35.143.25367
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Makurumidze R
中科院分区：
文献类型：
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作者：
Murewanhema G;Makurumidze R
津巴布韦于2020年3月20日报告了其首例新冠肺炎病例，自那以来，病例已增加到4000多例。为了遏制致病SARS-CoV-2的传播，并为医疗保健系统做好准备，2020年3月30日实施了包括封锁在内的公共卫生干预措施。这导致了医疗保健供应的中断，以及人员和供应链的流动。因此，患者在寻求和获得医疗保健方面出现了延误。此外，在妇幼保健、性和生殖保健服务、慢性病护理以及获得肿瘤学和其他专科服务方面的基本保健服务中断。因此，可能存在可避免的非新冠肺炎原因的过度发病率和死亡率，这是当前当地新冠肺炎负担不合理的。迫切需要考虑和实施在世界卫生组织和其他机构的指导下恢复基本卫生服务正常提供的措施，以避免可预防的生命损失和过度发病率。必须制定适当的感染预防和控制措施，以确保基本服务的连续性，同时保护医护人员和患者免受感染新冠肺炎的影响。
Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000. To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, were imposed on 30 March 2020. These resulted in disruptions in healthcare provision, and movement of people and supply chains. There have been resultant delays in seeking and accessing healthcare by the patients. Additionally, disruption of essential health services in the areas of maternal and child health, sexual and reproductive health services, care for chronic conditions and access to oncological and other specialist services has occurred. Thus, there may be avoidable excess morbidity and mortality from non-COVID-19 causes that is not justifiable by the current local COVID-19 burden. Measures to restore normalcy to essential health services provision as guided by the World Health Organisation and other bodies needs to be considered and implemented urgently, to avoid preventable loss of life and excess morbidity. Adequate infection prevention and control measures must be put in place to ensure continuity of essential services whilst protecting healthcare workers and patients from contracting COVID-19.