What is it about?
Many countries across the world instituted lockdowns as a measure to prevent the spread of COVID-19. This study explored effects of the COVID-19 lockdown measures on health and healthcare services in Uganda. The qualitative study employed focus group discussions (FGDs), household interviews, and key informant interviews (KIIs). Fourteen FGDs were conducted among community members, and health practitioners. Interviews were conducted among 40 households, while 31 KIIs were held among various stakeholders. Findings from the study are presented under four themes: maternal and reproductive health; child health; chronic disease services; and mental health. Maternal and reproductive health services were negatively affected by the lockdown measures which resulted in reduced utilisation of antenatal, postnatal and family planning services. These effects were mainly due to travel restrictions including curfew, and fear of contracting COVID-19. The effects on child health included reduced utilisation of services which was a result of difficulties faced in accessing health facilities because of the travel restrictions. Patients with chronic conditions could not access health facilities for their routine visits particularly due to suspension of public transport. Depression, stress and anxiety were common due to social isolation from relatives and friends, loss of jobs, and fear of law enforcement personnel. There was also increased anxiety among health workers due to fear of contracting COVID-19. The COVID-19 lockdown measures negatively affected health, and reduced access to maternal, reproductive and child health services. Future interventions in pandemic response should ensure that their effects on health and access to health services are minimised.
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Why is it important?
Lockdowns instituted in response to COVID-19 had several effects on health. Understanding these effects is important in the future response to COVID-19 or other pandemics across the world.
Perspectives
This publication on the effects of COVID-19 on health and health services may be used to inform planning to respond to pandemics to maximum benefits and minimise effects on health systems globally.
David Musoke
Makerere University
Read the Original
This page is a summary of: The effects of COVID-19 lockdown measures on health and healthcare services in Uganda, PLOS Global Public Health, January 2023, PLOS,
DOI: 10.1371/journal.pgph.0001494.
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