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Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment.
Barasa, Edwine; Kazungu, Jacob; Orangi, Stacey; Kabia, Evelyn; Ogero, Morris; Kasera, Kadondi.
  • Barasa E; Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya. ebarasa@kemri-wellcome.org.
  • Kazungu J; Centre for Tropical Medicine and Global Health, Nuffield department of Medicine, University of Oxford, Oxford, UK. ebarasa@kemri-wellcome.org.
  • Orangi S; Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
  • Kabia E; Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
  • Ogero M; Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
  • Kasera K; Health Services Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
BMC Health Serv Res ; 21(1): 740, 2021 Jul 26.
Article in English | MEDLINE | ID: covidwho-1327923
ABSTRACT

BACKGROUND:

The COVID-19 pandemic and country measures to control it can lead to negative indirect health effects. Understanding these indirect health effects is important in informing strategies to mitigate against them. This paper presents an analysis of the indirect health effects of the pandemic in Kenya.

METHODS:

We employed a mixed-methods approach, combining the analysis of secondary quantitative data obtained from the Kenya Health Information System database (from January 2019 to November 2020) and a qualitative inquiry involving key informant interviews (n = 12) and document reviews. Quantitative data were analysed using an interrupted time series analysis (using March 2020 as the intervention period). Thematic analysis approach was employed to analyse qualitative data.

RESULTS:

Quantitative findings show mixed findings, with statistically significant reduction in inpatient utilization, and increase in the number of sexual violence cases per OPD visit that could be attributed to COVID-19 and its mitigation measures. Key informants reported that while financing of essential health services and domestic supply chains were not affected, international supply chains, health workforce, health infrastructure, service provision, and patient access were disrupted. However, the negative effects were thought to be transient, with mitigation measures leading to a bounce back.

CONCLUSION:

Finding from this study provide some insights into the effects of the pandemic and its mitigation measures in Kenya. The analysis emphasizes the value of strategies to minimize these undesired effects, and the critical role that routine health system data can play in monitoring continuity of service delivery.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Africa Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2021 Document Type: Article Affiliation country: S12913-021-06726-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Africa Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2021 Document Type: Article Affiliation country: S12913-021-06726-4