The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review
Summary: Background: COVID-19 has had a profound impact on the health systems of the 11 countries of the WHO South East Asia Region. We conducted a systematic review of studies that used quantitative and comparative approaches to assess the impact of the pandemic on the service provision of four no...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | The Lancet Regional Health - Southeast Asia |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772368222000105 |
| _version_ | 1828190140907913216 |
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| author | Thomas Gadsden Laura E Downey Victor Del Rio Vilas David Peiris Stephen Jan |
| author_facet | Thomas Gadsden Laura E Downey Victor Del Rio Vilas David Peiris Stephen Jan |
| author_sort | Thomas Gadsden |
| collection | DOAJ |
| description | Summary: Background: COVID-19 has had a profound impact on the health systems of the 11 countries of the WHO South East Asia Region. We conducted a systematic review of studies that used quantitative and comparative approaches to assess the impact of the pandemic on the service provision of four noncommunicable diseases (NCDs) (cancer, cardiovascular disease, chronic respiratory diseases, and diabetes) in the region. Methods: A systematic search was conducted in PubMed, Embase, MedRxiv, and WHO COVID-19 databases in December 2021. The quality of studies was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist and the ROBINS-I risk of bias tool. A narrative synthesis was conducted following the ‘synthesis without meta-analysis’ reporting guidelines. Findings: Two review authors independently screened 5,397 records with 31 studies included, 26 which were cross-sectional studies. Most studies (n=24, 77%) were conducted in India and 19 (61%) were single-site studies. Compared to a pre-pandemic period, 10/17 cancer studies found a >40% reduction in outpatient services, 9/14 cardiovascular disease found a reduction of 30% or greater in inpatient admissions and 2 studies found diagnoses and interventions for respiratory diseases reduced up to 78.9% and 83.0%, respectively. No eligible studies on the impact of COVID-19 on diabetes services were found. Interpretation: COVID-19 has substantially disrupted the provision of essential health services for NCDs in the WHO South East Asia Region, particularly cancer and cardiovascular disease. This is likely to have serious and potentially long-term downstream impacts on health and mortality of those living with or at risk of NCDs in the region. Funding: This work was supported by the WHO Sri Lanka Country Office. |
| first_indexed | 2024-04-12T08:17:29Z |
| format | Article |
| id | doaj.art-45de052d18df41308c24098ea4a486fd |
| institution | Directory Open Access Journal |
| issn | 2772-3682 |
| language | English |
| last_indexed | 2024-04-12T08:17:29Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health - Southeast Asia |
| spelling | doaj.art-45de052d18df41308c24098ea4a486fd2022-12-22T03:40:44ZengElsevierThe Lancet Regional Health - Southeast Asia2772-36822022-06-011100010The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic reviewThomas Gadsden0Laura E Downey1Victor Del Rio Vilas2David Peiris3Stephen Jan4The George Institute for Global Health, University of New South Wales, Sydney, Australia; Corresponding author at: The George Institute for Global Health, 1 King St, Newtown 2041, NSW, Australia.The George Institute for Global Health, University of New South Wales, Sydney, Australia; School of Public Health, Imperial College London, London, United KingdomWorld Health Organization (WHO) South East Asia Regional Office (SEARO), New Delhi, IndiaThe George Institute for Global Health, University of New South Wales, Sydney, Australia; Faculty of Medicine and Health, The University of Sydney School of Public Health, Sydney, AustraliaThe George Institute for Global Health, University of New South Wales, Sydney, Australia; Faculty of Medicine and Health, The University of Sydney School of Public Health, Sydney, AustraliaSummary: Background: COVID-19 has had a profound impact on the health systems of the 11 countries of the WHO South East Asia Region. We conducted a systematic review of studies that used quantitative and comparative approaches to assess the impact of the pandemic on the service provision of four noncommunicable diseases (NCDs) (cancer, cardiovascular disease, chronic respiratory diseases, and diabetes) in the region. Methods: A systematic search was conducted in PubMed, Embase, MedRxiv, and WHO COVID-19 databases in December 2021. The quality of studies was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist and the ROBINS-I risk of bias tool. A narrative synthesis was conducted following the ‘synthesis without meta-analysis’ reporting guidelines. Findings: Two review authors independently screened 5,397 records with 31 studies included, 26 which were cross-sectional studies. Most studies (n=24, 77%) were conducted in India and 19 (61%) were single-site studies. Compared to a pre-pandemic period, 10/17 cancer studies found a >40% reduction in outpatient services, 9/14 cardiovascular disease found a reduction of 30% or greater in inpatient admissions and 2 studies found diagnoses and interventions for respiratory diseases reduced up to 78.9% and 83.0%, respectively. No eligible studies on the impact of COVID-19 on diabetes services were found. Interpretation: COVID-19 has substantially disrupted the provision of essential health services for NCDs in the WHO South East Asia Region, particularly cancer and cardiovascular disease. This is likely to have serious and potentially long-term downstream impacts on health and mortality of those living with or at risk of NCDs in the region. Funding: This work was supported by the WHO Sri Lanka Country Office.http://www.sciencedirect.com/science/article/pii/S2772368222000105COVID-19Noncommunicable diseasesSouth East AsiaHealth services |
| spellingShingle | Thomas Gadsden Laura E Downey Victor Del Rio Vilas David Peiris Stephen Jan The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review The Lancet Regional Health - Southeast Asia COVID-19 Noncommunicable diseases South East Asia Health services |
| title | The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review |
| title_full | The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review |
| title_fullStr | The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review |
| title_full_unstemmed | The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review |
| title_short | The impact of COVID-19 on essential health service provision for noncommunicable diseases in the South-East Asia region: A systematic review |
| title_sort | impact of covid 19 on essential health service provision for noncommunicable diseases in the south east asia region a systematic review |
| topic | COVID-19 Noncommunicable diseases South East Asia Health services |
| url | http://www.sciencedirect.com/science/article/pii/S2772368222000105 |
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