Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment
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...
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-06726-4 |
| _version_ | 1818909183159828480 |
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| author | Edwine Barasa Jacob Kazungu Stacey Orangi Evelyn Kabia Morris Ogero Kadondi Kasera |
| author_facet | Edwine Barasa Jacob Kazungu Stacey Orangi Evelyn Kabia Morris Ogero Kadondi Kasera |
| author_sort | Edwine Barasa |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T22:22:51Z |
| format | Article |
| id | doaj.art-7e0f421c0a7f461a93fc001e7582d8bc |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-19T22:22:51Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7e0f421c0a7f461a93fc001e7582d8bc2022-12-21T20:03:35ZengBMCBMC Health Services Research1472-69632021-07-0121111610.1186/s12913-021-06726-4Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessmentEdwine Barasa0Jacob Kazungu1Stacey Orangi2Evelyn Kabia3Morris Ogero4Kadondi Kasera5Health Economics Research Unit, KEMRI-Wellcome Trust Research ProgrammeHealth Economics Research Unit, KEMRI-Wellcome Trust Research ProgrammeHealth Economics Research Unit, KEMRI-Wellcome Trust Research ProgrammeHealth Economics Research Unit, KEMRI-Wellcome Trust Research ProgrammeHealth Services Unit, KEMRI-Wellcome Trust Research ProgrammeMinistry of HealthAbstract 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.https://doi.org/10.1186/s12913-021-06726-4PandemicCOVID-19Indirect health effectsKenya |
| spellingShingle | Edwine Barasa Jacob Kazungu Stacey Orangi Evelyn Kabia Morris Ogero Kadondi Kasera Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment BMC Health Services Research Pandemic COVID-19 Indirect health effects Kenya |
| title | Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment |
| title_full | Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment |
| title_fullStr | Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment |
| title_full_unstemmed | Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment |
| title_short | Indirect health effects of the COVID-19 pandemic in Kenya: a mixed methods assessment |
| title_sort | indirect health effects of the covid 19 pandemic in kenya a mixed methods assessment |
| topic | Pandemic COVID-19 Indirect health effects Kenya |
| url | https://doi.org/10.1186/s12913-021-06726-4 |
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