Effect of COVID-19 containment measures on access to snakebite care in India
Introduction: The extensive spread of COVID-19 meant action to address the pandemic took precedence over routine service delivery, thus impacting access to care for many health conditions, including the effects of snakebite.Method: We prospectively collected facility-level data from several health...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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James Cook University
2023-07-01
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| Series: | Rural and Remote Health |
| Online Access: | https://www.rrh.org.au/journal/article/7881/ |
| _version_ | 1797788191696093184 |
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| author | Soumyadeep Bhaumik Gian Luca Di Tanna Deepti Beri Amritendu Bhattacharya Pratyush Kumar Surajit Giri Maya Gopalakrishnan Sadanand Raut Amol Hartalkar Sumanth Majgi Jagnoor Jagnoor |
| author_facet | Soumyadeep Bhaumik Gian Luca Di Tanna Deepti Beri Amritendu Bhattacharya Pratyush Kumar Surajit Giri Maya Gopalakrishnan Sadanand Raut Amol Hartalkar Sumanth Majgi Jagnoor Jagnoor |
| author_sort | Soumyadeep Bhaumik |
| collection | DOAJ |
| description | Introduction: The extensive spread of COVID-19 meant action to address the pandemic took precedence over routine service delivery, thus impacting access to care for many health conditions, including the effects of snakebite.Method: We prospectively collected facility-level data from several health facilities in India, including number of snakebite admissions and snakebite envenoming admissions on modality of transport to reach the health facility. To analyse the effect of a health facility being in cluster-containment zone, we used negative binomial regression analysis.Results: Our findings suggest that that health facilities located within a COVID containment zone saw a significant decrease in total snakebite admissions (incidence rate ratio 0.64 (0.43-0.94), standard error 0.13, p≤0.02)) and envenoming snakebite admissions (incidence rate ratio 0.43 (0.23-0.81), standard error 0.14, p≤0.01) compared to when health facilities were not within a COVID containment zone. There was no statistically significant difference in non-envenoming admissions and modalities of transport used to reach health facilities.Conclusion: This article provides the first quantitative estimate of the impact of COVID-19 containment measures on access to snakebite care. More research is needed to understand how containment measures altered care-seeking pathways and the nature of snake-human-environment conflict. Primary healthcare systems need to be safeguarded for snakebite care to mitigate effects of cluster-containment measures.
Keywords: COVID-19, health system, India, pandemic, snake-human conflict, snakebite.
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| first_indexed | 2024-03-13T01:33:03Z |
| format | Article |
| id | doaj.art-7ea03cfa7b9344fd83281f282ef05fa1 |
| institution | Directory Open Access Journal |
| issn | 1445-6354 |
| language | English |
| last_indexed | 2024-03-13T01:33:03Z |
| publishDate | 2023-07-01 |
| publisher | James Cook University |
| record_format | Article |
| series | Rural and Remote Health |
| spelling | doaj.art-7ea03cfa7b9344fd83281f282ef05fa12023-07-04T05:34:19ZengJames Cook UniversityRural and Remote Health1445-63542023-07-012310.22605/RRH7881Effect of COVID-19 containment measures on access to snakebite care in IndiaSoumyadeep Bhaumik0Gian Luca Di Tanna1Deepti Beri2Amritendu Bhattacharya3Pratyush Kumar4Surajit Giri5Maya Gopalakrishnan6Sadanand Raut7Amol Hartalkar 8Sumanth Majgi 9Jagnoor Jagnoor10The George Institute for Global Health, University of New South Wales, Sydney, Australia; and The George Institute for Global Health, New Delhi, IndiaThe George Institute for Global Health, University of New South Wales, Sydney, Australia; and Department of Innovative Technologies, University of Applied Sciences and Arts of Southern Switzerland, Lugano, SwitzerlandThe George Institute for Global Health, New Delhi, IndiaThe George Institute for Global Health, New Delhi, IndiaPatna Medical College and Hospital, Patna, Bihar, IndiaDemow Community Health Centre, Sivasagar, Assam, IndiaAll India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaVighnahar Nursing Home, Pune, Maharashtra, IndiaDr. Amol Hartalkar's Cardio-Diabetes Clinic, Pune, Maharashtra, IndiaMysore Medical College and Research Institute, Mysore, Karnataka, IndiaThe George Institute for Global Health, University of New South Wales, Sydney, Australia; and The George Institute for Global Health, New Delhi, IndiaIntroduction: The extensive spread of COVID-19 meant action to address the pandemic took precedence over routine service delivery, thus impacting access to care for many health conditions, including the effects of snakebite.Method: We prospectively collected facility-level data from several health facilities in India, including number of snakebite admissions and snakebite envenoming admissions on modality of transport to reach the health facility. To analyse the effect of a health facility being in cluster-containment zone, we used negative binomial regression analysis.Results: Our findings suggest that that health facilities located within a COVID containment zone saw a significant decrease in total snakebite admissions (incidence rate ratio 0.64 (0.43-0.94), standard error 0.13, p≤0.02)) and envenoming snakebite admissions (incidence rate ratio 0.43 (0.23-0.81), standard error 0.14, p≤0.01) compared to when health facilities were not within a COVID containment zone. There was no statistically significant difference in non-envenoming admissions and modalities of transport used to reach health facilities.Conclusion: This article provides the first quantitative estimate of the impact of COVID-19 containment measures on access to snakebite care. More research is needed to understand how containment measures altered care-seeking pathways and the nature of snake-human-environment conflict. Primary healthcare systems need to be safeguarded for snakebite care to mitigate effects of cluster-containment measures. Keywords: COVID-19, health system, India, pandemic, snake-human conflict, snakebite. https://www.rrh.org.au/journal/article/7881/ |
| spellingShingle | Soumyadeep Bhaumik Gian Luca Di Tanna Deepti Beri Amritendu Bhattacharya Pratyush Kumar Surajit Giri Maya Gopalakrishnan Sadanand Raut Amol Hartalkar Sumanth Majgi Jagnoor Jagnoor Effect of COVID-19 containment measures on access to snakebite care in India Rural and Remote Health |
| title | Effect of COVID-19 containment measures on access to snakebite care in India |
| title_full | Effect of COVID-19 containment measures on access to snakebite care in India |
| title_fullStr | Effect of COVID-19 containment measures on access to snakebite care in India |
| title_full_unstemmed | Effect of COVID-19 containment measures on access to snakebite care in India |
| title_short | Effect of COVID-19 containment measures on access to snakebite care in India |
| title_sort | effect of covid 19 containment measures on access to snakebite care in india |
| url | https://www.rrh.org.au/journal/article/7881/ |
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