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Disruptions in maternal health service use during the COVID-19 pandemic in 2020: experiences from 37 health facilities in low-income and middle-income countries
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  • Published on: 23 February 2022
    Covid 19- collateral damage on nutrition of women and children, in Maharashtra, India
    • M PHADKE, Pediatrician Sr. Adv. NHM Govt. UNICEF, Mumbai,India

    Dear sir,
    We herewith report effects of disruptions on maternal and child health services in Maharashtra, India.
    Covid 19- collateral damage on nutrition of women and children, in Maharashtra, India

    Phadke M1,Nair R2,Menon P3,Jotkar R4, Saunik S5

    India has been battling the Covid 19 pandemic like most other countries of the world. The first two waves, particularly the second wave produced devastating effects on many aspects of human health and welfare .Disease mortality and morbidity was unparalleled. In addition to these direct effects of Covid 19 disease itself, a number of indirect effects of Covid 19 on women, adolescent girls and children occurred. Lockdowns, loss of jobs, decrease in salaries, migration, supply chain disruption, inadequacy and inaccessibility of foods, green vegetables, stoppage of midday meals due to school closures, inadequate distribution of iron folic acid tablets from anganwadis impacted women and children’s nutrition.
    Disruptions in maternal health services have been reported 1. We report two observations on occurrence of Neural tube defects and severe acute malnutrition in children during the years from 1st January to 31st December of 2020 and 2021. A team of doctors under the national health program of RBSK(Rashtriya Bal Swasthya Karyakram), examined children for '4Ds' i.e. Defects at birth, Diseases in children, Deficiency conditions and Developmental delays including disabilities. The year...

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    Conflict of Interest:
    None declared.
  • Published on: 9 February 2022
    Disruptions in maternal health Covid 19, Women's health-occurrence of neural tube defects
    • M PHADKE, Pediatrician Sr. Adv. NHM Govt. UNICEF, Mumbai,India

    Covid 19- women’s health, occurrence of neural tube defects and severe acute malnutrition in children

    Phadke M1,Nair R2,Menon P3,Jotkar R4, Saunik S5
    Dear sir,

    We read with interest the article on ‘Disruptions in maternal health service use during Covid 19 pandemic by Zeus Aranda, Thierry Binde et.al that has appeared in the B.M. J. Global Health Vol7. Issue 1,2021(http://dx.doi.org/10.1136/bmjgh-2021-007247) and wish to respond to it.
    India has been battling the Covid 19 pandemic like most other countries of the world. The first two waves, particularly the second wave produced devastating effects on many aspects of human health and welfare .Disease mortality and morbidity was unparalleled. In addition to these direct effects of Covid 19 disease itself, one had to face a number of indirect effects of Covid 19 on women, adolescent girls and children. Lockdowns, loss of jobs, decrease in salaries, migration, supply chain disruption, inadequacy and inaccessibility of foods, green vegetables, stoppage of midday meals due to school closures, inadequate distribution of iron folic acid tablets from anganwadis to children, adolescents and antenatal women will probably impact women and children’s nutrition.
    In the article by Zeus Aranda 1, they have predicted enormous disruptions in maternal health services1. We have observed the same in Maharashtra, a state in India.’
    India has now...

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    Conflict of Interest:
    None declared.