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The Indirect Health Effects of COVID-19: Emerging Findings from Kenya, the Philippines, South Africa, and Uganda

Diana Beatriz Bayan, Carleigh Krubiner, Edwine Barasa, Claire Biribawa, Alexander Broadbent, Lyle Casas, Kalipso Chalkidou, Y-Ling Chi, Herkulaas Combrink, Okethwangu Denis, Mary Kaakyo, Evelyn Kabia, Kadondi Kasera, Jacob Kazungu, Morris Ogero, Stacey Orangi, Anton Paterno, Lydia Regan, Benjamin Smart, Piet Streicher, Justin Tan, Nazarius Tumwesigye, Valerie Ulep, Jhanna Uy, Vanessa Van and Damian Walker
Additional contact information
Diana Beatriz Bayan: Saw Swee Hock School of Public Health, National University of Singapore
Carleigh Krubiner: Center for Global Development
Edwine Barasa: KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
Claire Biribawa: Makerere University School of Public Health, Uganda
Alexander Broadbent: Institute for the Future of Knowledge, University of Johannesburg
Lyle Casas: Philippine Institute for Development Studies, Quezon City, Philippines
Kalipso Chalkidou: School of Public Health, Imperial College London
Y-Ling Chi: Center for Global Development
Herkulaas Combrink: University of the Free State
Okethwangu Denis: Makerere University School of Public Health, Uganda
Mary Kaakyo: Makerere University School of Public Health, Uganda
Evelyn Kabia: KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
Kadondi Kasera: Ministry of Health, Kenya
Jacob Kazungu: KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
Morris Ogero: KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
Stacey Orangi: KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
Anton Paterno: Department of Health, Manila, Philippines
Lydia Regan: Center for Global Development
Benjamin Smart: Institute for the Future of Knowledge, University of Johannesburg
Piet Streicher: CEO, BulkSMS.com; member, PANDA (Pandemics Data & Analytics)
Justin Tan: Ateneo de Manila University, Philippines
Nazarius Tumwesigye: Makerere University School of Public Health, Uganda
Valerie Ulep: Philippine Institute for Development Studies, Quezon City, Philippines
Jhanna Uy: Philippine Institute for Development Studies, Quezon City, Philippines
Vanessa Van: Ateneo de Manila University, Philippines
Damian Walker: Center for Global Development

No 587, Working Papers from Center for Global Development

Abstract: COVID-19 has caused significant morbidity and mortality, both directly and indirectly via the disruption to routine health services. Evidence on the indirect health impacts has largely been anecdotal or modeled, and cause/program-specific. We aimed to document the indirect health impacts in four countries with different experiences: Kenya, the Philippines, South Africa, and Uganda. Using a common framework that encourages a whole-of-health assessment of the indirect health impacts of COVID-19, we used a variety of data sources, including estimates of excess mortality and changes in service utilization and coverage, to analyze the impacts of COVID-19 and its response measures on key health conditions and services. We found that each country experienced disruptions to health services, but the disruptions varied in terms of the services, geographic areas, and subpopulations affected, and most importantly, the degree and duration of disruptions experienced. We must continue to routinely and systematically measure the health and socioeconomic impacts of both the virus and the control measures, with short-, medium- and long-term timeframes and with an equity lens to look at how the virus has differentially impacted societal groups.

Pages: 23 pages
Date: 2021-06-29
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