National pulse4/2/2023 ![]() ![]() Supply chain disruptions are also reported in 29% of countries. In 66% of countries, health workforce-related disruptions represent the most common causes of service disruptions.In high-income countries, service disruptions are most often the result of strategic suspensions or modifications, as opposed to in low- and middle-income countries where disruptions are more frequently unplanned. 40% of countries have limited access to one or more service delivery platforms, and nearly half of countries have scaled back at least one essential public health function or activity, including populationbased services. To some extent, disruptions may be due to intentional strategic modifications to service delivery and access.Immunization and rehabilitative and palliative care services saw the largest reduction among countries reporting disruptions.Ĭauses of service disruptions: supply and demand factors Nonetheless, the magnitude and extent of disruptions within countries decreased in 2021 compared to 2020, with just over a third of a set of 35 tracer services in countries disrupted on average, as compared to half in quarters 2-3 of 2020.Substantial disruptions span across all major health areas, including: management of mental, neurological and substance use disorders (with particular disruptions to school based and other mental health programmes) noncommunicable diseases, including cancer, hypertension, diabetes, and chronic respiratory disease neglected tropical diseases infectious diseases, including to tuberculosis (TB), human immunodeficiency virus (HIV), hepatitis and malaria reproductive, maternal, newborn, child and adolescent health and nutrition and immunization.In addition, 66% of countries report disruptions in elective surgeries, with accumulating consequences as the pandemic continues. Potentially life-saving emergency, critical and operative care interventions continue to be disrupted in about 20% of countries, likely resulting in substantial near-term impact on health outcomes.Primary care, rehabilitative, palliative and long-term care are most heavily affected, with over 40% of countries reporting disruptions that affect the availability of and access to quality services, including for the most vulnerable individuals.Overall, 94% of the 135 countries and territories participating in the 2nd round of WHO’s National pulse survey on continuity of essential health services during the COVID-19 pandemic reported some kind of disruption to services during the preceding three months from the date of survey submission (JanuaryMarch 2021), only slightly down from the percentage of countries reporting service disruptions in the first pulse survey rounds during quarters 3 and 4 of 2020. ![]() WHO is tracking disruptions to essential health services in the context of the COVID-19 pandemic and has conducted two rounds of pulse surveys in 20 to assess the extent of these disruptions.He is the author, reporter, and commentator for The National Pulse. Raheem Kassam is a British political activist, former editor-in-chief of Breitbart News London, and former chief adviser to former UK Independence Party leader Nigel Farage. What started out small, has grown into a dynamic, new media publication.įrom research and policy analysis to hard journalism and scorecards, we believe in facts. Concerned with all the misinformation across traditional and social media channels, our team came together before the 2016 presidential primary process. ![]() ![]() The National Pulse was formed to promote honesty in politics. About The National Pulse and Raheem Kassam Raheem Kassam hosts The National Pulse, real news and investigations podcast with investigative reporter Natalie Winters and guest hosts. The National Pulse with Raheem Kassam Latest Podcast Episodes Washington, D.C.-based, The National Pulse offers unique analysis and investigative reporting in addition to cultural and Capitol Hill insights edited by author, reporter, and commentator Raheem Kassam. ![]()
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