Access to Public Primary Care Facilities during the Pandemic and Lockdown: How Can We Measure the Impact?
| Autor: | ZULKIFLI Nur Wahida, MOHD UJANG Izzatur Rahmi, AWANG Samsiah, NARAYANAN Divya Nair, HAMIDI Normaizira, SUPADI Roslina, MOHAMAD Mariyah, ISMAIL Mohd Safiee, MOHD SALLEH Noridah, SOORYANARAYANA Rajini |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| DOI: | 10.5281/zenodo.5490970 |
| Popis: | Introduction: COVID-19 pandemic raises significant challenges on accessibility of people to healthcare services especially assessing the primary healthcare services. The accessibility to public primary health care facilities can be measured through availability, utilisation and timeliness indicators. This paper aims to describe the methods used in assessing the impact of the COVID 19 pandemic on the accessibility of public primary health care services in Malaysia. Methodology: The accessibility's domains and indicators were derived from the literatures and refined following stakeholders' engagement and consideration of data availability. Data on various services provided for January 2019 to June 2021 was retrieved using multiple databases at national, programme and state levels covering a total of 1131 public primary care clinics nationwide. Results: A total of 20 access indicators were identified to represent the three accessibility domains: (i) Availability (3 indicators; number of primary care facilities, opening hours and new services available); (ii)Utilisation (14 indicators; number of outpatient, laboratory test, X-ray, home visits, antenatal care, woman health care, postnatal care, postnatal care visit (> 2 times in 1 - 7 days of birth), gestational period at first time visits, women receiving oral or injectable contraception, child health care and vaccination (DTaP (booster), MR&DT(7 years old), HPV(13 years old) and (iii) Timeliness (3 indicators; defaulter rate for appointment of outpatient, maternal and child health. Conclusion: The methodology provides primary care accessibility trend and identify services that have been significantly affected during COVID-19 pandemic thus highlighting areas where more researches should be focused on and where improvement is required. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster] This poster was submitted to the 14th National Conference for Clinical Research (NCCR) on August 18-20 2021. https://nccrconference.com.my/ |
| Databáze: | OpenAIRE |
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