Analysing Boons & Banes of COVID 19 Pandemic: A Perspective from Healthcare Services & Policy Standpoint
DOI:
https://doi.org/10.56450/JEFI.2023.v1i01.003Keywords:
COVID-19, Maternal and child health, Telemedicine, Preventive Health, Health PolicyAbstract
Background: The myriad effects of COVID 19 pandemic on health and beyond are getting being recognized with the passing time. Aims & Objective: We attempted to compile a general assessment of the various positive and negative impacts of COVID 19 on health and healthcare services, drawing on global and Indian experiences, as well as incorporating a contemporary viewpoint of India's health policy. Methodology: A comprehensive search through PubMed, Google Scholar, news articles, and official documents was conducted to gather evidence on pandemic's impacts (March 2020 - April 2022). Policy capacity framework and health policy studies were analysed without time constraints. Results: The COVID-19 pandemic has heightened the demand for emergency services, affecting the availability of healthcare resources for both communicable and non-communicable disorders. Initially, maternal and child health services experienced a decline, but later rebounded. Telemedicine and community-based care emerged as valuable assets during the pandemic. From a health policy perspective, the crisis prompted a shift from a curative to a prevention-oriented approach. Conclusion: Strengthening and refining rules and regulations governing the implementation of public-private partnerships (PPPs) in health, as well as systematic investment in preventive programmes such as WASH and nutrition were identified as possible areas of health reforms.
Downloads
References
1. Chi L, Regan L, Nemzoff C, et al. Beyond COVID-19: A Whole of Health Look at Impacts During the Pandemic Response. CGD Policy Paper 2020;177:1–30.
2. Ferreira F. Inequality in the time of COVID-19. Finance & Development 2021;2021:21–23.
3. World Health Organization, Geneva. COVID-19 Significantly Impacts Health Services for Noncommunicable Diseases. 2020. Available at: https://www.who.int/news/item/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases. (Accessed on 24 December 2023).
4. Haileamlak A. The Impact of COVID-19 on Non-Communicable Diseases. Ethiop J Health Sci 2022;32(1):1–2 DOI: https://doi.org/10.4314/ejhs.v32i5.1
5. World Health Organization. Third round of the global pulse survey on continuity of essential health services during the COVID-19 pandemic. November–December 2021;2019-2022 1. Available at: https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS_continuity-survey-2022.1 (Accessed on 24 December 2023)
6. World Health Organization. Second round of the national pulse survey on continuity of essential health services during the COVID-19 pandemic. January-March 2021;2019-2021 1. Available at: https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS-continuity-survey-2021.1 (Accessed on 24 December 2023)
7. Chang H-J, Huang N, Lee C-H. The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS. Am J Public Health 2004;94:562–564. DOI: https://doi.org/10.2105/AJPH.94.4.562
8. Dasgupta A, Deb S. Telemedicine: A New Horizon in Public Health in India. Indian J Community Med 2008;33:3–8. DOI: https://doi.org/10.4103/0970-0218.39234
9. Birkland TA. Focusing Events, Mobilization, and Agenda Setting. Journal of Public Policy 1998;18:53–74. DOI: https://doi.org/10.1017/S0143814X98000038
10. World Health Organization. WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19 2020. Available at: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 ; (Accessed on 24 December 2023)
11. Chmielewska B, Barratt I, Townsend R. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. The Lancet Global Health 2021;9:759–772. DOI: https://doi.org/10.1016/S2214-109X(21)00079-6
12. Kotlar B, Gerson E, Petrillo S. The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Reproductive Health 2021;18:10. DOI: https://doi.org/10.1186/s12978-021-01070-6
13. Singh AK, Jain PK, Singh NP. Impact of COVID-19 pandemic on maternal and child health services in Uttar Pradesh, India. J Family Med Prim Care 2021;10:509–513. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1550_20
14. Khan A, Chakravarty A, Mahapatra J. Impact of COVID-19 Pandemic on Childhood Immunization in a Tertiary Health-Care Center. Indian J Community Med 2021;46:520–523. DOI: https://doi.org/10.4103/ijcm.IJCM_847_20
15. Lucas DN, Bamber JH. Pandemics and maternal health: the indirect effects of COVID‐19. Anaesthesia 2021;76:69–75. DOI: https://doi.org/10.1111/anae.15408
16. Bhatia K, Columb M, Bewlay A. The effect of COVID-19 on general anaesthesia rates for caesarean section. A cross-sectional analysis of six hospitals in the north-west of England. Anaesthesia 2021;76:312–319. DOI: https://doi.org/10.1111/anae.15313
17. Borbely D, Rossi G. How Is Coronavirus Affecting the Provision of Free School Meals? Economics Observatory. 2020.
18. Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. Loneliness and social isolation during the COVID-19 pandemic. Int Psychogeriatr. 2020;32(10):1217-1220. DOI: https://doi.org/10.1017/S1041610220000988
19. Que J, Shi L, Deng J. psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr 2020;33:100259. DOI: https://doi.org/10.1136/gpsych-2020-100259
20. World Health Organization. COVID-19 Pandemic Triggers 25% Increase in Prevalence of Anxiety and Depression Worldwide. 2022. (Accessed on 24 December 2023)
21. Jnaneswar A, Jha K, Barman D. Software Intervention in Smoking Cessation among Engineering Students in Bhubaneswar City: A Randomized Controlled Trial. Indian J Community Med 2020;45:534–538. DOI: https://doi.org/10.4103/ijcm.IJCM_56_20
22. Xie J, Zhong R, Wang W, et al. COVID-19 and smoking: what evidence needs our attention? Frontiers in physiology 2021;12. DOI: https://doi.org/10.3389/fphys.2021.603850
23. Bhaskaran K, Rentsch CT, MacKenna B. HIV infection and COVID-19 death: a population-based cohort analysis of UK primary care data and linked national death registrations within the OpenSAFELY platform. Lancet HIV 2021;8:24–32. DOI: https://doi.org/10.1016/S2352-3018(20)30305-2
24. Kumarasamy N, Venkatesh KK, Mayer KH. financial burden of health services for people with HIV/AIDS in India. Indian J Med Res 2007;126:509–517.
25. World Health Organization, Geneva. Global tuberculosis report 2020. Available at: https://www.who.int/publications/i/item/9789240013131 ; (Accessed on 24 December 2023)
26. Kant S, Tyagi R. The impact of COVID-19 on tuberculosis: challenges and opportunities. Ther Adv Infect Dis 2021;8:20499361211016972. DOI: https://doi.org/10.1177/20499361211016973
27. Nikoloski Z, Alqunaibet AM, Alfawaz RA. Covid-19 and non-communicable diseases: evidence from a systematic literature review. BMC Public Health 2021;21:1068. DOI: https://doi.org/10.1186/s12889-021-11116-w
28. Varanasi R, Nayak D, Kumar A, et al. Impact of Covid-19 Pandemic on Patients with Non-Communicable Disease: An Observational Cross-Sectional Study at AYUSH Set Ups of Krishna and Darjeeling District, India. Complementary Medicine Research 2022. DOI: https://doi.org/10.1159/000521904
29. Sahoo KC, Kanungo S, Mahapatra P. non-communicable diseases care during COVID-19 pandemic: A mixed-method study in Khurda district of Odisha, India. Indian Journal of Medical Research 2021;153:649–657. DOI: https://doi.org/10.4103/ijmr.IJMR_3185_20
30. Yadav UN, Rayamajhee B, Mistry SK, et al. A syndemic perspective on the management of non-communicable diseases amid the COVID-19 pandemic in low-and middle-income countries. Frontiers in public health 2020;8(508). DOI: https://doi.org/10.3389/fpubh.2020.00508
31. Al-Quteimat OM, Amer AM. The impact of the COVID-19 pandemic on cancer patients. American journal of clinical oncology 2020. DOI: https://doi.org/10.1097/COC.0000000000000712
32. Karan A, Negandhi H, Hussain S. Size, composition and distribution of health workforce in India: why, and where to invest? Human Resources for Health 2021;19:39. DOI: https://doi.org/10.1186/s12960-021-00575-2
33. Garfan S, Alamoodi AH, Zaidan BB. Telehealth utilization during the Covid-19 pandemic: A systematic review. Computers in Biology and Medicine 2021;138:104878. DOI: https://doi.org/10.1016/j.compbiomed.2021.104878
34. Sageena G, Sharma M, Kapur A. Evolution of Smart Healthcare: Telemedicine During COVID-19 Pandemic. J Inst Eng India Ser B 2021;102:1319–1324. DOI: https://doi.org/10.1007/s40031-021-00568-8
35. Sharma R. Patient Registration, esanjeevaniopd.in Appointment. PM Modi Yojana 2023. Available at: https://www.pm-yojana.in/en/e-sanjeevani-opd-patient-registration-esanjeevaniopdin-appointment ; (Accessed on 24 December 2023)
36. Ray K. Covid-19 Pandemic Pushes India’s Health Expenditure to 2.1% of GDP. Deccan Herald 2022. Available at: https://www.deccanherald.com/business/union-budget/covid-19-pandemic-pushes-indias-health-expenditure-to-21-of-gdp-1076641.html ; (Accessed on 24 December 2023)
37. MoHFW, GOI. Pradhan MantriAyushman Bharat Health Infrastructure Mission. 2021. Available at: https://main.mohfw.gov.in/?q=Major-Programmes/basicpage-22 ; (Accessed on 24 December 2023)
38. Wu X, Ramesh M, Howlett M. Policy capacity: A conceptual framework for understanding policy competences and capabilities. Policy and Society 2015;34:165–171. DOI: https://doi.org/10.1016/j.polsoc.2015.09.001
39. Talukdar R, Barman D, Dutta S, et al. Towards a Resilient Post-Pandemic Health System: Lessons through the Spectacles of Indian Health Policy Scenario. Indian Journal of Community Medicine 2023;48(5):641 DOI: https://doi.org/10.4103/ijcm.ijcm_115_23
40. NHSRC, MoHFW, GOI. Booklet for Public Health Management Cadre. 2022. Available at: https://nhsrcindia.org/public-health-management-cadre ; (Accessed on 24 December 2023)
41. Talukdar R. Relevance of developing public health service cadres alongside a more prevention oriented Indian health system: an overview. Int J Community Med Public Health 2021;9:426. DOI: https://doi.org/10.18203/2394-6040.ijcmph20215021
42. MoHFW, GOI. Joint Monitoring Mission Report Integrated Disease Surveillance Programme: Integrated Disease Surveillance. 2015. Available at: https://www.idsp.nic.in/index1.php?lang=1&level=2&sublinkid=5967&lid=3913 ; (Accessed on 24 December 2023)
43. Williams D, KC Y, KA G. The failure of private health services: COVID-19 induced crises in low- and middle-income country (LMIC) health systems. Global Public Health 2021;16:1320–1333. DOI: https://doi.org/10.1080/17441692.2021.1874470
44. Nishtar S. The mixed health systems syndrome. Bull World Health Organ 2010;88:74–75. DOI: https://doi.org/10.2471/BLT.09.067868
45. World Health Organization. Role of Primary Care in the COVID-19 Response. WPR/DSE/2020/004, WHO Regional Office for the Western Pacific. 2020. Available at: https://www.who.int/publications/i/item/WPR-DSE-2020-004 ; (Accessed on 24 December 2023).
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Suman Kanungo, Diplina Barman, Rounik Talukdar, Umesh Kapil (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.